School of Medical Sciences, State University of Campinas (Unicamp), Campinas-SP, Brazil.
Department of Health Sciences, University of Aveiro, Portugal.
Dementia (London). 2017 Apr;16(3):344-359. doi: 10.1177/1471301215592080. Epub 2016 Jul 27.
A quasi-experimental study using a pre-posttest design was conducted in four aged care facilities to assess the effects of a person-centred care (PCC) multisensory stimulation (MSS) and motor stimulation (MS) program, implemented by direct care workers, on the behaviors of residents with dementia. Data were collected at baseline and after the intervention through video recordings of morning care routines. Forty-five residents with moderate and severe dementia participated in the study. A total of 266 morning care routines were recorded. The frequency and duration of a list of behaviors were analyzed. The frequency of engagement in task decreased significantly ( p = .002) however, its duration increased ( p = .039). The duration of gaze directed at direct care workers improved significantly ( p = .014) and the frequency of closed eyes decreased ( p = .046). There was a significant decrease in the frequency of the expression of sadness. These results support the implementation of PCC-MSS and MS programs as they may stimulate residents' behaviors.
本研究采用准实验设计，在 4 家养老院中进行了一项研究，评估了由直接护理人员实施的以患者为中心的多感官刺激（MSS）和运动刺激（MS）方案对痴呆患者行为的影响。通过晨间护理程序的视频记录，在基线和干预后收集数据。共有 45 名中度和重度痴呆症患者参与了该研究。共记录了 266 个晨间护理程序。分析了一系列行为的频率和持续时间。参与任务的频率显著降低（p=0.002），但其持续时间增加（p=0.039）。直接护理人员注视的时间明显延长（p=0.014），闭眼的频率降低（p=0.046）。悲伤表情的频率也显著降低。这些结果支持实施以患者为中心的 MSS 和 MS 方案，因为它们可能会刺激患者的行为。
