期刊论文详细信息
BMC Complementary and Alternative Medicine
A randomised controlled trial of the use of aromatherapy and hand massage to reduce disruptive behaviour in people with dementia
Marie Cooke2  Wendy Moyle2  Chieh-Yu Fu1 
[1] Griffith Health Institute, Brisbane, QLD 4111, Australia;School of Nursing and Midwifery, Griffith University, 170 Kessels Road, Brisbane, QLD 4111, Australia
关键词: Massage;    Dementia;    Behaviour;    Aromatherapy;    Agitation;    Aggression;   
Others  :  1221081
DOI  :  10.1186/1472-6882-13-165
 received in 2012-08-21, accepted in 2013-07-03,  发布年份 2013
PDF
【 摘 要 】

Background

Aromatherapy and hand massage therapies have been reported to have some benefit for people with dementia who display behavioural symptoms; however there are a number of limitations of reported studies. The aim is to investigate the effect of aromatherapy (3% lavender oil spray) with and without hand massage on disruptive behaviour in people with dementia living in long-term care.

Methods

In a single blinded randomised controlled trial 67 people with a diagnosis of dementia and a history of disruptive behaviour, from three long-term care facilities were recruited and randomised using a random number table into three groups: (1) Combination (aromatherapy and hand massage) (n = 22), (2) Aromatherapy (n = 23), (3) Placebo control (water spray) (n = 22). The intervention was given twice daily for six weeks. Data on residents’ behaviour (CMAI) and cognition (MMSE) were collected before, during and after the intervention.

Results

Despite a downward trend in behaviours displayed not one of the interventions significantly reduced disruptive behaviour.

Conclusions

Further large-scale placebo controlled studies are required where antipsychotic medication is controlled and a comparison of the methods of application of aromatherapy are investigated.

Trial registration

ACTRN12612000917831

【 授权许可】

   
2013 Fu et al.; licensee BioMed Central Ltd.

【 预 览 】
附件列表
Files Size Format View
20150725212115608.pdf 248KB PDF download
Figure 1. 71KB Image download
【 图 表 】

Figure 1.

