Effects of multisensory therapy on agitated behaviours and cognition of geriatric patients with schizophrenia in a long-term care setting - an experimental study.

Objectives: To examine the effect of multisensory therapy in reducing the frequency of agitated behaviors and improving cognition of the geriatric patients with schizophrenia. DESIGN: Experimental pretest posttest control group design. SETTING: Long-term care setting of a state psychiatric hospital....

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Publicado en:Singapore Nursing Journal Vol. 38; no. 3; pp. 24 - 36
Autores principales: Kit Kit YONG, Chee Lien POH, GALISTAN, Therese Ann
Formato: research tables/charts Journal Article
Publicado: Singapore Nurses Association Jul-Sep2011
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul-Sep2011
      vid: 38
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      pub: Singapore Nurses Association
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        atl: Effects of multisensory therapy on agitated behaviours and cognition of geriatric patients with schizophrenia in a long-term care setting - an experimental study.
      aug:
        au:
          Kit Kit YONG
          Chee Lien POH
          GALISTAN, Therese Ann
        affil: Department of Nursing Administration, Block A Level 2, Buangkok View Medical Park, No. 10 Buangkok View, Singapore 539747
      sug:
        subj:
          Aggression Prevention and Control
          Agitation Therapy
          Cognition In Old Age
          Geropsychiatric Nursing
          Institutionalization In Old Age
          Long Term Care In Old Age
          Psychiatric Patients In Old Age
          Schizophrenia In Old Age
          Sensory Stimulation In Old Age
          Aged
          Aged, 80 and Over
          Aggression Evaluation
          Analysis of Variance
          Chi Square Test
          Clinical Assessment Tools
          Control Group
          Convenience Sample
          Descriptive Statistics
          Experimental Studies
          Female
          Fisher's Exact Test
          Hospitals, Psychiatric
          Human
          Interrater Reliability
          Male
          Pretest-Posttest Design
          Sample Size
          Scales
          Sensory Stimulation Methods
          Sex Factors
          Singapore
          Summated Rating Scaling
          Treatment Outcomes Evaluation
          Aged: 65+ years
          Aged, 80 & over
          Female
          Male
      ab: Objectives: To examine the effect of multisensory therapy in reducing the frequency of agitated behaviors and improving cognition of the geriatric patients with schizophrenia. DESIGN: Experimental pretest posttest control group design. SETTING: Long-term care setting of a state psychiatric hospital. PARTICIPANTS: Sixty patients (average age 78). INTERVENTION: Participants in the experimental group were involved in multisensory therapy programme for 30 minutes per session, 2 times per week for 12 weeks while those in the control group received usual care in the ward. MEASUREMENTS: A quick assessment on patients' level of agitation before and after each therapy session was measured using the Brief Agitation Rating Scale (BARS). Frequency of manifestations of agitated behaviors and cognitive status were also measured using Cohen-Mansfield Agitation Inventory Scale (CMAI) and the Mini Mental State Examination (MMSE) at baseline, mid-intervention, end-intervention and one-month post intervention. RESULTS: Over the 12 weeks study period, participants in the multisensory therapy group showed no significant change in their agitation level, p = .202 (mid-intervention), .323 (post-intervention) and .437 (one month post-intervention). Clinically, there was slight improvement in agitation level. The absolute change in mean BARS total score for each pre-session total to post-session total range from minimum -.07 ± .25 to maximum -1.3 ± 1.06. The mean percentage change from baseline in CMAI score was -10.34, -11.21 and -7.91 at mid-intervention, end intervention and one month post intervention respectively. No significant change in cognition was observed, p = .622 (mid-intervention), .422 (post-intervention) and .490 (one month post-intervention). The absolute change in mean MMSE total score from baseline was -1.14 ± 5.06 at midintervention, -3.25 ± 4.71 at post intervention and -3.25 ± 4.71 at one month post intervention.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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