Elderly Demented Patient: Aromatherapy Complementary to Psychopharmacotherapy Psychological Disorders and BPSD Behavior
Nøgleord
Abstrakt
Beskrivelse
Behavioral and psycological symptoms of dementia, (BPSD) are one of the major problem for families, doctors and for patients the same.
In absence of the universally recognized guidelines, the standard treatment involves the use of psychotropic drugs (typical / atypical neuroleptics, antidepressants, benzodiazepines) that are often not very effective and involve a series of side effects such as sedation, slowing down -motor with impaired cognitive performance, cardiac electrical changes and extrapyramidal syndrome. In view of this, it is important to find an alternative methods of treatment, which can reduce psychological and behavioral disorders and at the same time the use of psychotropic drugs.
As for aromatherapy, ie the therapeutic use of natural essential oils, there is a decades-long clinical experience, especially in France, which is accompanied by increasing scientific evidence with considerable increase in publications in its use in psychological disorders and dementia behavior related. Based on the scientific publications available, it was therefore decided to use two essential oils (Citrus sinensis, Lavandula angustifolia) in environmental diffusion in the Geriatric Department of the Clinica Luganese Moncucco.
Datoer
| Sidst bekræftet: | 06/30/2018 |
| Først indsendt: | 06/06/2018 |
| Anslået tilmelding indsendt: | 09/05/2018 |
| Først indsendt: | 09/06/2018 |
| Sidste opdatering indsendt: | 09/05/2018 |
| Sidste opdatering indsendt: | 09/06/2018 |
| Faktisk startdato for undersøgelsen: | 05/19/2018 |
| Anslået primær afslutningsdato: | 06/29/2018 |
| Anslået afslutningsdato for undersøgelsen: | 07/29/2018 |
Tilstand eller sygdom
Intervention / behandling
Other: GROUP B - aromatherapy group
Fase
Armgrupper
| Arm | Intervention / behandling |
|---|---|
| No Intervention: GROUP A - control group 16 patients who respect the inclusion criteria, treated with psychotropic drugs. | |
| Experimental: GROUP B - aromatherapy group 16 patients included in the inclusion criteria, treated with psychotropic drugs and, in a complementary way, with diffusion aromatherapy | Other: GROUP B - aromatherapy group Following a specific schema, the randomization will be perfomed. Patients enrolled in Group B will receive in environmental diffusion two essential oils, to define their possible effectiveness in the control of the psychological and behavioural disorders |
Kriterier for støtteberettigelse
| Alder berettiget til undersøgelse | 70 Years Til 70 Years |
| Køn, der er berettiget til undersøgelse | All |
| Accepterer sunde frivillige | Ja |
| Kriterier | Inclusion Criteria: - patients admitted to the acute geriatric ward; - patients with a known diagnosis of dementia associated with BPSD or diagnosis performed during hospitalization. Exclusion Criteria: - patients with alcohol-based dementia; - patients with Mild Cognitive Impairment (MCI) - section 4 -; - patients with language barrier; - patients already being treated with aromatherapy. |
Resultat
Primære resultatforanstaltninger
1. aromatherapy in environmental diffusion improve the management of psychological and behavioral disorders (BPSD) reducing the use of psychotropic therapy [Neuropsychiatric and psychopathological symptoms as assessed by the Neuropsychiatric Inventory - Nursing Home Version (NPI-NH): Baseline (Time 1)]
2. aromatherapy in environmental diffusion improve the management of psychological and behavioral disorders (BPSD) reducing the use of psychotropic therapy [Neuropsychiatric and psychopathological symptoms as assessed by the Neuropsychiatric Inventory - Nursing Home Version (NPI-NH): 4 days (Time2)]
3. aromatherapy in environmental diffusion improve the management of psychological and behavioral disorders (BPSD) reducing the use of psychotropic therapy [Neuropsychiatric and psychopathological symptoms as assessed by the Neuropsychiatric Inventory - Nursing Home Version (NPI-NH): 7 days (Time 3)]
4. aromatherapy in environmental diffusion improve the management of psychological and behavioral disorders (BPSD) reducing the use of psychotropic therapy [Neuropsychiatric and psychopathological symptoms as assessed by the Neuropsychiatric Inventory - Nursing Home Version (NPI-NH): 13 days (Time 4)]
Sekundære resultatforanstaltninger
1. aromatherapy in environmental diffusion improve the management of psychological and behavioral disorders (BPSD), inducing a concomitant reduction of the hospital caregiver stress [Neuropsychiatric and psychopathological symptoms as assessed by the Neuropsychiatric Inventory - Nursing Home Version (NPI-NH): Baseline (Time 1)]
2. aromatherapy in environmental diffusion improve the management of psychological and behavioral disorders (BPSD), inducing a concomitant reduction of the hospital caregiver stress [Neuropsychiatric and psychopathological symptoms as assessed by the Neuropsychiatric Inventory - Nursing Home Version (NPI-NH): 4 days (Time2)]
3. aromatherapy in environmental diffusion improve the management of psychological and behavioral disorders (BPSD), inducing a concomitant reduction of the hospital caregiver stress [Neuropsychiatric and psychopathological symptoms as assessed by the Neuropsychiatric Inventory - Nursing Home Version (NPI-NH): 7 days (Time 3)]
4. aromatherapy in environmental diffusion improve the management of psychological and behavioral disorders (BPSD), inducing a concomitant reduction of the hospital caregiver stress [Neuropsychiatric and psychopathological symptoms as assessed by the Neuropsychiatric Inventory - Nursing Home Version (NPI-NH): 13 days (Time 4)]
