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开发有效的动物辅助干预计划,涉及让探访犬为机构化老年患者服务:一项试点研究。

Developing effective animal-assisted intervention programs involving visiting dogs for institutionalized geriatric patients: a pilot study.

机构信息

Behavioural Neuroscience Unit Neurotoxicology and Neuroendocrinology Unit, Department of Cell Biology and Neuroscience, Istituto Superiore di Sanità, Rome, Italy.

出版信息

Psychogeriatrics. 2012 Sep;12(3):143-50. doi: 10.1111/j.1479-8301.2011.00393.x.

Abstract

AIM

An ever increasing interest in the therapeutic aspects of the human-animal bond has led to a proliferation of animal-assisted interventions (AAI) involving dogs. However, most of these programs lack a solid methodological structure, and basic evaluative research is needed. The purpose of this study was to test the value of dog-assisted interventions as an innovative tool to increase quality of life in the geriatric population.

METHODS

Nineteen patients (men and women) with a mean age of 85 years participated in the study. Interactions between patients and visiting dogs occurred either in a social situation (socialization sessions) or in a therapeutic context (physical therapy sessions). We derived and characterized a specific ethogram of elderly-dog interactions aimed at evaluating the effectiveness of visiting dogs in improving mood, catalyzing social interactions and reducing their everyday apathetic state. Cortisol levels were also measured in the saliva, and depressive state was evaluated.

RESULTS

Overall, results show a time-dependent increase in social behaviour and spontaneous interactions with the dogs. Dog-mediated interactions affected the daily increase in cortisol levels, thus having an 'activational effect', in contrast to the apathetic state of institutionalized elderly.

CONCLUSIONS

Dog-mediated intervention programs appear to be promising tools to improve the social skills and enrich the daily activities of the institutionalized elderly.

摘要

目的

人们对人类与动物关系的治疗方面越来越感兴趣,导致涉及狗的动物辅助干预(AAI)大量增加。然而,这些项目大多缺乏坚实的方法学结构,需要进行基本的评估研究。本研究的目的是测试犬辅助干预作为一种创新工具,提高老年人群生活质量的价值。

方法

19 名年龄在 85 岁左右的男性和女性患者参加了这项研究。患者与来访犬的互动发生在社交情境(社交化课程)或治疗情境(物理治疗课程)中。我们得出并描述了一种特定的老年犬互动行为谱,旨在评估来访犬改善情绪、促进社交互动和减少他们日常冷漠状态的效果。唾液中的皮质醇水平也进行了测量,并评估了抑郁状态。

结果

总的来说,结果表明社交行为和与犬自发性互动随时间呈依赖性增加。犬介导的互动影响了皮质醇水平的日常增加,从而具有“激活作用”,与机构化老年人群的冷漠状态形成对比。

结论

犬介导的干预计划似乎是改善机构化老年人社交技能和丰富日常生活的有前途的工具。

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