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芳香疗法和按摩对重度痴呆患者行为紊乱影响的单病例评估

Single case evaluation of the effects of aromatherapy and massage on disturbed behaviour in severe dementia.

作者信息

Brooker D J, Snape M, Johnson E, Ward D, Payne M

机构信息

South Birmingham Mental Health (NHS) Trust, UK.

出版信息

Br J Clin Psychol. 1997 May;36(2):287-96. doi: 10.1111/j.2044-8260.1997.tb01415.x.

DOI:10.1111/j.2044-8260.1997.tb01415.x
PMID:9167869
Abstract

Aromatherapy and massage could provide a useful addition to psychological therapeutic interventions with clients suffering from dementia. The effects of aromatherapy and massage on disturbed behaviour in four individuals with severe dementia were evaluated using a single-case research design. Each participant received 10 treatment sessions of aromatherapy, aromatherapy and massage combined, and massage alone. The effects on each individual's behaviour in the hour following treatment were assessed against 10 'no treatment' control sessions. Reliable individualized disturbed behaviour scales were designed. The effects of the treatments were mixed. The opinion of the staff providing treatment was that all participants benefited. On close scrutiny, only one of the participants benefited from the aromatherapy and massage to a degree that reached statistical significance. In two of the cases aromatherapy and massage led to an increase in agitated behaviour. The importance of the single case study approach with this client group is discussed.

摘要

芳香疗法和按摩对于患有痴呆症的患者而言,可能是心理治疗干预的有益补充。采用单病例研究设计,评估了芳香疗法和按摩对四名重度痴呆患者的紊乱行为的影响。每位参与者分别接受了10次芳香疗法、芳香疗法与按摩相结合以及单纯按摩的治疗疗程。针对10次“未治疗”的对照疗程,评估了每次治疗后一小时内对每位患者行为的影响。设计了可靠的个体化紊乱行为量表。治疗效果不一。提供治疗的工作人员认为所有参与者都从中受益。经仔细审查,只有一名参与者从芳香疗法和按摩中受益,且受益程度达到统计学意义。在其中两个案例中,芳香疗法和按摩导致了激越行为的增加。讨论了针对该患者群体采用单病例研究方法的重要性。

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