关键词: Meaningful activity assisted living behavioral symptoms dementia function pain

来  源:   DOI:10.1080/13607863.2024.2342963

Abstract:
UNASSIGNED: The purpose of this study was to examine factors associated with engagement in meaningful activity among residents with dementia in assisted living. We hypothesized that greater functional independence, less pain, and lower behavioral and psychological symptom severity would be associated with higher engagement in meaningful activity after controlling for residents\' age, gender, comorbidities, and cognition. Understanding factors associated with engagement in meaningful activity can help to inform strategies for optimizing engagement among residents with dementia in assisted living.
UNASSIGNED: This descriptive study used baseline data from a randomized controlled trial, Meaningful Activity for Managing Behavioral Symptoms of Distress (MAC-4-BSD). Linear regression was used to examine factors associated with engagement in meaningful activity.
UNASSIGNED: A total of 71 residents from 5 assisted living settings were included in the sample. Most participants were female (n = 52, 73%), White (n = 62, 87%), and mean age was 85 years old (SD = 8.2). Controlling for age, gender, comorbidities, and cognition, pain was significantly associated with engagement in meaningful activity (b= -2.09, p < 0.05). There were no associations found between function and behavioral symptoms with engagement in meaningful activity.
UNASSIGNED: Findings from this study show that pain is a significant factor that is negatively associated with residents\' engagement in meaningful activity. Ongoing research is needed to help improve pain management for residents with dementia in assisted living and support their engagement in meaningful activity.
摘要:
这项研究的目的是研究与痴呆症患者在辅助生活中参与有意义的活动相关的因素。我们假设功能独立性更大,更少的痛苦,和较低的行为和心理症状的严重程度将与更高的参与有意义的活动后控制居民的年龄,性别,合并症,和认知。了解与参与有意义的活动相关的因素可以帮助制定策略,以优化痴呆症患者在辅助生活中的参与。
这项描述性研究使用了一项随机对照试验的基线数据,管理痛苦行为症状的有意义的活动(MAC-4-BSD)。线性回归用于检查与参与有意义的活动相关的因素。
样本中包括来自5个辅助生活环境的总共71名居民。大多数参与者是女性(n=52,73%),白色(n=62,87%),平均年龄85岁(SD=8.2)。控制年龄,性别,合并症,和认知,疼痛与参与有意义的活动显著相关(b=-2.09,p<0.05).在参与有意义的活动的功能和行为症状之间没有发现关联。
这项研究的结果表明,疼痛是一个重要因素,与居民参与有意义的活动呈负相关。需要持续的研究来帮助改善痴呆症患者在辅助生活中的疼痛管理,并支持他们参与有意义的活动。
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