基于生活质量和照护者负担的团体行走干预对痴呆症患者的效果。
Effectiveness of a group-walking intervention for people with dementia based on quality of life and caregivers' burden.
机构信息
Institute of Applied Nursing Science, Eastern Switzerland University of Applied Sciences, St. Gallen, Switzerland.
Lucerne University of Applied Sciences and Arts, Luzern, Switzerland.
出版信息
Nurs Open. 2021 Nov;8(6):3111-3119. doi: 10.1002/nop2.1023. Epub 2021 Sep 21.
AIMS
To test the effectiveness of a 28-week group-walking intervention for person with dementia. Participants were accompanied by trained volunteers. The effectiveness was assessed according to the quality of life, ability to perform activities of daily living, independence, mobility, cognition, challenging behaviours and the burden on their caregiving relatives.
DESIGN
Quasi-experimental, one-group, pretest-posttest trial.
METHODS
Thirty-two persons with dementia and their caregiving relatives were recruited. The nursing intervention consists on easy walking tours lasting three and a half hours. The walks were performed biweekly and each person with dementia had support from one or two trained volunteer helpers.
RESULTS
The quality of life was stable through all seasons. The secondary outcomes were uneven. While the impairment (WHODAS) and the dependence (IADL) increased, the challenging behaviours and the burden on the caregivers were stable through all seasons.
目的
测试一项针对痴呆症患者的 28 周团体散步干预的有效性。参与者由经过培训的志愿者陪同。根据生活质量、日常生活活动能力、独立性、活动能力、认知能力、挑战性行为以及对护理亲属的负担来评估有效性。
设计
准实验、单组、前后测试验。
方法
招募了 32 名痴呆症患者及其护理亲属。护理干预包括持续三个半小时的轻松散步旅行。这些散步每两周进行一次，每位痴呆症患者都有一到两名经过培训的志愿者助手提供支持。
结果
所有季节的生活质量都保持稳定。次要结果参差不齐。虽然损伤（WHODAS）和依赖（IADL）增加，但所有季节的挑战性行为和对护理人员的负担都保持稳定。
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