STIMULATION - RETREAT PROGRAM FOR ALZHEIMERS PATIENTS

特殊护理病房(SCU)对阿尔茨海默病(AD)的影响 将对患者进行评估。一个专门计划的效果将是 与物理设计和单独处理的影响分开 三组设计：(1)实验(E)组，每组50个单位。 设计了AD单元，其中进行了个性化的多学科干预 将进行；(2)具有相似居民的物理相同的单位， 专为AD患者设计，但没有干预(对照组，C)， 以及(3)一组50名AD患者，在性别、认知障碍、 和行为病理学，存放在其他5个物理单元中，其中更广泛的 AD和非痴呆居民的混合存在(分散控制)。这个 E和(C加上分散的C)之间的对比将检验 SCU；C和分散C之间的对比将测试 集群式标准护理与非集群式标准护理。这个 实验干预是基于Lawton-Nahemow能力-新闻 生态模型，特别是在该模型的方面， 区分挑战和支持，作为实现最佳适应性的途径 各州。专门的项目将尝试确定居民 更喜欢刺激而不是退缩作为一种普遍的人格 偏好和AS表示随着时间的推移而起伏不定。刺激性在 活动形式：参与、学习日常生活技能、社交技能和 与个人成长相匹配的是允许隐退的干预措施， 放纵隐私和依赖作为治疗媒介。评估时间： 基线、6个月和12个月的间隔将从以下方面评估结果 一系列生活质量(注意力、日常生活能力、激动感、有意义的时间 使用、社会行为、情感)和临床(医学、认知和 精神疾病和用药)标准。

The impact of a special care unit (SCU) for Alzheimer's disease (AD) patients will be evaluated. The effects of a specialized program will be separated from the effects of the physical design and separate treatment by a three-group design: (1) The experimental (E) group, a 50-unit specially- designed AD unit in which an individualized multidisciplinary intervention will be conducted; (2) A physically identical unit with similar residents, designated for AD patients, but without the intervention (control unit, C), and (3) a group of 50 AD patients matched for sex, cognitive impairment, and behavioral pathology, housed in 5 other physical units, where a broader mix of AD and nondemented residents exist (scattered control). The contrast between E and (C plus scattered C) will test the full impact of the SCU; the contrast between C and scattered C will test the impact of clustered standard care versus nonclustered standard care. The experimental intervention is based on the Lawton-Nahemow competence-press ecological model and particularly on the aspect of that model that differentiates challenge versus support as routes to optimally adaptive states. The specialized program will attempt to determine resident preference for stimulation versus retreat as a general personality preference and as states that ebb and flow over time. Stimulation in the form of activities engagement, learning of ADL skills, social skills, and personal growth will be matched by interventions allowing retreat, indulgence of privacy, and dependence as therapeutic media. Assessment at baseline, 6-month, and 12-month intervals will assess the outcomes in terms of a number of quality of life (attention, ADL, agitation, meaningful time use, social behavior, affect) and clinical (medical, cognitive, and psychiatric conditions and medication use) criteria.