舞蹈干预在需长期护理的老年认知障碍患者中的可行性与可接受性分析

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摘要目的探讨舞蹈干预在需长期护理的老年认知障碍患者中的可行性、照护人员的可接受性和初步效果。方法选择2019年1～4月辽宁中医药大学附属医院老年病科收治的符合纳入标准的患者20例，并提供舞蹈疗程，同时采用重复测量设计的方法，收集并记录整个实验过程中患者的参与率和流失率，同时记录所有参与者的一般身体状况、认知障碍程度和心理测试结果等。在每次舞蹈结束时记录患者的参与率、完成舞蹈项目的程度以及对舞蹈疗程的评价。结果研究结果完成率为93%（13/14）。患者整体平均参与度为1.82（1.75，1.97）分，患者对舞蹈干预总体评价为2.05（1.85，2.35）分。照护人员对于舞蹈干预总体上可接受性为（2.37±0.72）分。结论本研究较高的完成率和参与率支持了舞蹈干预的可行性，并且患者对舞蹈干预的评价和照护人员对舞蹈干预的接受度都很高。因此舞蹈干预具有广阔的应用前景，值得进一步研究，从而来确定其在更大样本中的有效性。

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	韩晴芦霜▲

关键词 ：舞蹈, 干预, 认知障碍, 长期护理, 可行性

Abstract：Objective To explore the feasibility, acceptability and initial effect of dance intervention in elderly patients with cognitive impairment who need long-term care. Methods Twenty geriatrics patients who met the inclusion criteria and were admitted to the Affiliated Hospital of Liaoning University of Traditional Chinese Medicine from January to April 2019 were selected to provide dance courses. At the same time, the method of repeated measurement design was adopted to collect and record the participation rate and attrition rate of patients in the whole experiment process, as well as the general physical condition, cognitive impairment degree and psychological test results of all participants. At the end of each dance, the participation rate of the patients, the degree of completion of the dance program, and the evaluation of the dance course were recorded. Results The completion rate of the study was 93% (13/14). The overall mean participation rate of the patients was 1.82 (1.75, 1.97) points, and the overall evaluation of dance intervention was 2.05 (1.85, 2.35) points. The overall acceptability of the caregiver for dance intervention was (2.37±0.72) points. Conclusion The high completion rate and participation rate in this study support the feasibility of dance intervention, and both patients′ evaluation of dance intervention and caretakers′ acceptance of dance intervention are high. Therefore, dance intervention has a broad application prospect and is worthy of further study to determine its effectiveness in a larger sample.

Key words： Dance Intervention Cognitive impairment Long-term care Feasibility

基金资助:辽宁省沈阳市社会科学研究课题（SYSK-2019-06-07）。

通讯作者: ▲通讯作者

引用本文:

韩晴芦霜▲. 舞蹈干预在需长期护理的老年认知障碍患者中的可行性与可接受性分析[J]. 中国医药导报, 2020, 17(5): 173-176.
HAN Qing LU Shuang▲. Analysis of the feasibility and acceptability of dance intervention in elderly patients with cognitive impairment who need long-term care. 中国医药导报, 2020, 17(5): 173-176.

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