evaluation of the efficacy of randomized controlled trials of sensory stimulation interventions for sleeping disturbances in patients with dementia: a systematic review

evaluasi efikasi uji acak terkendali intervensi stimulasi sensorik untuk gangguan tidur pada pasien demensia: suatu tinjauan sistematis

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ID: 158475
2017
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Abstract
Tatiana-Danai Dimitriou,1 Magdalini Tsolaki2 1Neuroscience Department, Medical School, Aristotle University of Thessaloniki, Thessaloniki, 2Third Department of Neurology, Aristotle University of Thessaloniki, Macedonia, Greece Objective: The current review aims to evaluate the sensory stimulation interventions in terms of reducing sleeping disturbances in patients with dementia. The nonpharmacological interventions seem to be an efficient, inexpensive, and easy tool for family caregivers. Moreover, sleeping disorders increase caregivers’ distress and may lead to hospitalization.Methods: A systematic literature search was performed. Eleven randomized controlled trials have been found. Among these eleven trials, one referred to massage therapy and acupuncture, and the other ten studies referred to bright light therapy.Results: The results demonstrated that there are no relevant randomized controlled trials of music therapy, aromatherapy, and multisensory environment/Snoezelen referring to sleeping disturbances. Several studies have been conducted about the effect of the bright light therapy, and there is also another study that combines massage therapy and acupuncture therapy.Conclusion: Sensory stimulation interventions are inexpensive and practical for dementia caregivers; however, only bright light therapy seems to be useful to reduce sleeping problems in dementia. The other sensory stimulation interventions lack evidence, and there is a strong need for further research. Keywords: sensory stimulation interventions, nonpharmacological interventions, sleeping disturbances, dementia, randomized controlled trials, review
Tatiana-Danai Dimitriou,1 Magdalini Tsolaki2 1Departemen Neurosains, Fakultas Kedokteran, Aristotle University of Thessaloniki, Thessaloniki, 2Departemen Neurologi Ketiga, Aristotle University of Thessaloniki, Makedonia, Yunani Tujuan: Tinjauan ini bertujuan untuk mengevaluasi intervensi stimulasi sensori dalam mengurangi gangguan tidur pada pasien demensia. Intervensi nonfarmakologis tampaknya menjadi sarana yang efisien, terjangkau, dan mudah bagi pengasuh keluarga. Selain itu, gangguan tidur meningkatkan distres pengasuh dan dapat menyebabkan rawat inap. Metode: Penelusuran literatur sistematis telah dilakukan. Sebelas uji acak terkendali (randomized controlled trials) ditemukan. Di antara sebelas uji klinis ini, satu merujuk pada terapi pijat dan akupunktur, dan sepuluh penelitian lainnya merujuk pada terapi cahaya terang (bright light therapy). Hasil: Hasil penelitian menunjukkan bahwa tidak ada uji acak terkendali yang relevan mengenai terapi musik, aromaterapi, dan lingkungan multisensori/Snoezelen terkait dengan gangguan tidur. Beberapa penelitian telah dilakukan mengenai efek terapi cahaya terang, dan ada juga penelitian lain yang menggabungkan terapi pijat dan terapi akupunktur. Kesimpulan: Intervensi stimulasi sensori terjangkau dan praktis bagi pengasuh pasien demensia; namun, hanya terapi cahaya terang yang tampaknya bermanfaat untuk mengurangi masalah tidur pada demensia. Intervensi stimulasi sensori lainnya masih kekurangan bukti, dan terdapat kebutuhan mendesak untuk penelitian lebih lanjut. Kata kunci: intervensi stimulasi sensori, intervensi nonfarmakologis, gangguan tidur, demensia, uji acak terkendali, tinjauan
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Authors ;Dimitriou TD;Tsolaki M
Journal imaging science journal
Year 2017
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