Protocolo de intervenção individual baseado na terapia de reminiscência em idosos com perturbação neurocognitiva
DOI:
https://doi.org/10.12707/RV20043Palavras-chave:
demência, idoso, desenvolvimento de programas, disfunção cognitiva, terapia reminiscência, qualidade de vidaResumo
Enquadramento: A literatura sugere que a terapia de reminiscência (TR) é uma das terapias não-farmacológicas com melhores evidências na população idosa com perturbação neurocognitiva (PNC), permitindo estimular a neuroplasticidade e a reserva cognitiva, podendo ter um efeito protetor na pessoa com PNC.
Objetivo: Apresentar de forma pormenorizada a estrutura e o conteúdo de um protocolo de intervenção em idosos com PNC, baseado na TR individual.
Metodologia: Identificação das fases preliminares ao desenho do protocolo de intervenção.
Resultados: Protocolo de intervenção individual baseado na TR, em formato misto, composto por 26 sessões, com frequência bissemanal e com duração aproximada de 50 minutos por sessão, administrado por terapeutas treinados.
Conclusão: O programa de TR individual pormenorizado permite uma implementação e replicabilidade adequada, podendo contribuir para atenuar a progressão da PNC.
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Referências
Aguirre, E., Woods, R. T., Spector, A., & Orrell, M. (2013). Cognitive stimulation for dementia: A systematic review of the evidence of effectiveness from randomised controlled trials. Ageing Research Reviews, 12(1), 253–262. doi:10.1016/j.arr.2012.07.001
Dreer, L. E., Copeland, J. N., & Cheavens, J. S. (2011). Integrating neuropsychological functioning into cognitive behavioral therapy: Implications for older adults. In S. H. Sorocco & S. Lauderdale (Eds.), Cognitive behavior therapy with older adults: Innovations across care settings (pp. 317-365). New York, NY: Springer Publishing Company.
Duru Aşiret, G., & Kapucu, S. (2016). The effect of reminiscence therapy on cognition, depression, and activities of daily living for patients with Alzheimer disease. Journal of Geriatric Psychiatry and Neurology, 29(1), 31-37. doi:10.1177/0891988715598233
Haight, B., Gibson, F., & Michel, Y. (2006). The Northern Ireland life review / life storybook project for people with dementia. Alzheimer´s & Dementia, 2(1), 56-58. doi:10.1016/j.jalz.2005.12.003
Justo-Henriques, S. I. (2018). Livro do passado e do presente. Mealhada, Portugal: Replicar Socialform.
Hsiao-Yean, C., Pin-Yuan, C., Yu-Ting, C., & Hui-Chuan, H. (2018). Reality orientation therapy benefits cognition in older people with dementia: A meta-analysis. International Journal of Nursing Studies, 86, 20-28. doi:10.1016/j.ijnurstu.2018.06.008
Justo-Henriques, S. I., Marques-Castro, A. E., Otero, P., Vázquez, F. L., & Torres, Á. J. (2019). Long-term individual cognitive stimulation program in patients with mild neurocognitive disorder: A pilot study. Revista de Neurología, 68(7), 281-289. doi:10.33588/rn.6807.2018321
Justo-Henriques, S. I., Pérez-Sáez, E., & Apóstolo, J. L. (2020). Multicentre randomised controlled trial about the effect of individual reminiscence therapy in older adults with neurocognitive disorders [Manuscript submitted for publication].
Lai, C. K., Chi, I., & Kayser-Jones, J. (2004). A randomized controlled trial of a specific reminiscence approach to promote the well-being of nursing home residents with dementia. International Psychogeriatrics, 16(1), 33-49. doi:10.1017/s1041610204000055
Morgan, S., & Woods, R. T. (2012). Life review with people with dementia in care homes: A preliminary randomised controlled trial. Dementia: Non-Pharmacological Therapies, 1(1), 43-59.
Organização para a Cooperação e Desenvolvimento Económico. (2019). Health at a glance 2019: OECD indicators. Recuperado de https://www.oecd-ilibrary.org/docserver/4dd50c09-en.pdf?expires=1591374142&id=id&accname=guest&checksum=5486CD929E4120E2899CB00FFDD839C3
Orrell, M., Hoe, J., Charlesworth, G., Russell, I., Challis, D., Moniz-Cook, E., ... Rehill, A. (2017). Support at home: Interventions to enhance life in dementia (SHIELD) - evidence, development and evaluation of complex interventions. Southampton, UK: NIHR Journals Library.
Pérez-Sáez, E., Justo-Henriques, S. I., & Apóstolo, J. L. (2020). Multicentre randomised controlled trial of the effects of individual reminiscence therapy on cognition, depression and quality of life: Analysis of a sample of older adults with Alzheimer’s disease and vascular dementia [Manuscript submitted for publication].
Prince, M., Guerchet, M., & Prina, M. (2013). The global impact of dementia 2013-2050: Alzheimer’s disease international. Recuperado de https://www.researchgate.net/publication/259193075_The_Global_Impact_of_Dementia_2013-2050
Spector, A., Thorgrimsen, L., Woods, B., & Orrell, M. (2006). Making a difference: An evidence-based group programme to offer cognitive stimulation therapy (CST) to people with dementia. London, England: Hawker Publications.
Subramaniam, P., & Woods, B. (2012). The impact of individual reminiscence therapy for people with dementia: Systematic review. Expert Review of Neurotherapeutics, 12(5), 545-555. doi:10.1586/ern.12.35
Subramaniam, P., Woods, B., & Whitaker, C. (2013). Life review and life story books for people with mild to moderate dementia: A randomised controlled trial. Aging & Mental Health,18(3), 363-375. doi:10.1080/13607863.2013.837144
Van Bogaert, P., Tolson, D., Eerlingen, R., Carvers, D., Wouters, K., Paque, K., ... Engelborghs, S. (2016). SolCos model-based individual reminiscence for older adults with mild to moderate dementia in nursing homes: A randomized controlled intervention study. Journal of Psychiatric and Mental Health Nursing, 23(9-10), 568-575. doi:10.1111/jpm.12336
Vemuri, P., Lesnick, T. G., Przybleski, S. A., Machulda, M., Knopman, D. S., Mielke, M. M., ... Jack, C. R. (2014). Association of lifetime intellectual enrichment with cognitive decline in the older population. Journal of American Medical Association, 71(8), 1017-1024. doi:10.1001/jamaneurol.2014.963
Woods, B., O’Philbin, L., Farrell, E. M., Spector, A. E., & Orrell, M. (2018). Reminiscence therapy for dementia. Cochrane database of systematic reviews, 3, CD001120. doi:10.1002/14651858.CD001120.pub3