Details

Autor(en) / Beteiligte

• Lin, Li-Chan
• Yang, Man-Hua
• Kao, Chieh-Chun
• Wu, Shiao-Chi
• Tang, Sai-Hung
• Lin, Jaung-Geng

Titel

Using Acupressure and Montessori-Based Activities to Decrease Agitation for Residents with Dementia: A Cross-Over Trial

Ist Teil von

• Journal of the American Geriatrics Society (JAGS), 2009-06, Vol.57 (6), p.1022-1029

Ort / Verlag

Malden, USA: Blackwell Publishing Inc

Erscheinungsjahr

2009

Quelle

MEDLINE

Beschreibungen/Notizen

• OBJECTIVES: To explore the effectiveness of acupressure and Montessori‐based activities in decreasing the agitated behaviors of residents with dementia. DESIGN: A double‐blinded, randomized (two treatments and one control; three time periods) cross‐over design was used. SETTING: Six special care units for residents with dementia in long‐term care facilities in Taiwan were the sites for the study. PARTICIPANTS: One hundred thirty‐three institutionalized residents with dementia. INTERVENTION: Subjects were randomized into three treatment sequences: acupressure‐presence‐Montessori methods, Montessori methods‐acupressure‐presence and presence‐Montessori methods‐acupressure. All treatments were done once a day, 6 days per week, for a 4‐week period. MEASUREMENT: The Cohen‐Mansfield Agitation Inventory, Ease‐of‐Care, and the Apparent Affect Rating Scale. RESULTS: After receiving the intervention, the acupressure and Montessori‐based‐activities groups saw a significant decrease in agitated behaviors, aggressive behaviors, and physically nonaggressive behaviors than the presence group. Additionally, the ease‐of‐care ratings for the acupressure and Montessori‐based‐activities groups were significantly better than for the presence group. In terms of apparent affect, positive affect in the Montessori‐based‐activities group was significantly better than in the presence group. CONCLUSION: This study confirms that a blending of traditional Chinese medicine and a Western activities program would be useful in elderly care and that in‐service training for formal caregivers in the use of these interventions would be beneficial for patients.