Beck C, Heacock P, Mercer S O, Walls R C, Rapp C G, Vogelpohl T S
Department of Psychiatry, College of Medicine, University of Arkansas for Medical Sciences, Little Rock, USA.
Nurs Res. 1997 May-Jun;46(3):126-32. doi: 10.1097/00006199-199705000-00002.
This study tested the extent to which a behavioral intervention, Strategies to Promote Independence in Dressing (SPID), improved dressing independence among 90 cognitively impaired nursing home residents (average score on Mini Mental Status Exam = 7.35 +/- .69). The effect of SPID on caregiving efficiency, the time required for nursing assistants to use the strategies, was also examined. The results showed improved independence (decrease in assistance) from 6.08 +/- .12 at baseline to 4.93 +/- .19 following 6 intervention weeks. This significant improvement in dressing independence occurred without a clinically relevant increase in caregiver time (less than 1 min). Seventy-five percent of the subjects improved one or more levels of dressing independence, and more than 20% achieved their maximum intervention effect during the first week of treatment.
本研究测试了一种行为干预措施——促进穿衣独立策略（SPID），在90名认知障碍养老院居民（简易精神状态检查表平均得分 = 7.35 +/- 0.69）中提高穿衣独立性的程度。还考察了SPID对护理效率的影响，即护理助理使用这些策略所需的时间。结果显示，独立性得到改善（协助减少），从基线时的6.08 +/- 0.12降至6周干预后的4.93 +/- 0.19。穿衣独立性的这一显著改善并未导致护理人员时间出现临床上有意义的增加（少于1分钟）。75%的受试者在穿衣独立性上提高了一个或多个水平，超过20%的受试者在治疗的第一周就达到了最大干预效果。
