基于亲子干预的痴呆症照顾者睡眠问题治疗。
Treating sleep problems in dementia caregivers based on parent-child interventions.
机构信息
Baylor College of Medicine, Houston, TX, USA.
出版信息
Am J Alzheimers Dis Other Demen. 2011 Aug;26(5):366-72. doi: 10.1177/1533317511412048. Epub 2011 Jun 21.
BACKGROUND
Interventions developed for improving sleep in parents of young children or in developmentally delayed children might also prove effective for persons with dementia and their caregivers.
METHODS
We selectively reviewed the literature for interventions effective in improving sleep in parents of young children or in developmentally delayed children.
RESULTS
Graduated extinction and adult fading have been minimally explored in dementia populations. They are fairly brief and could be administered during primary care or dementia clinic visits. Combination strategies such as extinction and sleep-enhancing medication are very effective and may be applicable for persons with dementia and their caregivers. Physical capabilities and degree of cognitive decline of patients with dementia must be considered, and medical staff and caregivers should adjust behavioral strategies to maximize the use of patients' intact cognitive abilities.
CONCLUSIONS
Interventions for divergent populations prone to similar problems as those of patients with dementia might be effective and advance existing research.
背景
针对改善幼儿父母或发育迟缓儿童睡眠的干预措施，对于痴呆症患者及其护理人员也可能有效。
方法
我们有针对性地回顾了文献，以了解对改善幼儿父母或发育迟缓儿童睡眠有效的干预措施。
结果
在痴呆症患者中，逐渐消退和成人淡化法的研究很少。它们相当简短，可以在初级保健或痴呆症诊所就诊期间进行。联合策略，如消退和促进睡眠的药物治疗非常有效，可能适用于痴呆症患者及其护理人员。必须考虑痴呆症患者的身体能力和认知下降程度，医务人员和护理人员应调整行为策略，最大限度地利用患者完整的认知能力。
结论
针对容易出现与痴呆症患者相似问题的不同人群的干预措施可能有效，并推进现有研究。
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