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痴呆症的感觉刺激计划:方法和效果的系统评价。

Sensory stimulation programs in dementia: a systematic review of methods and effectiveness.

机构信息

Faculty of Psychology and Education Sciences, University of Porto , Porto, Portugal.

School of Health, Polytechnic Institute of Porto , Porto, Portugal.

出版信息

Expert Rev Neurother. 2020 Dec;20(12):1229-1247. doi: 10.1080/14737175.2020.1825942. Epub 2020 Nov 18.

Abstract

INTRODUCTION

Dementia is characterized by the presence of cognitive decline and can lead to sensory-perceptual alterations, compromising the functionality in activities of daily living. The main objective of this work is to review the characteristics of sensory stimulation programs in dementia and its effectiveness.

AREAS COVERED

Studies were identified through a literature search, following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) and the Cochrane Collaboration Guidelines. Twenty studies were included in this review. The studies used multisensory stimulation at different stages of dementia. The results show a lack of consensus regarding frequency, duration, and number of sessions, as well as the duration of the interventions and assessment instruments used to evaluate the results. Multisensory stimulation, particularly , was the most widely used approach. Vision, hearing, touch, and smell were the most frequently stimulated senses. Most studies comprised pre- and post-intervention assessment, but few studies performed follow-up assessment. The interventions that revealed positive results in dementia were , multisensory environment other than , and Multi-sensory Behavior Therapy.

EXPERT OPINION

This review weakly supports sensory stimulation in dementia, providing useful information for rehabilitation and future investigations.

摘要

简介

痴呆症的特征是认知能力下降,并可能导致感觉-知觉改变,从而影响日常生活活动的功能。这项工作的主要目的是回顾痴呆症中的感觉刺激计划的特点及其效果。

涵盖领域

通过文献检索,按照系统评价和荟萃分析的首选报告项目(PRISMA)和 Cochrane 协作指南确定了研究。本综述纳入了 20 项研究。这些研究在痴呆症的不同阶段使用了多感官刺激。结果表明,在频率、持续时间和疗程,以及干预措施的持续时间和用于评估结果的评估工具方面,缺乏共识。多感官刺激,特别是多感官环境,是最广泛使用的方法。视觉、听觉、触觉和嗅觉是最常被刺激的感觉。大多数研究包括干预前后的评估,但很少有研究进行随访评估。在痴呆症中显示出积极结果的干预措施是多感官环境和多感官行为疗法。

专家意见

本综述在一定程度上支持痴呆症中的感觉刺激,为康复和未来的研究提供了有用的信息。

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