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用于改善痴呆症患者幸福感并减少行为症状的团体回忆疗法。

Group Reminiscence Therapy for Dementia to Improve Well-Being and Reduce Behavioral Symptoms.

作者信息

Yanagida Nobuhiko, Yamaguchi Takumi, Matsunari Yuko

机构信息

School of Health Sciences, Kagoshima University, Kagoshima 890-8544, Japan.

School of Nursing, Tokyo Medical University, Tokyo 160-8402, Japan.

出版信息

Geriatrics (Basel). 2024 Aug 28;9(5):109. doi: 10.3390/geriatrics9050109.

Abstract

The global increase in dementia cases highlights the urgent need for effective treatment and care strategies. The aim of this study was to evaluate the effects of group reminiscence therapy on cognitive function, subjective well-being, and behavioral and psychological symptoms of dementia (BPSD) in older adults with moderate to severe dementia. A pre-post comparative design was used, with 49 participants receiving eight group reminiscence therapy sessions over 4 weeks. Baseline, one-week, and one-month postintervention assessments were conducted using the Hasegawa Dementia Scale-Revised (HDS-R), the Neuropsychiatric Inventory-Nursing Home Version (NPI-NH), and the Philadelphia Geriatric Center Morale Scale (PGC Morale Scale). The results showed no significant improvement in HDS-R scores, but significant improvements in PGC Morale Scale ( = 0.0417) and NPI-NH scores ( = 0.00226), indicating improved well-being and reduced BPSD. These findings suggest that group reminiscence therapy is effective in improving BPSD. Future research should focus on extending the duration of the intervention, including different populations, and combining group reminiscence therapy with other therapeutic approaches to fully determine its long-term benefits and mechanisms. Research on its cost-effectiveness and cultural applicability could further validate and improve the use of group reminiscence therapy in diverse care settings.

摘要

全球痴呆病例的增加凸显了对有效治疗和护理策略的迫切需求。本研究的目的是评估团体回忆疗法对中重度痴呆老年人的认知功能、主观幸福感以及痴呆的行为和心理症状(BPSD)的影响。采用前后比较设计,49名参与者在4周内接受了8次团体回忆治疗课程。使用修订版长谷川痴呆量表(HDS-R)、神经精神科问卷-养老院版(NPI-NH)和费城老年中心士气量表(PGC士气量表)进行基线、干预后1周和1个月的评估。结果显示,HDS-R评分无显著改善,但PGC士气量表(=0.0417)和NPI-NH评分有显著改善(=0.00226),表明幸福感有所改善,BPSD有所减轻。这些发现表明团体回忆疗法在改善BPSD方面是有效的。未来的研究应侧重于延长干预时间、纳入不同人群,以及将团体回忆疗法与其他治疗方法相结合,以充分确定其长期益处和机制。对其成本效益和文化适用性的研究可以进一步验证和改进团体回忆疗法在不同护理环境中的应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/17a5/11417708/917b19b7cc3b/geriatrics-09-00109-g001.jpg

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