Cohen-Mansfield Jiska, Parpura-Gill Aleksandra, Golander Hava
Research Institute on Aging, Hebrew Home of Greater Washington, 6121 Montrose Road, Rockville, MD 20852, USA.
J Gerontol B Psychol Sci Soc Sci. 2006 Jul;61(4):P202-12. doi: 10.1093/geronb/61.4.p202.
To date, little research has systematically explored the retention of self-identity in dementia and its potential use for the individualization of care. The purpose of this study is to determine the impact of role-identity-based treatment for persons with dementia. We recruited a total of 93 elderly persons with dementia (mean Mini-Mental State Exam score = 10.58) for this study. Experimental (treatment) group participants were engaged in activities designed to correspond to each participant's most salient self-identity. The treatment group showed a significant increase in interest, pleasure, and involvement in activities, fewer agitated behaviors during treatment, and increased orientation in the treatment period. The experimental treatment had effects that were superior to those of the nonexperimental activities. The results highlight the powerful roles that perception of self and fulfillment of self-identity play in overall well-being.
迄今为止，几乎没有研究系统地探讨痴呆症患者自我身份认同的保持情况及其在个性化护理中的潜在用途。本研究的目的是确定基于角色身份的治疗对痴呆症患者的影响。我们共招募了93名老年痴呆症患者（简易精神状态检查表平均得分 = 10.58）参与本研究。实验组（治疗组）参与者参与了旨在与每位参与者最突出的自我身份相对应的活动。治疗组在治疗期间对活动的兴趣、愉悦感和参与度显著增加，躁动行为减少，定向能力增强。实验性治疗的效果优于非实验性活动。结果突出了自我认知和自我身份认同的实现对整体幸福感所起的重要作用。
