Machado Bento Miguel, Castro Carla da Silva Santana
Universidade de São Paulo, Programa de Pós Gradução Interunidades em Bioegenharia (EESC/FMRP/IQSC-USP), São Carlos SP, Brazil.
Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Departamento de Ciências da Saúde, Ribeirão Preto SP, Brazil.
Dement Neuropsychol. 2022 Apr-Jun;16(2):202-212. doi: 10.1590/1980-5764-DN-2021-0022. Epub 2022 May 13.
The Multisensory Stimulation Program can help manage behavioral and psychological symptoms of dementia.
The objective of this study was to investigate the effects of the Multisensory Stimulation Program on behavioral, mood, and biomedical parameters of older adults with moderate and severe dementia compared to a control group not submitted to this program.
This study is an interventional, parallel, open-label, quasi-experimental clinical trial, which is quantitative and qualitative in nature and is also an exploratory type. The sample was divided for convenience into intervention group (IG) and control group (GC) that did not participate in the Multisensory Stimulation Program. Data analysis included descriptive statistics, nonparametric tests (two-tailed alpha value of 0.1 was applied), and thematic content analysis.
The sample consisted of 20 older adults (IG=10 and GC=10), with a mean age of 83 years, an average of 3 years of education, and moderate or severe dementia. Reduction in intervention group behavioral changes (p=0.059) and numerical improvement in intervention group cognition were observed. A decrease in heart rate (p<0.05) and diastolic blood pressure (p<0.05) was observed before and immediately after the session in the intervention group. The caregivers described engaged behavior in intervention group, while they reported apathetic behavior in control group. Session records described verbal and nonverbal communication and sustained attention for more than 3 min regarding the sensory resource explored.
The Multisensory Stimulation Program could be a new look at the health care practices performed in the nursing homes that consider the older adults' sensory preferences and may help with dementia behavior management.
多感官刺激项目有助于管理痴呆症的行为和心理症状。
本研究的目的是调查多感官刺激项目对中重度痴呆老年人的行为、情绪和生物医学参数的影响，并与未接受该项目的对照组进行比较。
本研究是一项干预性、平行、开放标签、准实验性临床试验，兼具定量和定性性质，也是探索性的。样本为方便起见分为干预组（IG）和未参与多感官刺激项目的对照组（GC）。数据分析包括描述性统计、非参数检验（应用双侧α值为0.1）和主题内容分析。
样本包括20名老年人（IG = 10，GC = 10），平均年龄83岁，平均受教育年限3年，患有中度或重度痴呆。观察到干预组行为变化减少（p = 0.059），干预组认知有数值改善。干预组在疗程前后即刻观察到心率下降（p < 0.05）和舒张压下降（p < 0.05）。护理人员描述干预组有参与行为，而他们报告对照组有冷漠行为。疗程记录描述了关于所探索的感官资源的言语和非言语交流以及持续注意力超过3分钟。
多感官刺激项目可能为养老院的医疗保健实践提供新视角，该实践考虑了老年人的感官偏好，并可能有助于痴呆症行为管理。
