CALMING MUSIC AND HAND MASSAGE WITH AGITATED ELDERLY

描述：激动行为是一个普遍存在的问题， 影响养老院居民的健康，增加他们的成本， 在乎 激动的养老院居民更有可能是身体或 化学抑制，下降，并有一个较低的生活质量。 目前减少焦虑行为的策略，如环境 修改，往往是昂贵的。 本研究的总体目的是 研究一种相对便宜的护理干预对焦虑症患者的影响。 认知受损的养老院居民的行为。 具体目标 是比较平静的音乐（CM）或手部按摩（HM）或 CM和HM的组合对激动行为的水平和类型的影响， 时间 这种二乘二重复测量设计将使用渐进式 降低的应力阈值（PLST）模型（Hall & Buckwalter，1987年），以测试 暴露于CM或HM或CM和HM的组合对 认知受损的养老院居民的躁动。 PLST模型 提出可以减少压力， 通过改变环境需求来实现。 焦虑的受试者将被随机分配到四种干预措施之一 组：1）CM，2）HM，3）CM和HM同时，或4）对照。 水平 将在10分钟观察期内评估躁动 立即之前、期间、之后立即和之后60分钟， 干预，以确定干预的效果是否 反对有效 这项研究的预期结果是更多地了解 提高养老院居民的生活质量， 降低他们的护理成本。 研究计划

DESCRIPTION: Agitated behavior is a widespread problem that adversely affects the health of nursing home residents and increases the cost of their care. Agitated nursing home residents are more likely to be physically or chemically restrained, to fall, and to have a lower quality of life. Current strategies to reduce agitated behavior, such as environmental modifications, tend to be costly. The overall purpose of this study is to examine a relatively inexpensive nursing intervention on the agitated behavior of cognitively impaired nursing home residents. The specific aim is to compare the effect of calming music (CM) or hand massage (HM) or a combination of CM and HM on the level and type of agitated behavior over time. This two-by-two, repeated measures design will use the Progressively Lowered Stress threshold (PLST) model (Hall & Buckwalter, 1987) to test the effect of exposure to CM or HM or a combination of CM and HM on the level of agitation in cognitively-impaired nursing home residents. The PLST model proposes that stress can be reduced and functionally adaptive behavior achieved by modifying environmental demands. Agitated subjects will be randomly assigned to one of four intervention groups: 1) CM, 2) HM, 3) CM and HM simultaneously, or 4) control. Level of agitation will be assessed during a ten minute observation period immediately before, during, immediately after, and 60 minutes after the intervention to determine whether the effect of the intervention is sustained. An anticipated outcome of this study is to learn more about improving the quality of life for nursing home residents and potentially decrease the cost of their care. RESEARCH PLAN