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一项关于个体回忆疗法对亚速尔群岛患有神经认知障碍的老年人认知、情绪和生活质量影响的随机对照试验的有效性

Effectiveness of a Randomized Controlled Trial of Individual Reminiscence Therapy on Cognition, Mood and Quality of Life in Azorean Older Adults with Neurocognitive Disorders.

作者信息

Justo-Henriques Susana I, Pérez-Sáez Enrique, Apóstolo João L Alves, Carvalho Janessa O

机构信息

Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3004-011 Coimbra, Portugal.

National Reference Centre for Alzheimer's and Dementia Care, Imserso, 37008 Salamanca, Spain.

出版信息

J Clin Med. 2021 Nov 19;10(22):5395. doi: 10.3390/jcm10225395.

Abstract

Reminiscence therapy (RT) is a form of cognitive stimulation therapy that incorporates discussion of past activities, events, and experiences to stimulate individual memories; it has had some success in treating persons with neurocognitive disorders. This research aims to evaluate the ability of individual RT, using a simple reminiscence format, to improve the overall cognitive function, memory, executive functions, emotional status, and quality of life in older adults with neurocognitive disorders who received social care and support services. A multicenter randomized controlled trial was completed in the Azores archipelago (an independent region of Portugal) using repeated measures (pre-intervention, post-intervention, and follow-up). The intervention group underwent individual RT sessions, twice weekly for 13 weeks, while the control group completed regular activities administered as part of their program. Results did not reveal any significant differences between the intervention and control groups. While results did not reveal significant effects, a number of historical and contextual factors are considered as possible explanations for the lack of effects-namely, data collection occurring during the COVID-19 global pandemic, participant cohort effects, and therapist heterogeneity.

摘要

怀旧疗法(RT)是认知刺激疗法的一种形式,它通过讨论过去的活动、事件和经历来激发个体记忆;在治疗神经认知障碍患者方面已取得了一些成效。本研究旨在评估采用简单怀旧形式的个体怀旧疗法,对接受社会护理和支持服务的患有神经认知障碍的老年人的整体认知功能、记忆力、执行功能、情绪状态和生活质量的改善能力。在亚速尔群岛(葡萄牙的一个独立地区)完成了一项多中心随机对照试验,采用重复测量(干预前、干预后和随访)。干预组每周进行两次个体怀旧治疗,共13周,而对照组则完成作为其项目一部分的常规活动。结果未显示干预组和对照组之间有任何显著差异。虽然结果未显示出显著效果,但一些历史和背景因素被认为是缺乏效果的可能解释,即数据收集发生在新冠疫情全球大流行期间、参与者队列效应和治疗师异质性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3313/8619984/2a7b1c24189c/jcm-10-05395-g001.jpg

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