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社区与医院环境下认知刺激疗法的比较:一项多中心研究。

Comparisons of Cognitive Stimulation Therapy Between Community Versus Hospital-Based Settings: A Multi-Site Study.

机构信息

Department of Family and Community Medicine, 7547Saint Louis University, Saint Louis, MO, USA.

School of Social Work, 7547Saint Louis University, Saint Louis, MO, USA.

出版信息

J Appl Gerontol. 2023 Feb;42(2):185-193. doi: 10.1177/07334648221130676. Epub 2022 Oct 10.

Abstract

BACKGROUND

Non-pharmacological interventions such as Cognitive Stimulation Therapy (CST) have been shown to help persons living with dementia in improving cognitive function and recall. While previous CST interventions have been conducted largely with community populations, none have explored the outcomes of CST in larger healthcare settings. Our study explored differences of cognitive function, mood, and quality-of-life from CST groups both community and residential-based groups.

METHOD

Participants ( = 258) from academic and rural, hospital-based settings in Missouri engaged in 14-session psychosocial groups to aid reminiscence for enhanced cognitive function and recall.

RESULTS

Post-intervention cognitive function improvements occurred for community (t = -7.48, < .001) and residential samples (t = -2.46, < .05). Community groups showed significant improvement in overall mood related to their dementia (t = 6.37, < .001).

CONCLUSION

Healthcare providers should consider CST as a supplemental intervention for older patients receiving usual care for dementia-related symptoms.

摘要

背景

认知刺激疗法(CST)等非药物干预措施已被证明有助于改善痴呆患者的认知功能和记忆力。虽然之前的 CST 干预主要针对社区人群进行,但没有研究探索 CST 在更大的医疗保健环境中的效果。我们的研究探讨了社区和居住型 CST 组在认知功能、情绪和生活质量方面的差异。

方法

密苏里州的学术和农村医院环境中的参与者(n = 258)参与了 14 节心理社会小组,以帮助回忆,增强认知功能和记忆力。

结果

社区(t = -7.48,<.001)和居住样本(t = -2.46,<.05)在干预后认知功能有所提高。社区组在与痴呆相关的整体情绪方面有显著改善(t = 6.37,<.001)。

结论

医疗保健提供者应考虑将 CST 作为补充干预措施,用于接受常规护理的老年痴呆症相关症状患者。

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