Eggert Julia, Dye Cheryl J, Vincent Ellen, Parker Veronica, Daily Shaundra B, Pham Hiep, Watson Alison Turner, Summey Hollie, Roy Tania
School of Nursing, Clemson University, Clemson, SC, USA.
Department of Public Health Sciences, Clemson University, Clemson, SC, USA.
SAGE Open Med. 2015 Aug 31;3:2050312115602579. doi: 10.1177/2050312115602579. eCollection 2015.
The purpose of the described exploratory study was to test proactive strategies for enhancing engagement and cognitive ability while diminishing dementia-related disordered behaviors of those diagnosed with Alzheimer's disease and other dementias. Study participants resided in an Memory Care unit of an assisted living community.
The researchers measured the effects of exposure to music and nature images on engagement using the Individualized Dementia Engagement and Activities Scale tool, on cognitive ability using the Montreal Cognitive Assessment, and on agitation using the Cohen-Mansfield Agitation Inventory.
The within-subject study design revealed that use of both music and nature images hold promise for reducing undesirable behaviors and improving engagement of residents.
The authors suggest caregivers for those with Alzheimer's disease and other dementias can effectively use nature images and music to improve engagement and reduce disordered behaviors, thus potentially enhancing quality of life for the care recipient as well as the caregiver while possibly reducing the costs of medications used to control dementia-related undesirable behaviors.
上述探索性研究的目的是测试一些积极策略，以提高被诊断患有阿尔茨海默病和其他痴呆症患者的参与度和认知能力，同时减少与痴呆相关的紊乱行为。研究参与者居住在一个辅助生活社区的记忆护理单元。
研究人员使用个性化痴呆参与和活动量表工具来测量接触音乐和自然图像对参与度的影响，使用蒙特利尔认知评估来测量对认知能力的影响，并使用科恩-曼斯菲尔德激越量表来测量对激越情绪的影响。
受试者内研究设计表明，音乐和自然图像的使用有望减少不良行为并提高居民的参与度。
作者建议，对于患有阿尔茨海默病和其他痴呆症的患者，护理人员可以有效地使用自然图像和音乐来提高参与度并减少紊乱行为，从而有可能提高护理接受者以及护理人员的生活质量，同时可能降低用于控制与痴呆相关的不良行为的药物成本。
