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增强老年阿拉伯痴呆症患者平静感的护理策略:整合 snoezelen 方法、芳香疗法和个人物品以减少躁动。

Nursing strategies for enhancing calm in older Arabs with dementia: integrating Snoezelen methods, aromatherapy, and personal items to reduce agitation.

机构信息

Department of Nursing Administration and Education, College of Nursing, Jouf University, Sakaka 72388, Al Jouf, Saudi Arabia.

Department of Nursing Administration and Education, College of Nursing, Jouf University, Sakaka 72388, Al Jouf, Saudi Arabia.

出版信息

Geriatr Nurs. 2024 Sep-Oct;59:379-391. doi: 10.1016/j.gerinurse.2024.07.017. Epub 2024 Aug 10.

DOI:10.1016/j.gerinurse.2024.07.017
PMID:39128143
Abstract

BACKGROUND

Agitation significantly impacts Arab elders with dementia. Multisensory stimulation, such as Snoezelen, shows promise but lacks exploration in Arab contexts.

OBJECTIVE

Evaluate a culturally adapted multisensory intervention-combining Snoezelen, aromatherapy, and personal items-on agitation in Arab elders with dementia.

METHODS

A quasi-experimental design assessed 31 patients receiving the intervention against 31 controls. Agitation, quality of life, and neuropsychiatric symptoms were measured using the Cohen-Mansfield Agitation Inventory (CMAI) and the Neuropsychiatric Inventory (NPI).

RESULTS

The intervention group exhibited notable reductions in CMAI scores for aggression and agitation behaviors (p < 0.001) and improvements in quality of life and NPI scores for agitation/aggression and depression/dysphoria (p < 0.001).

CONCLUSION

This culturally tailored multisensory approach effectively reduced agitation and improved well-being in Arab dementia patients. The findings advocate for further research and suggest such interventions can be beneficial in culturally diverse dementia care settings.

TRIAL REGISTRATION

ClinicalTrials.gov, ID NCT06216275.

摘要

背景

躁动显著影响患有痴呆症的阿拉伯老年人。多感官刺激,如 Snoezelen,显示出前景,但在阿拉伯背景下缺乏探索。

目的

评估一种文化适应的多感官干预措施——将 Snoezelen、芳香疗法和个人物品相结合——对患有痴呆症的阿拉伯老年人的躁动。

方法

采用准实验设计,对接受干预的 31 名患者和 31 名对照组进行评估。使用 Cohen-Mansfield 躁动量表(CMAI)和神经精神问卷(NPI)测量躁动、生活质量和神经精神症状。

结果

干预组的 CMAI 评分在攻击和躁动行为方面显著降低(p < 0.001),生活质量和 NPI 评分在躁动/攻击和抑郁/烦躁方面也有所改善(p < 0.001)。

结论

这种文化定制的多感官方法有效地减少了阿拉伯痴呆症患者的躁动,改善了他们的幸福感。研究结果提倡进一步研究,并表明这种干预措施在文化多样化的痴呆症护理环境中可能是有益的。

试验注册

ClinicalTrials.gov,编号 NCT06216275。

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