Williams Christine L, Tappen Ruth M
Christine E. Lynn College of Nursing, Florida Atlantic University, Boca Raton, Florida 33431, USA.
Am J Alzheimers Dis Other Demen. 2007 Oct-Nov;22(5):389-97. doi: 10.1177/1533317507305588.
The purpose oF this study was to examine the eFFects oF 3 behavioral interventions on aFFect and mood in nursing home residents with Alzheimer's disease. In a pre-post design, 90 residents with Alzheimer's disease were randomized to 3 groups: supervised walking, comprehensive exercise (walking plus strength training, balance, and Flexibility exercises), and social conversation (casual rather than therapeutic themes). Interventions were provided 5 days a week and progressed up to 30 minutes per session over 16 weeks. Interventions were conducted primarily indoors. Outcome measures included the Lawton Observed AFFect Scale, Alzheimer Mood Scale, and Dementia Mood Assessment. At posttest, participants receiving comprehensive exercise exhibited higher positive and lower negative aFFect and mood. The social conversation group exhibited the least positive and most negative mood and aFFect. Results suggest that exercise programs be emphasized in long-term care, particularly whole-body involvement rather than walking alone.
本研究的目的是检验3种行为干预措施对患有阿尔茨海默病的养老院居民的情感和情绪的影响。在一项前后对照设计中,90名患有阿尔茨海默病的居民被随机分为3组:监督下的步行、综合锻炼(步行加力量训练、平衡和柔韧性锻炼)以及社交对话(随意而非治疗性主题)。干预措施每周进行5天,在16周内每次疗程逐渐增加至30分钟。干预主要在室内进行。结果测量包括劳顿观察情感量表、阿尔茨海默病情绪量表和痴呆症情绪评估。在测试后,接受综合锻炼的参与者表现出更高的积极情感和更低的消极情感及情绪。社交对话组表现出最不积极和最消极的情绪及情感。结果表明,长期护理中应强调锻炼计划,特别是全身参与而非单独步行。