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多感官干预在养老院环境中管理与痴呆相关行为的应用:对澳大利亚一个州的调查。

The use of multi-sensory interventions to manage dementia-related behaviours in the residential aged care setting: a survey of one Australian state.

机构信息

Australian Centre for Evidence Based Aged Care, Australian Institute for Primary Care and Ageing, La Trobe University, Melbourne, Australia.

出版信息

J Clin Nurs. 2012 Nov;21(21-22):3061-9. doi: 10.1111/j.1365-2702.2012.04306.x. Epub 2012 Sep 20.

Abstract

AIMS AND OBJECTIVES

To describe the use of multi-sensory interventions in residential aged care services (RACS) for the management of dementia-related behaviours in residential aged care in Victoria, Australia.

BACKGROUND

The popularity of multi-sensory interventions has spread worldwide, including for use in residential aged care, despite limited evidence to support their efficacy.

DESIGN

This study reports the findings of the first stage of a two-stage project that was undertaken to describe and evaluate the use of multi-sensory interventions for the management of dementia-related behaviours in all residential aged care facilities in Victoria, Australia.

METHODS

A computer-assisted telephone interview survey was developed and administered to residential aged care facilities in Victoria, Australia, to collect descriptive data on the use of multi-sensory interventions for the management of dementia-related behaviours.

RESULTS

A diverse and eclectic range of multi-sensory interventions are currently being used by residential aged care facilities. The findings suggest the use of multi-sensory interventions are used in an ad hoc manner, and there is no universal definition of multi-sensory interventions, little formal training for staff administering the interventions and no guideline for their use, nor evaluation of their impact on residents' behaviour.

CONCLUSION

Multi-sensory interventions have been widely adopted for use in RACS in Victoria, Australia, and are currently being used without formal guidelines and little evidence to support their use in clinical practice.

RELEVANCE TO CLINICAL PRACTICE

In the absence of a formal definition of what constitutes a multi-sensory intervention, training for staff and careful assessment and monitoring of residents who receive multi-sensory interventions, we recommend further research and development of policy and procedures to safe guard the use of multi-sensory interventions for people with dementia.

摘要

目的和目标

描述在澳大利亚维多利亚州的住宅老年护理服务(RACS)中使用多感官干预措施来管理与痴呆相关的行为。

背景

多感官干预措施的普及已在全球范围内传播,包括在住宅老年护理中使用,尽管支持其疗效的证据有限。

设计

本研究报告了两阶段项目第一阶段的研究结果,该项目旨在描述和评估在澳大利亚维多利亚州所有住宅老年护理设施中使用多感官干预措施来管理与痴呆相关的行为。

方法

开发并向澳大利亚维多利亚州的住宅老年护理设施进行了计算机辅助电话访谈调查,以收集有关使用多感官干预措施来管理与痴呆相关的行为的描述性数据。

结果

各种多感官干预措施目前正在住宅老年护理设施中使用。调查结果表明,多感官干预措施的使用是随意的,没有多感官干预措施的通用定义,为实施干预措施的工作人员提供的正规培训很少,也没有使用指南,也没有评估其对居民行为的影响。

结论

多感官干预措施已在澳大利亚维多利亚州的 RACS 中广泛采用,目前正在使用,但没有正式的指导方针,也没有多少证据支持它们在临床实践中的使用。

临床相关性

在缺乏对多感官干预措施构成要素的正式定义、为工作人员提供培训以及对接受多感官干预措施的居民进行仔细评估和监测的情况下,我们建议进一步研究和制定政策和程序,以保障多感官干预措施在痴呆患者中的使用安全。

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