Holmberg S K
Indiana University School of Nursing, Indianapolis 46202, USA.
Arch Psychiatr Nurs. 1997 Feb;11(1):21-8. doi: 10.1016/s0883-9417(97)80046-5.
In this article, a clinical intervention designed to decrease unsafe wandering and reduce interpersonal tension on a dementia unit of a nursing home is described and evaluated. The intervention, a walking program for physically active persons with severe dementia, was designed to meet residents physical activity and social needs. Based on therapeutic milieu concepts, positive effects in the environment, were expected in addition to the individual benefits for participants. To measure the effect of the intervention on the nursing unit environment, the frequency of resident-to-resident and resident-to-staff aggression in the 24 hour period after the walking group was compared to time periods when the group did not meet. T-test analysis revealed a statistically significant reduction in the frequency of aggression in the 24 hour periods after the walkers group. An average reduction of aggressive events by 30% shown in this small study is important clinically. Further study of modifications in care on geriatric nursing units is warranted.
本文描述并评估了一项旨在减少养老院痴呆症护理单元不安全徘徊行为并缓解人际紧张关系的临床干预措施。该干预措施是为身体状况尚可的重度痴呆患者设计的一项步行计划，旨在满足居民的身体活动和社交需求。基于治疗环境的概念，除了对参与者的个体益处外，预计对环境也会产生积极影响。为了衡量干预措施对护理单元环境的影响，将步行组活动结束后24小时内居民之间以及居民与工作人员之间的攻击行为频率，与该组未活动时的时间段进行了比较。t检验分析显示，步行组活动结束后24小时内攻击行为的频率在统计学上有显著降低。这项小型研究显示攻击事件平均减少了30%，这在临床上具有重要意义。有必要对老年护理单元护理方式的改进进行进一步研究。
