Behavior management approach for agitated behavior in Japanese patients with dementia: a pilot study.
Behavior management approach for agitated behavior in Japanese patients with dementia: a pilot study.
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日本痴呆症患者的搅动行为的行为管理方法：一项试点研究。
DOI：
10.2147/ndt.s38943
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发表时间：
2013
影响因子：
3.2
通讯作者：
Mimura M
中科院分区：
文献类型：
--
作者：
Sato J;Nakaaki S;Torii K;Oka M;Negi A;Tatsumi H;Narumoto J;Furukawa TA;Mimura M
在痴呆患者中经常观察到激动行为，并可能对照顾者造成严重的痛苦。然而，几乎没有证据表明非药物干预对痴呆患者的激越行为有效。目前的试点研究的目的是评估行为管理程序开发的西雅图协议的患者在日本激动的行为。18名痴呆患者（阿尔茨海默病，n = 14;路易体痴呆，n = 4）参加了一项开放性研究，测试行为管理计划的有效性。干预包括在3个月的过程中的20次会议。主要结果是痴呆患者激越的严重程度，采用痴呆激越行为量表（ABID）和Cohen-Mansfield激越量表（CMAI）进行测量。行为管理计划导致ABID和CMAI总分显著降低。虽然身体激动和言语激动行为的ABID评分显着改善，精神病症状并没有改善干预后。行为管理技术可能对痴呆患者的苦恼照顾者有益。在未来，需要一个设计良好的研究，以更充分地发展行为管理计划。
Agitated behaviors are frequently observed in patients with dementia and can cause severe distress to caregivers. However, little evidence of the efficacy of nonpharmacological interventions for agitated behaviors exists for patients with dementia. The present pilot study aimed to evaluate a behavioral management program developed by the Seattle Protocols for patients with agitated behaviors in Japan. Eighteen patients with dementia (Alzheimer’s disease, n = 14; dementia with Lewy bodies, n = 4) participated in an open study testing the effectiveness of a behavioral management program. The intervention consisted of 20 sessions over the course of 3 months. The primary outcomes were severity of agitation in dementia, as measured using the Agitated Behavior in Dementia scale (ABID) and the Cohen-Mansfield Agitation Inventory (CMAI). The behavioral management program resulted in significant reductions in total scores on both the ABID and CMAI. Although both physically agitated and verbally agitated behavior scores on the ABID improved significantly, symptoms of psychosis did not improve after the intervention. The behavioral management technique may be beneficial to distressed caregivers of patients with dementia. In the future, a well designed study to develop the behavioral management program more fully is needed.