Comparing the Effects of Multisensory Stimulation and Individualized Music Sessions on Elderly People with Severe Dementia: A Randomized Controlled Trial
Comparing the Effects of Multisensory Stimulation and Individualized Music Sessions on Elderly People with Severe Dementia: A Randomized Controlled Trial
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DOI：
10.3233/jad-151150
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发表时间：
2016-01-01
影响因子：
4
通讯作者：
Carlos Millan-Calenti, Jose
中科院分区：
文献类型：
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作者：
Sanchez, Alba;Maseda, Ana;Carlos Millan-Calenti, Jose
本研究的目的是比较多感官刺激环境（MSSE）和个性化的音乐课程对躁动，情绪和认知状态，以及严重痴呆症患者的样本中的严重痴呆症的严重程度的影响。22名被诊断为严重或非常严重的痴呆症的参与者被随机分配到两组：MSSE和个性化音乐课程。两组都参加了为期16周的每周两次30分钟的会议。结果为激越（Cohen-Mansfield激越量表，CMAI）、情绪（康奈尔痴呆抑郁量表，CSDD）、焦虑（痴呆焦虑分级，RAID）、认知功能（严重简易精神状态检查，SMMSE）和痴呆的总体严重程度（贝德福德阿尔茨海默氏护理严重程度量表，BANS-S）。他们在基线（试验前），中期（试验中期），干预结束时（试验后）和干预后8周（随访）进行评估。与个体化音乐组相比，MSSE组患者的RAID和BANS-S评分在试验后与试验前有显著改善。在激越方面，在16周的干预后，MSSE和个性化音乐组的CMAI总分在干预期间均有改善，组间无显著差异。结果表明，MSSE可以有更好的效果，焦虑症状和痴呆的严重程度相比，个体化的音乐会议在老年重度痴呆患者。
The objective of this study was to compare the effects of a multisensory stimulation environment (MSSE) and individualized music sessions on agitation, emotional and cognitive status, and dementia severity in a sample of institutionalized patients with severe dementia. Twenty-two participants with a diagnosis of severe or very severe dementia were randomly assigned to two groups: MSSE and individualized music sessions. Both groups participated in two 30-min weekly sessions over 16 weeks. Outcomes were agitation (Cohen-Mansfield Agitation Inventory, CMAI), mood (Cornell Scale for Depression in Dementia, CSDD), anxiety (Rating Anxiety in Dementia, RAID), cognitive function (Severe Mini-Mental State Examination, SMMSE), and the overall severity of dementia (Bedford Alzheimer Nursing Severity Scale, BANS-S). They were assessed at baseline (pre-trial), in the middle (mid-trial), at the end of the intervention (post-trial), and 8 weeks after the intervention (follow-up). Patients in the MSSE group showed significant improvement in their RAID and BANS-S scores compared with the individualized music group post-versus pre-trial. With regard to agitation, there was improvement during the intervention in both the MSSE and individualized music groups in the CMAI total score after 16 weeks of intervention, with no significant differences between the groups. The results suggest that MSSE could have better effects on anxiety symptoms and dementia severity in comparison with individualized music sessions in elderly patients with severe dementia.