中醫治療對於居家與機構病患激動情緒及照護壓力的改善成效

背景：激動包含過度、破壞性和不恰當的言語、聲音和動作症狀。在長期照護設施中，激動是最常見的症狀之一。本研究的目的是探討針灸治療對於居家與機構病患的激動情緒和照護壓力的緩解效果。方法：本研究為前瞻性、單中心、不同治療頻率對照的研究。參與者被分為每週接受針灸治療一次與三次的兩組，並在研究進行前、治療四週與八週後分別評估個案的激動情緒與照護者的負擔。我們使用中文版柯恩－曼斯費爾德激動情表緒行為量表（Cohen-Mansfield Agitation Inventory, CMAI）評估患者的激動情緒，並以照顧者負擔量表Caregiver Burden Inventory（CBI）來評估照顧者壓力強度。本次研究共採集三筆數據（治療前、治療四星期與治療八星期），並使用無母數統計分析中的Friedman test和rank sun test來分析治療結果。結果：本研究共納入41位失能病患，其中有23位接受每週三次針灸，其餘則每週接受一次治療。每週治療三次的病患，其激動情緒行為量表量表由治療前的116.0±5.5分，顯著下降到治療四週後的87.0±5.5分，與治療八週後的44.0±5.5分，並且具有統計顯著差異。其照顧者負擔量表總分也由99.0±5.5分下降至75.0±7.5分（四週）與36.0±6.0分（8週）。相比而言，每週僅接受一次治療的患者，在治療四週後並未顯著改善激動情緒症狀或減輕照護壓力，僅在八週後才達到顯著的療效。結論：研究結果顯示，針灸治療是一種有效的治療方法，對於激動情緒的治療特別有效，並且能夠減輕照護者的負擔。此外，針灸頻率也會影響治療效果，每週三次的針灸可以獲得最佳的治療效果。

關鍵字

長期照護；居家照護；針灸治療；柯恩－曼斯費爾德激越情表緒行為量表；照顧者負擔

並列摘要

Background: Agitation refers to excessive, destructive, and inappropriate symptoms of speech, sound, and movement. It is one of the most common symptoms in long-term care facilities. The aim of this study was to investigate the effects of acupuncture treatment on agitated emotions and caregiver stress among home and institutional patients. Method: This study was a prospective, single-center, clinical trial with different treatment frequencies. Participants were divided into two groups, receiving acupuncture once or three times a week, and their agitated behavior and caregiver burden were evaluated before treatment, after 4 weeks, and after 8 weeks of treatment. The Cohen-Mansfield Agitation Inventory (CMAI) was used to evaluate patient agitation, and the Caregiver Burden Inventory (CBI) was used to evaluate caregiver stress. Friedman test and rank sum test were used to analyze the treatment results. Result: A total of 41 disabled patients were enrolled in the study, with 23 receiving three weekly acupuncture sessions and the rest receiving once-weekly treatment. Patients receiving three weekly acupuncture sessions showed a significant decrease in agitated behavior, as measured by the CMAI, from 116.0 ± 5.5 at baseline to 87.0 ± 5.5 after 4 weeks and 44.0 ± 5.5 after 8 weeks. Their caregiver burden, as measured by the CBI, also decreased from 99.0 ± 5.5 to 75.0 ± 7.5 (4 weeks) and 36.0 ± 6.0 (8 weeks). In comparison, patients receiving only once-weekly treatment showed no significant improvement in agitated behavior or caregiver burden after 4 weeks and only showed significant improvement after 8 weeks. Conclusion: The results showed that acupuncture treatment is an effective therapy, especially for treating agitated behavior, and can reduce caregiver burden. Additionally, the frequency of acupuncture affects the treatment outcome, with three weekly sessions yielding the best results.

並列關鍵字

Long-term Care ； Home Care ； Acupuncture Treatment ； Cohen-Mansfield Agitation Inventory ； Caregiver Burden

參考文獻

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