Houser Winona S, George Daniel R, Chinchilli Vernon M
Departments of Humanities and Public Health Sciences, Penn State College of Medicine, Hershey, PA.
Departments of Humanities and Public Health Sciences, Penn State College of Medicine, Hershey, PA.
Am J Geriatr Psychiatry. 2014 Apr;22(4):337-40. doi: 10.1016/j.jagp.2012.12.005. Epub 2013 Apr 18.
To evaluate whether involvement in TimeSlips, a creative storytelling program, reduced mood and behavioral symptoms as well as psychotropic medication use in persons with dementia.
A cluster-randomized pilot study compared two discrete dementia care units in one nursing home. The control cohort (N = 10) received standard-of-care activity programming, and the intervention cohort (N = 10) received standard-of-care plus two one-hour TimeSlips sessions per week for six weeks. Data on mood and behavioral symptoms and psychotropic drug prescriptions were collected, and within-group and between-group comparisons were performed.
Between-group comparisons did not reveal statistically significant differences in mood and behavioral symptoms. No differences in psychotropic drug prescriptions were found.
Larger trials of longer duration are needed to determine whether involvement in TimeSlips reduces mood and behavioral symptoms that compromise quality of life for persons with dementia.
评估参与“时光流逝”(一个创造性故事讲述项目)是否能减轻痴呆症患者的情绪和行为症状以及减少精神药物的使用。
一项整群随机试点研究比较了一家养老院中两个不同的痴呆症护理单元。对照组(N = 10)接受标准护理活动安排,干预组(N = 10)接受标准护理并每周额外参加两次为时一小时的“时光流逝”活动,为期六周。收集了有关情绪和行为症状以及精神药物处方的数据,并进行了组内和组间比较。
组间比较未发现情绪和行为症状有统计学上的显著差异。精神药物处方方面也未发现差异。
需要进行更大规模、持续时间更长的试验,以确定参与“时光流逝”项目是否能减轻影响痴呆症患者生活质量的情绪和行为症状。