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Effects of Animal-Assisted Therapy on Verbal Communication and Agitation in Adults With Dementia in Long-Term Care

机译:动物辅助治疗在长期护理中痴呆症患者言语交流和搅动的影响

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摘要

The effects of Animal-Assisted Therapy (AAT) on verbal communication and agitated behaviors of older adults with mild to severe dementia were examined. We conducted a pilot study at a long-term nursing facility in rural Nebraska on five residents with various stages of dementia and agitation (over two reported incidents of agitation within two months). The study consisted of four sessions of assessment with and four sessions without the presence of a certified therapy dog. The assessment battery included a Mean Length of Utterance (MLU), and responding to a Picture Recognition Activity (PRA) task to assess the production and comprehension in verbal communication respectively. Agitation Behavioral Scale (ABS; Corrigan, 1989), and a General Care Survey (GCS) were used to measure agitation and agitated behavior. The results showed statistically significant differences in the performance of all five participants when the dog was present as compared to when it was absent. We observed an increase in verbal communication (57.4% MLU; 28% PRA), and a decrease in agitated behaviors. This pilot study brings evidence that AAT can be a cost-effective, non-pharmaceutical therapy approach for individuals with dementia to decrease agitation and increase communication. References: Corrigan, J. D. 1989. Development of a scale for assessment of agitation following traumatic brain injury. Journal of Clinical and Experimental Neuropsychology, 11: 261–277.
机译:检查了动物辅助治疗(AAT)对患有轻度至严重痴呆的老年人的口头通信和搅拌行为的影响。我们在内布拉斯加州农村的长期护理设施进行了一项试点研究,其中五名痴呆症和搅动的各个阶段(两个月内报告的两次骚动事件)。该研究包括四届评估和4个会议,没有经过认证的治疗犬。评估电池包括一个平均的话语(MLU)长度,并响应图像识别活动(PRA)任务,以分别评估言语通信中的生产和理解。激动行为规模(ABS; Corrigan,1989),以及一般护理调查(GCS)用于测量激动和搅拌的行为。结果表明,当狗不存在时,所有五个参与者的表现都表现出统计学意义差异。我们观察到言语通信增加(57.4%的MLU; 28%的PRA),减少令人振奋的行为。该试点研究提出了证据表明,AAT可以是具有痴呆症的个体的具有成本效益,非药物治疗方法,以减少激动和增加沟通。参考文献:Corrigan,J. D. 1989。在创伤性脑损伤后评估搅拌的规模的发展。临床和实验神经心理学,11:261-277。

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