评估 TimeSlips 创意讲故事计划对不同程度痴呆症患者的益处。

IF 2.7 4区 医学 Q2 CLINICAL NEUROLOGY
Alyssa A Vigliotti, Vernon M Chinchilli, Daniel R George
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引用次数: 0

摘要

目的评估 TimeSlips(一种在住宿护理环境中使用的小组创意讲故事干预方法)对不同严重程度痴呆症患者的生活质量(QOL)、与护理人员的互动以及迷你精神状态检查(MMSE)评分的益处:设计:在为期 6 个月的时间里,每周使用混合方法测量 QOL 和居民与护理人员的关系:环境:宾夕法尼亚州的一家痴呆症护理病房:22名患有轻度至重度痴呆症的住院患者:痴呆症严重程度和 QOL 采用 MMSE 和 Greater Cincinnati Chapter Well-Being Observational Tool 进行评估。使用修订版的 "互动质量表 "分析居民与护理人员之间的互动。研究结束后进行了半结构式访谈:从数量上看,最初被归类为轻度-中度痴呆症的参与者与最初被归类为重度痴呆症的参与者相比,更有可能体验到积极的益处。随着时间的推移,痴呆症的严重程度没有明显变化。随着时间的推移,轻度痴呆症患者的生活质量和居民与护理人员之间的关系也没有发生变化,但重度痴呆症患者的某些生活质量和居民与护理人员之间的关系有所下降。定性分析发现,随着时间的推移,轻度痴呆症和重度痴呆症患者都能获得一致的益处:混合方法分析有助于确定 TimeSlips 对各种严重程度痴呆症患者的益处,尤其是对轻度痴呆症患者的益处。这样的观察结果有助于证明像 TimeSlips 这样以艺术为基础的项目是如何为晚期记忆障碍患者带来独特的益处,从而提高他们的 QOL。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evaluating the Benefits of the TimeSlips Creative Storytelling Program for Persons With Varying Degrees of Dementia Severity.

Objectives: To evaluate the benefits of TimeSlips, a group creative storytelling intervention used in residential care settings, on quality of life (QOL), interactions with caregivers, and Mini-Mental State Examination (MMSE) scores for persons with varying degrees of dementia severity.

Design: A mixed-methods approach was used weekly over a 6-month period to measure QOL and resident-caregiver relationships.

Setting: A dementia care unit in Pennsylvania.

Participants: Twenty-two residents with mild-to-severe dementia.

Measurements: Dementia severity and QOL were assessed using the MMSE and Greater Cincinnati Chapter Well-Being Observational Tool. Resident-caregiver interactions were analyzed using a modified version of the Quality of Interactions Schedule. Semistructured interviews were conducted upon the study's conclusion.

Results: Quantitatively, participants initially classified with mild-moderate dementia were significantly more likely to experience positive benefits compared to those initially classified with severe dementia. There were no significant changes in dementia severity over time. There was also no change in QOL or resident-caregiver relationships for those with mild-moderate dementia over time, although there was a decrease in certain measures of QOL and resident-caregiver relationships for those with severe dementia. Qualitative analysis identified consistent benefits for residents with both mild-moderate and severe dementia over time.

Conclusions: Mixed-methods analyses helped identify benefits of TimeSlips for persons at all levels of dementia severity, but particularly for those with milder dementia. Such an observation helps demonstrate how arts-based programs like TimeSlips can uniquely benefit people with advanced memory impairments and thereby support QOL.

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来源期刊
American Journal of Alzheimers Disease and Other Dementias
American Journal of Alzheimers Disease and Other Dementias GERIATRICS & GERONTOLOGY-CLINICAL NEUROLOGY
CiteScore
5.40
自引率
0.00%
发文量
30
审稿时长
6-12 weeks
期刊介绍: American Journal of Alzheimer''s Disease and other Dementias® (AJADD) is for professionals on the frontlines of Alzheimer''s care, dementia, and clinical depression--especially physicians, nurses, psychiatrists, administrators, and other healthcare specialists who manage patients with dementias and their families. This journal is a member of the Committee on Publication Ethics (COPE).
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