Coping with dementia: Evaluation of four nonpharmacologic interventions
Coping with dementia: Evaluation of four nonpharmacologic interventions
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DOI：
10.1017/s1041610200006360
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发表时间：
2000-06-01
影响因子：
7
通讯作者：
Bower, D
中科院分区：
文献类型：
--
作者：
Quayhagen, MP;Quayhagen, M;Bower, D
为了评估非药物干预措施，护理人员（65 名女性，38 名男性）及其诊断为痴呆症的配偶（患者）被随机分配到四种治疗方案之一（认知刺激、二元咨询、双重支持研讨会和早期日托）或等待名单对照组。评估在干预初期和干预后（3 个月）进行。对患者的记忆力、语言流畅性和解决问题的能力进行评估，对护理人员的婚姻互动、情绪状态和身体健康以及压力、应对和社会支持进行评估。护理人员还完成了项目评估。重复测量程序表明，随着时间的推移，认知刺激组的患者的认知结果得到了更大的改善，而护理人员的抑郁症状也有所减轻。早期日托和双重支持研讨会小组的护理人员分别报告敌意减少和消极应对策略的使用减少。尽管不同群体的定性收益有所不同，但计划内容的相似性降低了潜力。用于组之间的定量区分。
To evaluate nonpharmacologic interventions, caregivers (65 women, 38 men) and their dementia-diagnosed spouses (patients) were randomized to one of four treatment programs (cognitive stimulation, dyadic counseling, dual supportive seminar, and early-stage day care) or to a wait-list control group. Assessments occurred initially and at postintervention (3 months). Patients were evaluated on memory, verbal fluency, and problem-solving ability, and caregivers were assessed on marital interaction, emotional status, and physical health, along with stress, coping, and social support. Caregivers also completed a program evaluation. Repeated measures procedures showed that patients in the cognitive stimulation group demonstrated more improvement over time in cognitive outcomes, and caregivers decreased in depressive symptoms. Early-stage day-care and dual supportive seminar group caregivers reported a decrease in hostility and a decrease in use of negative coping strategies, respectively. Although qualitatively derived benefits differed across groups, similarities in program content reduced the potential. for quantitative differentiation among the groups.