Non-pharmacological management of behavioural symptoms in nursing homes
Non-pharmacological management of behavioural symptoms in nursing homes
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DOI：
10.1002/gps.2275
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发表时间：
2009-12-01
影响因子：
4
通讯作者：
Robert, Philippe Henri
中科院分区：
文献类型：
--
作者：
Deudon, Audrey;Maubourguet, Nathalie;Robert, Philippe Henri
背景痴呆的行为和心理症状（BPSD）的机构经常报告为elderly.Objective评估的有效性，工作人员的教育干预，以管理BPSD在老年人与dementia.Methods的诊断进行了试验在16个养老院; 306例诊断为痴呆症，并提出BPSD被选中。护理院被随机分配到干预组或对照组。在干预组的护理院进行为期8周的员工教育和培训计划。主要的结果测量是Cohen-Mansfield激越量表（CMAI）和观察量表（OS）评分。在基线（WO）、“干预”期结束时（W8）和12周后（W20）进行评估。结果干预组的总体CMAI评分在基线和W8之间（-7.8; p > 0.01）和基线和W20之间（-6.5; p > 0.01）有显著下降，但对照组没有。混合线性模型的结果显示，干预组的CMAI总体评分、CMAI身体非攻击行为子量表评分和口头非攻击行为子量表评分显著降低（p < 0.001），而对照组无显著变化。直接评估与OS产生了相同的模式的结果，只有在干预group.Conclusion显着减少的干预减少BPSD严重痴呆的养老院居民，这种效果仍然存在3个月后结束的程序。版权所有（C）2009约翰威利父子有限公司
Background Behavioural and psychological symptoms of dementia (BPSD) are often reported in institutions for the elderly.Objective To evaluate the effectiveness of a staff education intervention to manage BPSD in older people with a diagnosis of dementia.Methods The trial was conducted in 16 nursing homes; 306 patients with a diagnosis of dementia and presenting BPSD were selected. Nursing homes were randomly allocated to an intervention group or a control group. An 8-week staff education and training programme was conducted in the nursing homes in the intervention group. The main outcome measures were the Cohen-Mansfield Agitation Inventory (CMAI) and an Observation Scale (OS) score. Assessments were done at baseline (WO), at the end of the 'intervention' period (W8) and 12 weeks after (W20).Results There was a significant decrease in the global CMAI score between baseline and W8 (-7.8; p > 0.01) and between baseline and W20 (-6.5; p > 0.01) in the intervention group but not in the control group. Results of mixed linear models showed that the CMAI global score, the CMAI physically non-aggressive behaviours subscale score and verbally non-aggressive behaviours subscale score significantly decreased in the intervention group (p < 0.001) although there was no significant evolution in the control group. Direct assessment with the OS produced the same pattern of results, with a significant decrease only in the intervention group.Conclusion The intervention reduced BPSD in severely demented nursing home residents and this effect was still present 3 months after the end of the programme. Copyright (C) 2009 John Wiley & Sons, Ltd.