Goyal Alka R, Engedal Knut, Benth Jūratė Šaltytė, Strøm Benedicte Sørensen
Faculty of Health Sciences, Department of Nursing and Health Promotion, Oslo Metropolitan University, Oslo, Norway.
Norwegian Advisory Unit for Aging and Health, Vestfold Hospital HF, Tønsberg, Norway.
Dement Geriatr Cogn Dis Extra. 2021 Jun 8;11(2):151-158. doi: 10.1159/000516804. eCollection 2021 May-Aug.
There is a dearth of evidence about the effects of Sonas, a multisensory stimulation on people with dementia (PWD). The main aim of this study was to examine the effects of the Sonas program on anxiety and depression in nursing home (NH) residents with dementia.
In all, 120 PWD ≥65 years of age from 6 NHs were included in a randomized control trial and were allocated to 1 of 3 groups for 24 weeks: a Sonas program group ( = 48), a reading group ( = 32), and a control group ( = 40). One hundred and five participants completed follow-up assessments. Anxiety and depression were assessed by the Rating Anxiety in Dementia (RAID) scale and the Cornell Scale for Depression in Dementia (CSDD), respectively. Generalized linear mixed models were estimated to assess trends in the proportion of participants with anxiety (a RAID score ≥11) and depression (a CSDD score ≥10).
No significant reduction in anxiety from baseline to follow-up was observed in any of the groups. Participants in the Sonas group showed a significant reduction in depression from baseline to 12 weeks ( = 0.001) and from baseline to 24 weeks ( = 0.009).
The Sonas program had no effect on severity of anxiety but a reduction in depressive symptoms was found in PWD.
关于多感官刺激疗法索纳斯(Sonas)对痴呆症患者(PWD)的影响,目前证据不足。本研究的主要目的是探讨索纳斯项目对养老院(NH)中痴呆症患者焦虑和抑郁的影响。
共有来自6家养老院的120名年龄≥65岁的痴呆症患者被纳入一项随机对照试验,并被分配到3组中的1组,为期24周:索纳斯项目组(n = 48)、阅读组(n = 32)和对照组(n = 40)。105名参与者完成了随访评估。焦虑和抑郁分别通过痴呆症焦虑评定量表(RAID)和康奈尔痴呆抑郁量表(CSDD)进行评估。采用广义线性混合模型来评估焦虑(RAID评分≥11)和抑郁(CSDD评分≥10)参与者比例的变化趋势。
在任何一组中,从基线到随访期间均未观察到焦虑有显著降低。索纳斯组的参与者从基线到12周(P = 0.001)以及从基线到24周(P = 0.009)抑郁有显著降低。
索纳斯项目对焦虑严重程度没有影响,但在痴呆症患者中发现抑郁症状有所减轻。