A Quasi-Randomized Controlled Trial of Brain-Activating Rehabilitation in an Acute Hospital

被引：6
|
作者：
Tsuchiya, Kenji [1 ]
Yamaguchi, Tomoharu [2 ]
Fujita, Takaaki [3 ]
Taguchi, Maya [1 ]
Honda, Aoi [1 ]
Satou, Yuki [1 ]
Sekiguchi, Hiroshi [1 ]
Kimura, Noriko [1 ]
Osawa, Tenshi [1 ]
Terauchi, Masanori [1 ]
机构：
[1] Gunma Chuo Hosp, Japan Community Healthcare Org, Dept Rehabil, 1-7-13 Kouun Cho, Maebashi, Gunma 3710025, Japan
[2] Gunma Univ Hlth & Welf, Dept Rehabil, Maebashi, Gunma, Japan
[3] Tohoku Fukushi Univ, Dept Rehabil, Fac Hlth Sci, Sendai, Miyagi, Japan
来源：
AMERICAN JOURNAL OF ALZHEIMERS DISEASE AND OTHER DEMENTIAS | 2016年 / 31卷 / 08期
关键词：
brain-activating rehabilitation; patients with dementia; patients with cognitive impairment; day care; acute hospital; cognitive and psychosocial functioning; INTENSIVE-CARE-UNIT; ALZHEIMERS-DISEASE; DEMENTIA; DELIRIUM; PEOPLE; VALIDATION; THERAPY;
D O I：
10.1177/1533317516653822
中图分类号：
R592 [老年病学]; C [社会科学总论];
学科分类号：
03 ; 0303 ; 100203 ;
摘要：
We aimed to confirm the effectiveness of brain-activating rehabilitation (BAR) performed in the day care setting at an acute hospital. Brain-activating rehabilitation is based on 5 principles: developing a pleasant atmosphere, promoting communication, praising patients, giving patients a social role, and providing supportive care. A total of 48 patients with dementia or cognitive impairment were selected and randomly divided into the intervention and control groups. The BAR-based intervention was conducted for 1 hour, 3 times a week. The patients' score of the Multidimensional Observation Scale for Elderly Subjects (MOSES) were used as outcome measures. Repeated-measures analysis of covariance detected a significant interaction between the MOSES disorientation (F = 4.437, P = .041) and the withdrawal (F = 5.052, P = .030) subscales. A BAR-based intervention performed at our acute hospital was effective at maintaining and improving the cognitive and psychosocial functioning of patients with dementia or cognitive impairment.
引用
收藏
页码：612 / 617
页数：6
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