【 参考文献 】
  • [1]Moore K, Haralambous B: Barriers to reducing the use of restraints in residential elder care facilities. J Adv Nurs 2007, 58:532-540.
  • [2]Nakahira M, Moyle W, Creedy D, Hitomi H: Attitudes toward dementia-related aggression among staff in Japanese aged care settings. J Clin Nurs 2009, 18:807-816.
  • [3]Schneider LS, Dagerman K, Insel PS: Efficacy and adverse effects of atypical antipsychotics for dementia: Meta-analysis of randomized, placebo-controlled trials. Am J Geriatr Psychiatry 2006, 14:191-210.
  • [4]Fung JKKM, Tsang HWH, Chung RCK: A systematic review of the use of aromatherapy in treatment of behavioral problems in dementia. Geriatr Gerontolo Int 2012, 12:372-382.
  • [5]Zeilmann CA, Dole EJ, Skipper BJ, McCabe M, Low Dog T, Thyne RL: Use of herbal medicine by elderly Hispanic and non-His-panic white patients. Pharmacotherapy 2003, 23:526-532.
  • [6]Holt FE, Birks TPH, Thorgrimsen LM, Spector AE, Wiles A, Orrell M: Aroma therapy for dementia. Cochrane DS Syst Rev 2003., 3CD003150
  • [7]Ballard CG, O’Brien JT, Reichelt K, Perry EK: Aromatherapy as a safe and effective treatment for the management of agitation in severe dementia: The results of a double-blind, placebo-controlled trial with Melissa. J Clin Psychiatry 2002, 63:553-558.
  • [8]Cohen-Mansfield J, Marx M, Rosenthal A: A description of agitation in a nursing home. J Gerontol 1989, 44:M77-M84.
  • [9]Cummings JL, Mega M, Gray K, Rosenberg-Thompson S, Carusi DA, Gornbein J: The Neuropsychiatric Inventory: comprehensive assessment of psychopathology in dementia. Neurology 1994, 44:2308-2314.
  • [10]Innes A, Surr C: Measuring the well-being of people with dementia living in formal care settings: The use of Dementia Care Mapping. Aging Ment Health 2001, 5:258-268.
  • [11]Lee MS, Choi J, Posadzki P, Ernst E: Aromatherapy for health care: An overview of systematic reviews. Maturitas 2012, 7:257-260.
  • [12]Lin PWK, Chan WC, Ng BFL, Lam LCW: Efficacy of aromatherapy (Lavandula angustifolia) as an intervention for agitated behaviours in Chinese older persons with dementia: A cross-over randomized trial. Int J Geriatr Psychiatry 2007, 22:405-410.
  • [13]Holmes C, Hopkins V, Hensford C, MacLaughlin V, Wilkinson D, Rosenvinge H: Lavender oil as a treatment for agitated behaviour in severe dementia: A placebo controlled study. Int J Geriatr Psychiatry 2002, 17:305-308.
  • [14]Burns A, Perry E, Holmes C, Framcis P, Morris J, Howes MJR, Chazot P, Lees G, Ballard C: A double-blind placebo-controlled randomized trial of Melissa officinalis oil and donepezil for the treatment of agitation in Alzheimer’s disease. Dement Geriatr Cogn Disord 2011, 31:158-164.
  • [15]Rosen J, Burgio L, Killar M, Cain M, Allison M, Fogleman M, Zubenko GS: The Pittsburg Agitation Scale: a user friendly instrument for rating agitation in dementia patients. American J Geriatric Psychiatry 1994, 2:52-59.
  • [16]Burleigh S, Armstrong C: On the scent of a useful therapy. J Dementia Care 1997, 5:21-23.
  • [17]Hansen NV, Jorgensen T, Ortenblad L: Massage and touch for dementia. Cochrane Database Syst Rev 2006., 4CD004989
  • [18]Moyle W, Murfield J, O’Dwyer S, van Wyk S: The effect of massage on agitated behaviours in older people with dementia: A literature review. J Clinic Nursing 2012, 22:601-610.
  • [19]American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders. 4th edition. Washington, DC: American Psychiatric Association; 2000.
  • [20]Luzzi S, Snowden JS, Neary D, Coccia M, Provinciali L, Lambon Ralph MA: Distinct patterns of olfactory impairment in Alzheimer’s disease, semantic dementia, frontotemporal dementia, and corticobasal degeneration. Neuropsychologia 2007, 45:1823-1831.
  • [21]Snyder M, Egan EC, Burns KR: Efficacy of hand massage in decreasing agitation behaviors associated with care activities in persons with dementia. Geriatr Nurs 1995, 16:60-63.
  • [22]Snyder M, Egan EC, Burns KR: Interventions for decreasing agitation behaviours in persons with dementia. J Gerontol Nurs 1995, 21:34-40.
  • [23]Battaglia S: The Complete Guide to Aromatherapy. 2nd edition. Brisbane: The International Centre of Holistic Aromatherapy; 2002.
  • [24]Price S, Price L: Aromatherapy for Health Professionals. 2nd edition. London: Churchill Livingstone; 1999.
  • [25]Folstein M, Folstein S, McHugh P: Mini-Mental-State: a practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 1975, 12:189-198.
  • [26]Tombaugh TN, Mclntyre NJ: The Mini-Mental State Examination: a comprehensive review. J Am Geriatr Soc 1992, 40:922-935.
  • [27]Galea M, Woodward M: Mini-Mental State Examination (MMSE). Aust J Physiother 2005, 51:198.
  • [28]Lachin JM: Statistical considerations in the intent-to-treat principle. Control Clin Trials 2000, 21:167-189.
  • [29]Polit D, Beck CT: Nursing Research: Generating and Assessing Evidence for Nursing Practice. 8th edition. Philadelphia: Lippincott Williams & Wilkins; 2008.
  • [30]Kim EJ, Buschmann MT: The effect of expressive physical touch on patients with dementia. Int J Nurs Stud 1999, 36:235-243.
  • [31]Remington R: Calming music and hand massage with agitated elderly. Nurs Res 2002, 51:317-323.
  • [32]Smallwood J, Brown R, Coulter F, Irvine E, Copland C: Aromatherapy and behaviour disturbances in dementia: a randomized controlled trial. Int J Geriatr Psychiatry 2001, 16:1010-1013.
  • [33]Beshara MC, Giddings D: Use of the plant essential oils in treating agitation in a dementia unit: 10 case studies. Int J Aromatherapy 2002, 12:207-212.
  • [34]Olichney JM, Murphy C, Hofstetter CR, Foster K, Hansen LA, Thal LJ, Katzman R: Anosmia is very common in the Lewy body variant of Alzheimer’s disease. J Neurol Neurosurg Psychiatry 2005, 76:1342-1374.
  文献评价指标  
  下载次数:14次 浏览次数:14次