Current Status and Direction of Research in Non-pharmacological Management of Vocally Disruptive Behavior in Nursing Home Residents with Dementia:A Review of the Literature
2
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Purpose: This study was done to examine contemporary non-pharmacological interventions for vocally disruptive behavior (VDB) and to define directions for further research by reviewing related research studies. Methods:Analysis was done of 24 articles related to dementia and VDB in elders in residential facilities or long-term care settings, published between 1997 and 2010. Results: The theoretical literature outlines non-pharmacological interventions: behavioral modification and person-centered care for nursing home residents with VDB, and educational program and flexibility and support for nurses. Despite the researchers use of the different types of interventions available for individuals with dementia who present with VDB, such as behavioral therapy, caregivers training, and combination therapy, the intervention effects were generally modest. Conclusion: In the current studies, the limited efficacious management suggests most aspects surrounding VDB are insufficiently understood. Various interventions and staff training need further investigation to overcome the behavior and related suffering.
Abstract
Purpose: This study was done to examine contemporary non-pharmacological interventions for vocally disruptive behavior (VDB) and to define directions for further research by reviewing related research studies. Methods:Analysis was done of 24 articles related to dementia and VDB in elders in residential facilities or long-term care settings, published between 1997 and 2010. Results: The theoretical literature outlines non-pharmacological interventions: behavioral modification and person-centered care for nursing home residents with VDB, and educational program and flexibility and support for nurses. Despite the researchers use of the different types of interventions available for individuals with dementia who present with VDB, such as behavioral therapy, caregivers training, and combination therapy, the intervention effects were generally modest. Conclusion: In the current studies, the limited efficacious management suggests most aspects surrounding VDB are insufficiently understood. Various interventions and staff training need further investigation to overcome the behavior and related suffering.
참고문헌 (30)
- "Effectiveness of nonpharmacological interventions for the management of neuropsychiatric symptoms in patients with dementia: a systematic review. Archives of Internal Medicine, 166"[URL]
- Barton, S, "The management of inappropriate vocalization in dementia: A hierarchical approach", International Journal of Geriatric Psychiatry, 20, pp.1180~1186 (2005)
- Bourbonnais, A, "Screaming in elderly persons with dementia: A critical review of the literature", Dementia, 7(2), pp.205~225 (2008)
- Bridgeman, C, "Strategies for managing patients with vocally disruptive behaviour", Nursing Times, 104(38), pp.10~11 (2008)
- Buchanan, J. A, "Functional Assessment and non-contingent reinforcement in the treatment of disruptive vocalization in elderly dementia patients", Journal of Applied Behavior Analysis, 35, pp.99~103 (2002)
- Burgio, L. D, "Teaching and maintaining behavior management skills in the nursing home", The Gerontologist, 42, pp.487~496 (2002)
- Carlyle, W, "ECT: An effective treatment in the screaming demented patients", Journal of the American Geriatrics Society, 39, pp.637~639 (1991)
- Cohen-Mansfield,J, "Agitated behaviour in persons with dementia: The relationship between type of behaviour, its frequency, and its disruptiveness", Journal of Psychiatric Research, 43, pp.64~69 (2009)
- Cohen-Mansfield, J, "Flexibility as a management principle in dementia care: The adards example", The Gerontologist, 46(4), pp.540~544 (2006)
- Cohen-Mansfield, J, "Management of verbally disruptive behaviors in nursing home residents", The Journals of Gerontology, 52(6), pp.369~377 (1997)
- Cohen-Mansfield, J, "Determinants of the effectiveness of one-to-one social interactions for treating verbally disruptive behaviors", Journal of Mental Health and Aging, 4(3), pp.323~334 (1998)
- Doyle, C, "Efficacy of psychosocial treatments for noisemaking in severe dementia", International Psychogeriatrics, 9(4), pp.405~422 (1997)
- Gunten, A. V, "Vocally disruptive behavior in the elderly: A systematic review", International Psychogeriatrics, 20(4), pp.653~672 (2008)
- Kong, E, "Nonpharmacological intervention for agitation in dementia: A systematic review and meta-analysis", Aging and Mental Health, 13(4), pp.512~520 (2009)
- Magri, C. J, "A review of the aetiology and management of vocal behaviour in dementia", Malta Medical Journal, 19(3), pp.30~35 (2007)
- McCabe, M. P, "Effectiveness of staff training programs for behavioral problems among older people with dementia", Aging & Mental Health, 11(5), pp.505~519 (2007)
- McCallion, P, "Education nursing assistants to communicate more effectively with nursing home residents with dementia", The Gerontologist, 39(5), pp.546~558 (1999)
- McMinn, B, "Vocally disruptive behaviour in dementia: Development of an evidence based practice guideline", Aging & Mental Health, 9(1), pp.16~24 (2005)
- Meares, S, "Treatment of vocally disruptive behaviour of multifactorial aetiology", International Journal of Geriatric Psychiatry, 14, pp.285~290 (1999)
- Moniz-Cook, E, "Can staff training reduce behavioral problems in residential care for the elderly mentally ill?", International Journal of Geriatric Psychiatry, 13, pp.149~158 (1998)
- O Connor, D. W, "Psychosocial treatments of psychological symptoms in dementia: A systematic review of reports meeting quality standards", International Psychogeriatrics, 21(2), pp.241~251 (2009)
- Palese, A, "The effectiveness of multi-strategies on disruptive vocalization of people with dementia in institutions: A multi-centered observational study", Journal of Neuroscience Nursing, 41(4), pp.191~201 (2009)
- Proctor, R, "Behavioral management in nursing and residential homes: A randomized controlled trial", The Lancet, 354, pp.26~29 (1999)
- Roth, D. L, "Timed-event sequential analysis of agitation in nursing home residents during personal care interactions with nursing assistants", The Journals of Gerontology, 57(5), pp.461~468 (2002)
- Ruths, S, "Stopping antipsychotic drug therapy in demented nursing home patients: A randomized, placebo-controlled study", International Journal of Geriatric Psychiatry, 23(9), pp.889~895 (2008)
- Sloane, P. D, "Management of the patient with disruptive vocalization", The Gerontologist, 37, pp.675~682 (1997)
- Turner, J, "An innovative approach to behavioral assessment and intervention in residential care: A service evaluation", Clinical Gerontologist, 32, pp.260~275 (2009)
- Werner, P, "Characterization of family-generated videotapes for the management of verbally disruptive behaviors", The Journal of Applied Gerontology, 19(1), pp.42~57 (2000)
- Wood,R.L, "Behaviour disorders following severe brain injury: Their presentation and psychological management in Outcomes of severe blunt head injury", pp.195~216 (1984), Oxford University Press
- Zetteler,J, "Effectiveness of simulated presence therapy for individuals with dementia: A systematic review and meta-analysis", Aging & Mental Health, 12(6), pp.779~785 (2008)