TREATMENT OF AGITATION IN THE NURSING HOME

在疗养院治疗躁动

• 批准号: 6533744
• 负责人: Jiska Cohen-Mansfield
• 金额: $ 29.99万
• 依托单位: HEBREW HOME OF GREATER WASHINGTON
• 依托单位国家: 美国
• 财政年份: 1992
• 资助国家: 美国
• 起止时间: 1992-08-18 至 2004-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6533744
• 关键词: anxiety; clinical research; dementia; human old age (65+); human subject; nursing homes; nursing intervention; outcomes research; patient care management; quality of life

DESCRIPTION (adapted from investigator's abstract): Agitated behaviors impose one of the most onerous burdens on nursing home caregivers and residents. The investigators have utilized information derived from agitation research to develop a program termed "Treatment Routes for Exploring Agitation" (TREA), an objective, systematic method for implementing individualized treatment plans for agitation. TREA first involves an assessment of the subtype of agitation, and its underlying causes. A research-driven treatment plan for addressing the underlying cause of the agitation would then be implemented. The proposed study involves conducting a controlled comparison of the efficacy of the TREA approach to placebo in nursing homes that meet or exceed usual levels of quality in resident treatment and medication monitoring. We hypothesize that, as compared to a placebo-controlled condition, TREA will be more effective in reducing levels of agitation among nursing home residents. Improved outcome in comparison to standard care will be determined via the following measures: (1) The frequency of agitation will be reduced; (2) Staff members will perceive a reduction in agitation-associated disruptiveness; (3) Residents' quality of life will be improved as estimated by reduced levels of depressed or anxious affect, and increased levels of interest in the environment; (4) Fewer psychotropic medications will be administered. During the study, process variables will be collected which will facilitate an estimation of the distribution of probable causes of agitation among residents with specific behavioral profiles; the rate of efficacy of specific interventions for each type of agitation, the distribution of perceived causes for failure of specific interventions for each type of agitation; and the relative cost-effectiveness of each intervention. If the proposed project proves successful, a systematic method for implementing individualized treatment plan for agitation would be demonstrated, a need which remains to be satisfactorily met. The quality of life agitated nursing home residents, residents who are exposed to the agitation, and nursing home caregivers would thereby be improved.

描述（根据调查员的摘要改编）：激动的行为 施加养老院护理人员和最繁重的负担之一 居民。 调查人员利用了从 煽动研究以制定一项称为“治疗途径的程序” 探索激动”（trea），一种客观的系统方法 实施个性化治疗计划进行搅动。 首先 涉及对搅动亚型的评估及其基础 原因。 研究驱动的治疗计划，用于解决基础 然后将实施搅拌的原因。 拟议的研究 涉及进行TREA功效的受控比较 在满足或超过通常水平的疗养院中安慰剂的方法 居民治疗和药物监测的质量。 我们假设 与安慰剂控制状态相比，TREA将更多 有效地降低了疗养院居民的搅动水平。 与标准护理相比，改进的结果将通过 以下措施：（1）搅拌的频率将降低； （2） 工作人员会认为减少搅动相关的 破坏性； （3）居民的生活质量将得到改善 通过降低或焦虑感的水平估计，并增加 对环境的兴趣水平； （4）更少的精神药物 将管理。 在研究期间，将收集过程变量 这将有助于估计可能原因的分布 具有特定行为特征的居民的搅动；速率 特定干预措施每种搅拌的功效， 特定干预措施失败的感知原因的分布 每种搅拌；以及每个的相对成本效益 干涉。 如果拟议的项目被证明是成功的 实施个性化治疗计划的方法将是 证明，仍然需要满足的需求。 质量 养生的养老院居民，暴露于 躁动和疗养院的护理人员将得到改善。