Evaluating a protocol to train hospice staff in administering individualized music.

Evaluating a protocol to train hospice staff in administering individualized music.
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评估培训临终关怀人员管理个性化音乐的协议。

DOI:
10.12968/ijpn.2011.17.4.195
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发表时间:
2011
影响因子:
1
通讯作者:
Maribeth Gallagher
Maribeth Gallagher
中科院分区:
--
文献类型:
--
作者:
Maribeth Gallagher

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在世界大部分地区,人类平均寿命的持续延长预测了前所未有数量的老年人患阿尔茨海默病或相关痴呆症。痴呆的行为和心理症状,通常被称为激动行为,估计发生在超过80%的患者中,通常使用抗精神病药物治疗,造成显著的发病率和死亡率风险。一个以证据为基础的协议被称为个性化音乐(IM)提供了一个非药物干预,以减少激动。本研究采用单组前测后测设计,训练一组24位安宁疗护专业人员,让他们使用即时通讯协定来治疗失智症病患。探讨了培训对提高参与者使用IM的知识和信心的有效性。配对t检验分析的数据和分析的结果是令人鼓舞的,这表明它是可行的,教育多学科临终关怀工作人员在实施IM协议。因此,有可能使用IM在姑息治疗晚期痴呆症的人。
The ongoing extension of the average human lifespan in most parts of the world forecasts an unprecedented number of aging adults developing Alzheimer's disease or related dementia. Behavioural and psychological symptoms of dementia, commonly referred to as agitated behaviours, are estimated to occur in over 80% of patients and are typically treated using antipsychotic medications, posing significant morbidity and mortality risks. An evidence-based protocol known as individualized music (IM) offers a non-pharmacological intervention to reduce agitation. This project, using a one-group pre-test-post-test design, was implemented by training a self-selected sample of 24 hospice professionals to use the IM protocol with dementia patients. The effectiveness of the training on increasing the participants' knowledge of and confidence in using IM was explored. Paired t-tests were employed to analyze the data and the results of the analysis were encouraging, suggesting that it is feasible to educate multidisciplinary hospice staff in implementing the IM protocol. Thus, there is potential for using IM in the palliative treatment of persons with advanced dementia.