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基于艺术博物馆的干预措施,以促进痴呆症患者的情绪健康并改善其生活质量:阿耳忒弥斯项目。

Art museum-based intervention to promote emotional well-being and improve quality of life in people with dementia: The ARTEMIS project.

作者信息

Schall Arthur, Tesky Valentina A, Adams Ann-Katrin, Pantel Johannes

机构信息

Geriatric Medicine, Institute of General Practice, Goethe University, Germany; Frankfurt Forum for Interdisciplinary Ageing Research (FFIA), Germany.

出版信息

Dementia (London). 2018 Aug;17(6):728-743. doi: 10.1177/1471301217730451. Epub 2017 Sep 15.

Abstract

ARTEMIS (ART Encounters: Museum Intervention Study) is an art-based intervention designed especially for people with dementia and their care partners that involves a combination of museum visits and artistic activity. This paper reports the results of a randomized wait-list controlled study on the influence of the ARTEMIS intervention on the emotional state, well-being, and quality of life of dementia patients. People with mild-to-moderate dementia (n = 44) and their care partners (n = 44) visited the Frankfurt Städel Museum once a week on six pre-arranged occasions. The intervention consisted of six different guided art tours (60 minutes), followed by art-making in the studio (60 minutes). Independent museum visits served as a control condition. A mixed-methods design was used to assess several outcomes including cognitive status, emotional well-being, self-rated aspects of quality of life, and subjective evaluations by informal caregivers. In a pre-post-assessment, we found significant improvements in participants' self-rated quality of life (t = -3.15, p < .05). In a situational assessment of emotional well-being immediately before and after each of the museum sessions, we were able to demonstrate statistically significant positive changes with medium effect sizes (dcorr = .74-.77). Furthermore, the total Neuropsychiatric Inventory score as well as the affective (depressed mood and anxiety) and apathy subscales were significantly lower after the ARTEMIS intervention (tNPI total = 2.43; tNPI affective = 2.24; tNPI apathy = 2.52; p < .05). The results show that art museum-based art interventions are able to improve the subjective well-being, mood, and quality of life in people with dementia. This promising psychosocial approach deserves further attention in future studies and consideration in community-based dementia care programs.

摘要

阿耳忒弥斯(艺术邂逅:博物馆干预研究)是一项专门为患有痴呆症的患者及其护理伙伴设计的艺术干预项目,它将参观博物馆和艺术活动结合在一起。本文报告了一项随机等待列表对照研究的结果,该研究旨在探讨阿耳忒弥斯干预对痴呆症患者情绪状态、幸福感和生活质量的影响。患有轻度至中度痴呆症的患者(n = 44)及其护理伙伴(n = 44)在六个预先安排好的时间里,每周参观一次法兰克福施泰德博物馆。干预措施包括六次不同的导览艺术之旅(60分钟),随后在工作室进行艺术创作(60分钟)。独立参观博物馆作为对照条件。采用混合方法设计来评估多个结果,包括认知状态、情绪幸福感、生活质量的自我评定方面以及非正式护理人员的主观评价。在前后评估中,我们发现参与者的生活质量自我评定有显著改善(t = -3.15,p <.05)。在每次博物馆参观前后对情绪幸福感进行的情境评估中,我们能够证明存在具有中等效应量的统计学显著正向变化(dcorr =.74 -.77)。此外,在阿耳忒弥斯干预后,神经精神科问卷总分以及情感(抑郁情绪和焦虑)和冷漠子量表得分显著降低(tNPI总分 = 2.43;tNPI情感 = 2.24;tNPI冷漠 = 2.52;p <.05)。结果表明,以艺术博物馆为基础的艺术干预能够改善痴呆症患者的主观幸福感、情绪和生活质量。这种有前景的社会心理方法在未来研究中值得进一步关注,并应在基于社区的痴呆症护理项目中加以考虑。

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