Smaling Hanneke J A, Joling Karlijn J, Rijnhart Judith J M, Twisk Jos W R, Achterberg Wilco P, Francke Anneke L, van der Steen Jenny T
Department of Public Health and Primary Care, Leiden University Medical Center, Leiden, the Netherlands.
Department of Public and Occupational Health, Amsterdam University Medical Centers, Location VU University Medical Center, Amsterdam, the Netherlands.
Alzheimers Dement. 2025 Jul;21(7):e70495. doi: 10.1002/alz.70495.
Few evidence-based psychosocial interventions target people with advanced dementia.
Namaste Care Family is a daily multi-dimensional care program to improve quality of life (QoL) of people with dementia and their family caregivers. In this cluster-randomized controlled trial, adjusted linear mixed models were used to analyze effects at 1, 3, 6, and 12 months follow-up. Ten nursing homes implemented the program (n = 116) while nine nursing homes provided care as usual (n = 115).
The intervention group showed less discomfort (-1.06; 95% confidence interval [CI] = -1.88 to -0.23) and fewer sentinel events (-0.40; 95% CI = -0.64 to -0.16), specifically pneumonia (-0.08; 95% CI = -0.14, -0.02). There were no differences in residents' QoL, challenging behavior, and medication use. There was no effect on positive caregiving experiences, caregiver burden or guilt, whereas conflict with staff was lower at 12 months (-2.04; 95% CI = -4.07 to -0.01).
Namaste Care Family has some beneficial effects on residents with dementia and family caregivers.
This trial was registered with the CCMO Research with human participants (old ID 5692/new ID 5570).
Namaste Care Family involves family in a daily program for residents with dementia. Residents' quality of life did not improve (primary outcome) due to the program. Also, family's positive caregiving experiences did not improve (primary outcome). Namaste Care Family reduced discomfort and sentinel events in people with dementia. Family caregivers' conflict with staff over caregiving decreased due to the program.
很少有循证心理社会干预措施针对晚期痴呆患者。
“合十礼关爱家庭”是一项每日进行的多维度护理项目，旨在改善痴呆患者及其家庭护理人员的生活质量（QoL）。在这项整群随机对照试验中，采用调整后的线性混合模型分析1、3、6和12个月随访时的效果。十家养老院实施了该项目（n = 116），而九家养老院照常提供护理（n = 115）。
干预组的不适感较轻（-1.06；95%置信区间[CI]=-1.88至-0.23），哨兵事件较少（-0.40；95%CI=-0.64至-0.16），特别是肺炎（-0.08；95%CI=-0.14，-0.02）。居民的生活质量、挑战性行为和药物使用方面没有差异。对积极的护理体验、护理人员负担或内疚感没有影响，而在12个月时与工作人员的冲突较低（-2.04；95%CI=-4.07至-0.01）。
“合十礼关爱家庭”对痴呆居民和家庭护理人员有一些有益影响。
本试验已在CCMO人体研究注册（旧ID 5692/新ID 5570）。
“合十礼关爱家庭”让家庭参与针对痴呆居民的日常项目。该项目并未改善居民的生活质量（主要结果）。此外，家庭的积极护理体验也未改善（主要结果）。“合十礼关爱家庭”减少了痴呆患者的不适感和哨兵事件。该项目减少了家庭护理人员在护理方面与工作人员的冲突。
