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Metas de Enfermería

Metas de Enfermería

MARZO 2016 N° 2 Volumen 19

Person-centred dementia care for prevention of agitation and other neuropsychiatric symptoms in institutionalized elderly people

Section: Cover story

How to quote

Sarabia Cobo CM, de Lorena Quintal P, Pérez Rugosa V, Hermosilla Grijalbo C, Núñez García MJ, García Ruiz MA. El cuidado centrado en la persona con demencia en la prevención de la agitación y otros síntomas neuropsiquiátricos en ancianos institucionalizados. Metas Enferm mar 2016; 19(2): 20-26.

Authors

Carmen Mª Sarabia Cobo1, Pablo de Lorena Quintal2, Victoria Pérez Rugosa3, Carmen Hermosilla Grijalbo4, Mª José Núñez García5, Mª Antonia García Ruiz6 (Grupo de Investigación Nursing Senectude)

Position

1 Enfermera. Doctora en Psicología. Licenciada en Antropología social y cultural. Máster en Gestión de Servicios de Enfermería. Profesora ayudante. Departamento de Enfermería. Universidad de Cantabria2 Enfermero. Doctor en Ciencias de la Salud. Máster en Cuidados Geriátricos y Gerontológicos. Residencia Santa Lucía, Congregación Hermanitas de los Ancianos Desamparados (CHAD), Palencia3 Enfermera. Máster en Gestión de Servicios de Enfermería, Máster en Enfermería Geriátrica y Gerontológica. Residencia Santa Lucía, CHAD, Oviedo4 Enfermera. Máster en Cuidados de Enfermería en la atención al paciente con demencia. Residencia Santa Lucía, CHAD, Madrid5Enfermera. Máster en Cuidados de Enfermería en la atención al paciente con demencia. Residencia Santa Lucía, CHAD, Oviedo6Médico geriatra, doctora en Medicina. Máster en enfermedades neurodegenerativas y atención geriátrica. Residencia Santa Lucía, CHAD, Madrid

Contact address

Carmen Mª Sarabia Cobo. Escuela Universitaria de Enfermería. Universidad de Cantabria. Avda. de Valdecilla, s/n. 39008 Santander (Cantabria).

Contact email: carmen.sarabia@unican.es

Abstract

Objective: to examine if person-centred dementia care (PCDC) is more effective than the education on dementia provided by the Nursing team in terms of the reduction of agitation and other neuropsychiatric symptoms, as well as in the improvement of quality of life for institutionalized elderly people with dementia.
Method: a randomized controlled clinical trial conducted in six retirement homes in four Spanish cities. Sample: 150 persons in the Experimental Group (EG), and 150 in the control group (CG). Intervention in the EG: PCDC with the VIPS practice model. Outcome variables: change in Cohen’s agitation scale, in the neuropsychiatric questionnaire (NPI), in Cornell’s scale for depression in dementia (CSDD) and in the QUALID quality of life scale. Multiple linear mixed-effects regression models were conducted.
Results: follow-up was conducted on 109 subjects in the EG and 122 in the CG. Regarding the difference in scores between basal and final situation, there were statistically significant changes in the agitation NPI (-0.5; p= 0.05) and in quality of life (1.6; p= 0.02). Regarding changes between basal and final situation, adjusted by age, gender, health condition and degree of dementia, there was a statistically significant reduction (p< 0.05) in NPI (–2.4) and Cornell’s Depression Scale (–2.6).
Conclusions: the PCDC intervention has shown efficacy in the reduction and prevention of agitation and other neuropsychiatric symptoms in institutionalized patients with dementia. Even so, it is necessary to conduct more research on this matter, particularly in terms of its impact on the quality of life of patients and on depression.

Keywords:

Dementia; agitation; neuropsychiatric symptoms; person-centred care; quality of liferandomized controlled clinical trial

Versión en Español

Título:

El cuidado centrado en la persona con demencia en la prevención de la agitación y otros síntomas neuropsiquiátricos en ancianos institucionalizados

Artículo completo no disponible en este idioma / Full article is not available in this language

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