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养老院中痴呆症患者的治疗性玩偶干预措施:一项范围综述

Therapeutic Doll Interventions for People Living with Dementia in Care Homes: A Scoping Review.

作者信息

Henderson Elizabeth, McConnell Hannah, Mitchell Gary

机构信息

School of Nursing and Midwifery, Queen's University Belfast, Belfast BT9 7BL, UK.

出版信息

Nurs Rep. 2024 Oct 1;14(4):2706-2718. doi: 10.3390/nursrep14040200.

Abstract

Doll therapy is a psychosocial intervention that has been commonly used within dementia care for many decades. The practice of doll therapy involves supporting people with dementia to engage with a therapeutic doll and this has been associated with positive changes in a person's wellbeing and behavior. While there have been several systematic reviews that have focused on behavioral outcomes, limited reviews have explored the broader psychosocial outcomes associated with doll therapy in care home settings. A scoping review of the literature was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Extension for Scoping Reviews (PRISMA-ScR). Four electronic databases were searched systematically (CINAHL Plus, Medline, PsycINFO, and PubMed). Twelve primary research studies from the past ten years (2013-2023) were included in this review. Primary data were synthesized using a narrative synthesis methodology. The three main themes from this review relate to a reduction in levels of behavioral and psychological symptoms of dementia (BPSD), increased communication skills, and a reduction in caregiver distress. Doll therapy has the potential to be an effective person-centered intervention that can enhance quality of life for people living with dementia in care home settings.

摘要

玩偶疗法是一种心理社会干预方法,在痴呆症护理领域已被广泛应用数十年。玩偶疗法的实践包括帮助患有痴呆症的人与治疗性玩偶互动,这与个人幸福感和行为的积极变化相关。虽然有几项系统评价聚焦于行为结果,但在养老院环境中,探索与玩偶疗法相关的更广泛心理社会结果的评价有限。本研究按照系统评价和Meta分析扩展版的范围综述报告规范(PRISMA-ScR)对文献进行了范围综述。系统检索了四个电子数据库(CINAHL Plus、Medline、PsycINFO和PubMed)。本综述纳入了过去十年(2013年至2023年)的12项主要研究。采用叙述性综合方法对原始数据进行综合分析。本综述的三个主要主题涉及痴呆症行为和心理症状(BPSD)水平的降低、沟通技巧的提高以及照顾者痛苦的减轻。玩偶疗法有可能成为一种有效的以患者为中心的干预措施,可提高养老院中痴呆症患者的生活质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f85a/11503298/14a93b245877/nursrep-14-00200-g001.jpg

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