We explore the efficacy of the use of a rocking chair (Nordic Sensi® Chair, NSC) in the treatment of BPSD in nursing home residents with moderate and severe dementia.
We carried out a 16-week randomized, single-blind, controlled, clinical trial with PwD admitted to nursing homes. Participants were assigned to a treatment group (n = 40) that received three times a week one session per day of 20 minutes in the NSC and a control group (n = 37). The Neuropsychiatric Inventory-Nursing Home (NPI-NH) was used as primary efficacy outcome. Occupational distress for the staff was evaluated using the NPI-NH Occupational Disruptiveness subscale (NPI-NH-OD). Statistical analyses were conducted by means of a Mixed Effects Model Analysis.
Treatment with the NSC was associated with a beneficial effect in most of BPSD, as reflected by differences between the treatment and control group on the NPI-NH total score (mean change score -18.87±5.56 versus -1.74±0.67, p = 0.004), agitation (mean change score -2.32±2.02 versus -0.78±1.44, p = 0.003) and irritability (mean change score -3.35±2.93 versus -1.42±1.31, p = 0.004). The NPI-NH-OD total score also improved the most in the treatment group (mean change score -9.67±7.67 versus -7.66±6.08, p = 0.003).
The reduction in overall BPSD along with decreased caregiver occupational disruptiveness represent encouraging findings, adding to the potential of nonpharmacological interventions for nursing home residents living with dementia.
目的:我们探索使用摇椅(NordicSensi®Chair,NSC)在患有中度和重度痴呆的疗养院居民中治疗BPSD。
方法:我们进行了为期16周的随机,单盲,控制,纳入疗养院的PwD临床试验。参与者被分配到治疗组(n=40)和对照组(n=37),该治疗组每周接受3次,每天20分钟的疗程。神经精神清单-疗养院(NPI-NH)被用作主要疗效结果。使用NPI-NH职业破坏力子量表(NPI-NH-OD)评估了员工的职业困扰。通过混合效应模型分析进行统计分析。
结果:在大多数BPSD中,使用NSC治疗与有益效果相关,如治疗组和对照组在NPI-NH总分上的差异(平均变化评分-18.87±5.56对-1.74±0.67,p=0.004),躁动(平均变化评分-2.32±2.02对-0.78±1.44,p=0.003)和易怒(平均变化评分-3.35±2.93对-1.42±1.31,p=0.004)。NPI-NH-OD总评分在治疗组中也改善最大(平均变化评分-9.67±7.67对-7.66±6.08,p=0.003)。
结论:总体BPSD的减少以及护理人员职业干扰的减少代表了令人鼓舞的发现,为患有痴呆症的疗养院居民增加非药物干预的潜力。