经颅直流电刺激对老年阿尔茨海默病及相关痴呆患者疼痛缓解的即时和长期影响:一项初步研究

IF 2.5 3区 医学 Q3 GERIATRICS & GERONTOLOGY
Chiyoung Lee PhD, RN , Juyoung Park PhD, MSW , Mindy Fain MD , James E. Galvin MD, MPH , Lindsey Park BS , Hyochol Ahn PhD, APRN, ANP-BC, FAAN
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引用次数: 0

摘要

我们同时评估了经颅直流电刺激(tDCS)对减轻自我报告的疼痛和疼痛行为的影响,以更客观地探讨其对老年阿尔茨海默病和相关痴呆的影响。该分析随机调查了40名参与者(1:1),连续5天进行活动和假tDCS 20分钟。多组潜在转换分析可以同时评估单个模型中的两个疼痛域,并通过建模潜在类别的转换概率并比较组间的这些变化,分析其变化作为干预暴露的函数。根据数字评定量表和活动-观察-行为-强度-痴呆量表得分确定了两种疼痛类别(“高疼痛”和“低疼痛”)。总的来说,与假刺激相比,tDCS在帮助参与者在干预期间和之后(~ 3个月)过渡到“低疼痛”状态方面表现出更好的效果,证明其即时和持久的效果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Immediate and long-term effects of transcranial direct current stimulation on pain relief in older adults with Alzheimer's disease and related dementias: A pilot study
We simultaneously assessed the impact of transcranial direct current stimulation (tDCS) on mitigating both self-reported pain and pain behaviors to more objectively explore its effects in older adults with Alzheimer's disease and related dementias. The analysis investigated 40 participants randomly (1:1) subjected to active and sham tDCS for 20 min on 5 consecutive days. Multi-group latent transition analysis enabled the simultaneous evaluation of both pain domains in a single model and analysis of their changes as a function of intervention exposure by modeling the transition probabilities of latent classes and comparing these changes between groups. Two pain categories (“high pain” and “low pain”) were identified based on the numeric rating scale and mobilization–observation–behavior–intensity–dementia scale scores. Overall, tDCS demonstrated better effects in helping participants transition to a “low pain” status during and after the intervention (∼3 months) compared with sham stimulation, demonstrating its immediate and enduring effects.
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来源期刊
Geriatric Nursing
Geriatric Nursing 医学-护理
CiteScore
3.80
自引率
7.40%
发文量
257
审稿时长
>12 weeks
期刊介绍: Geriatric Nursing is a comprehensive source for clinical information and management advice relating to the care of older adults. The journal''s peer-reviewed articles report the latest developments in the management of acute and chronic disorders and provide practical advice on care of older adults across the long term continuum. Geriatric Nursing addresses current issues related to drugs, advance directives, staff development and management, legal issues, client and caregiver education, infection control, and other topics. The journal is written specifically for nurses and nurse practitioners who work with older adults in any care setting.
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