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评估扩散薰衣草对成人日间护理中心痴呆症患者行为问题的影响:一项试点研究。

Evaluating the effects of diffused lavender in an adult day care center for patients with dementia in an effort to decrease behavioral issues: a pilot study.

作者信息

Moorman Li Robin, Gilbert Brian, Orman Anna, Aldridge Petra, Leger-Krall Sue, Anderson Clare, Hincapie Castillo Juan

机构信息

Department of Pharmacotherapy and Translational Research, College of Pharmacy, University of Florida, Gainesville, FL, USA; River Garden Senior Services, Jacksonville, FL, USA.

Department of Pharmacotherapy and Translational Research, College of Pharmacy, University of Florida , Gainesville , FL , USA.

出版信息

J Drug Assess. 2017 Jan 23;6(1):1-5. doi: 10.1080/21556660.2016.1278545. eCollection 2017.

Abstract

To evaluate the effects of diffused lavender on the frequency of behavioral issues [BIs], defined as a composite of restlessness/wandering [RW], agitation [AGT], anger [ANG], and anxiety [ANX] in an adult day care center. Secondary objectives evaluate systematic differences on the frequency of BIs between age cohorts, gender, and individual behaviors. Pre-post quasi-experimental study. Private nonprofit adult day care center for patients with dementia. Elderly patients older than 65 years of age with a clinical diagnosis of dementia, who require daytime monitoring. Lavender aromatherapy twice a day for 20 min during a two-month period during active clinic days. Behavioral issues were recorded using the behavior/intervention monthly flow record during the pre- and post-intervention periods. There was no significant difference on frequency of BIs between pre-intervention and post-intervention periods ( = .06). There was a significant difference between pre-intervention and post-intervention total number of AGT occurrences (129 vs. 25; value < .01). There was no significant difference between age cohorts for computed difference of RW, ANG, and ANX issues. There was a significant difference between age cohorts for computed difference of AGT ( value = .04) as the 70-85 age cohort showed less agitation compared to the 85-100 age cohort. The use of diffused lavender twice daily has shown to reduce the frequency of agitation in elderly patients with dementia, especially in the 70-85 age cohort. Though diffused lavender did not show statistical differences in the frequency of other behaviors (restlessness/wander, anger, anxiety), the study population may have been too small to find a difference.

摘要

为评估扩散薰衣草对成人日托中心行为问题(BIs)频率的影响,行为问题定义为坐立不安/徘徊(RW)、激动(AGT)、愤怒(ANG)和焦虑(ANX)的综合表现。次要目标是评估年龄组、性别和个体行为之间在行为问题频率上的系统差异。前后准实验研究。针对痴呆患者的私立非营利性成人日托中心。临床诊断为痴呆且需要日间监护的65岁以上老年患者。在活跃的门诊日期间,为期两个月,每天两次,每次20分钟进行薰衣草芳香疗法。在干预前和干预期间,使用行为/干预月度流程记录来记录行为问题。干预前和干预后期间行为问题的频率没有显著差异(P = 0.06)。干预前和干预后激动发生的总数之间存在显著差异(129对25;P值<0.01)。在坐立不安/徘徊、愤怒和焦虑问题的计算差异方面,年龄组之间没有显著差异。在激动的计算差异方面,年龄组之间存在显著差异(P值=0.04),因为70 - 85岁年龄组与85 - 100岁年龄组相比,激动程度较低。每天两次使用扩散薰衣草已显示可降低痴呆老年患者的激动频率,尤其是在70 - 85岁年龄组。尽管扩散薰衣草在其他行为(坐立不安/徘徊、愤怒、焦虑)的频率上没有显示出统计学差异,但研究人群可能过小以至于无法发现差异。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c24d/5327916/ec6ee8d8cba5/ijda_a_1278545_f0001_c.jpg

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