Impact of ambient bright light on agitation in dementia.
Impact of ambient bright light on agitation in dementia.
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DOI：
10.1002/gps.2453
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发表时间：
2010-10
影响因子：
4
通讯作者：
Zimmerman, Sheryl
中科院分区：
文献类型：
--
作者：
Barrick, Ann Louise;Sloane, Philip D.;Williams, Christianna S.;Mitchell, C. Madeline;Connell, Bettye Rose;Wood, Wendy;Hickman, Susan E.;Preisser, John S.;Zimmerman, Sheryl
评估环境强光治疗对痴呆住院患者激越的影响。在北卡罗来纳州的一家州立精神病医院和俄勒冈州的一家痴呆症专用住宅护理机构的活动和用餐区安装了高强度、低眩光的环境照明。研究采用了一个集群单元交叉设计，涉及四个环境照明条件：上午明亮的光，下午明亮的光，全天明亮的光，和标准光。66名老年痴呆症患者参加了培训。结果的措施包括直接观察的研究人员和完成的14项，简短的科恩-曼斯菲尔德激越量表（CMAI）的工作人员照顾者。对观察数据的分析显示，对于轻度/中度痴呆的参与者，在AM光（p=0.003）、PM光（p<0.001）和全天光（p=0.001）下的躁动高于标准光。还有一种趋势是严重痴呆的参与者在AM光下比标准光下更激动（p=0.053）。CMAI数据分析确定了不同研究中心的不同反应：与全天光照相比，北卡罗来纳州研究中心在AM光照（p=0.002）和PM光照（p=0.013）下的躁动显著增加，而在俄勒冈州，全天光照下的躁动高于AM光照（p=0.030）。与标准照明相比，在任何治疗条件下，搅拌都没有显著降低。周围明亮的光线不能有效地减少痴呆症的躁动，并可能加剧这种行为症状。
To evaluate the effect of ambient bright light therapy on agitation among institutionalized persons with dementia. High intensity, low glare ambient lighting was installed in activity and dining areas of a state psychiatric hospital unit in North Carolina and a dementia-specific residential care facility in Oregon. The study employed a cluster-unit crossover design involving four ambient lighting conditions: AM bright light, PM bright light, All Day bright light, and Standard light. Sixty-six older persons with dementia participated. Outcome measures included direct observation by research personnel and completion by staff caregivers of the 14-item, short form of the Cohen-Mansfield Agitation Inventory (CMAI). Analyses of observational data revealed that for participants with mild/moderate dementia, agitation was higher under AM light (p=0.003), PM light (p<0.001), and All Day light (p=0.001) than Standard light. There also was a trend toward severely demented participants being more agitated during AM light than Standard light (p=0.053). Analysis of CMAI data identified differing responses by site: the North Carolina site significantly increased agitation under AM light (p=0.002) and PM light (p=0.013) compared with All Day light while in Oregon, agitation was higher for All Day light compared to AM light (p=0.030). In no comparison was agitation significantly lower under any therapeutic condition, in comparison to Standard lighting. Ambient bright light is not effective in reducing agitation in dementia and may exacerbate this behavioral symptom.
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影响因子：
2.8
作者：
BURGIO L D;BUTLER F;ENGEL B T
通讯作者：
ENGEL B T
DOI：
10.1177/073346489000900109
发表时间：
1990-03-01
期刊：
Journal of applied gerontology : the official journal of the Southern Gerontological Society
影响因子：
--
作者：
Marx, M S;Cohen-Mansfield, J;Werner, P
通讯作者：
Werner, P
DOI：
10.1056/nejmoa0806994
发表时间：
2009-01-15
期刊：
The New England journal of medicine
影响因子：
--
作者：
Ray WA;Chung CP;Murray KT;Hall K;Stein CM
通讯作者：
Stein CM
影响因子：
120.7
作者：
Riemersma-van der Lek, Rixt F.;Swaab, Dick F.;Van Someren, Eus J. W.
通讯作者：
Van Someren, Eus J. W.
影响因子：
0.5
作者：
HALL, GR;GERDNER, L;BUCKWALTER, KC
通讯作者：
BUCKWALTER, KC