Baldelli M V, Boiardi R, Ferrari P, Bianchi S, Bianchi M Hunscott
Department of Internal Medicine, Chair of Geriatrics and Gerontology, University of Modena and Reggio Emilia, Ospedale Estense, Viale Vittorio Veneto 9, I-41100 Modena, Italy.
Arch Gerontol Geriatr. 2007;44 Suppl 1:45-8. doi: 10.1016/j.archger.2007.01.006.
In order to evaluate the efficacy of the occupational therapy in patients with dementia, we included in the occupational therapy (OT) program 34 patients with dementia and a moderate to severe cognitive impairment admitted at our RSA. Fourteen of them had vascular dementia (VD), twenty had Alzheimer dementia (AD). For a period of 40 days they followed a daily therapeutic program of OT for washing, personal hygiene (combing their hair, shaving), dressing, sanitary services and eating. Patients were tested with the Ronchi brief evaluation battery (RBEB) before and after therapy. After the treatment we observed a significant improvement in both groups in their mean scores obtained with the RBEB in many of their functional areas. These improvements in patients with vascular dementia were more consistent compared to those patients with AD, but in spite of these differences we saw that, independently from the etiology, it is possible to recuperate residual functional capacities utilizing OT programs in order to guarantee the highest level of autonomy possible for each patient.
为了评估职业疗法对痴呆患者的疗效，我们将34名患有痴呆且有中度至重度认知障碍的患者纳入职业疗法（OT）项目，这些患者均入住我们的康复护理机构。其中14人患有血管性痴呆（VD），20人患有阿尔茨海默病痴呆（AD）。在40天的时间里，他们每天遵循OT治疗方案进行洗漱、个人卫生护理（梳头、剃须）、穿衣、卫生服务和进食。治疗前后，患者接受了龙奇简易评估量表（RBEB）测试。治疗后，我们观察到两组患者在RBEB测试中多个功能领域的平均得分均有显著提高。与AD患者相比，血管性痴呆患者的这些改善更为一致，但尽管存在这些差异，我们发现，无论病因如何，利用OT方案恢复残余功能能力是可能的，以便为每位患者保证尽可能高的自主水平。
