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Abstract(s)
Introdução: A Roboterapia-PARO tem vindo a ser reconhecida pelos seus resultados no âmbito das terapias não farmacológicas para pessoas idosas com perturbação neurocognitiva (PNC). Este estudo centra-se na avaliação da resposta da pessoa idosa com PNC major, institucionalizada, a este tipo de terapia. Métodos: Trata-se de um estudo quase experimental com avaliações nas fases pré, durante e pós intervenção que avaliou o efeito da Roboterapia-PARO em idosos com PNC major. Incluiu ainda a tradução e adaptação cultural do “Caregiver’s Manual for Robotherapy”. Dez participantes foram submetidos a sessões individuais de Roboterapia usando um dispositivo robô com o aspeto de uma foca bebé (PARO). As sessões tiveram 30 minutos de duração, duas vezes por semana, durante 8 semanas. No período pré e pós intervenção foram aplicadas, a cada participante, as escalas Global Deterioration Scale – para avaliar o grau de deterioração cognitiva, Inventário Neuropsiquiátrico – para avaliar os sintomas neuropsiquiátricos e Cornell Scale for Depression in Dementia – para avaliar os estados de depressão. Nas semanas um, três, seis e oito foi ainda efetuada vídeo-gravação das sessões para avaliação dos comportamentos. Em cada sessão foi utilizada uma grelha observacional para registo dos comportamentos. Resultados: Um total de 8 participantes completaram o estudo. Ao nível do INP verificou-se melhorias significativas (z=−2,00; p = 0,046; dcohen=1,633). O teste de classificação de Wilcoxon mostrou que as habilidades de comunicação verbal (z=−1,73; p = 0,083; dcohen=1,414), relação interpessoal (z=−1,00; p = 0,317; dcohen=0,707) e interação com a PARO (z=−1,134; p = 0,257; dcohen=0,817) obtiveram um grande tamanho de efeito , que corresponde a melhoria após as sessões de Roboterapia-PARO. Conclusões: Foram verificadas melhorias graduais ao nível da comunicação verbal, expressão facial, relação interpessoal, interação com a PARO, aumento da frequência e duração do olhar, gestos e das manifestações de humor dos participantes. A implementação das terapias não farmacológicas no plano de cuidados diários das pessoas idosas com PNC pode trazer múltiplos benefícios no controlo dos SNP.
Introduction: Robotherapy-PARO has been recognized for its results in the context of non-pharmacological therapies for elderly people with neurocognitive impairment (PNC). This study focuses on the evaluation of the elderly person's response with PNC major, institutionalized, for this type of therapy. Methods: It is an quasi experimental study with assessments in the pre, during and post-intervention phases that evaluated the effect of Robotherapy-PARO on elderly people with PNC major. It also included the translation and cultural adaptation of the "Caregiver's Manual for Robotherapy". Ten participants were submitted to individual Robotherapy sessions using a robot device with the appearance of a baby seal (PARO). The sessions were 30 minutes long, twice a week, for 8 weeks. In the pre and post intervention period, each participant was administered, the Global Deterioration Scale scales – to assess the degree of cognitive deterioration, Neuropsychiatric Inventory – to assess neuropsychiatric symptoms and Cornell Scale for Depression in Dementia – to assess the states of depression. In the weeks one, three, six and eight, video-recording sessions were also carried out for the evaluation of the behaviors. Results: A total of 8 participants have completed the study. At the INP level, significant improvements were observed (z=−2,00; p = 0,046; dcohen=1,633). The Wilcoxon classification test showed that verbal communication skills (z=−1,73; p = 0,083; dcohen=1,414), Interpersonal relationship (z=−1,00; p = 0,317; dcohen=0,707) and interaction with the PARO (z=−1,134; p = 0,257; dcohen=0,817) a large size of effect was obtained, which corresponds to improvement after the sessions of Robotherapy-PARO. Conclusions: Gradual improvements were verified at the level of verbal communication, facial expression, interpersonal relationship, interaction with PARO, increase in the frequency and duration of the participants ' glances, gestures and mood manifestations. The implementation of non-pharmacological therapies in the daily care plan of elderly people with PNC may bring multiple benefits in the control of SNP.
Introduction: Robotherapy-PARO has been recognized for its results in the context of non-pharmacological therapies for elderly people with neurocognitive impairment (PNC). This study focuses on the evaluation of the elderly person's response with PNC major, institutionalized, for this type of therapy. Methods: It is an quasi experimental study with assessments in the pre, during and post-intervention phases that evaluated the effect of Robotherapy-PARO on elderly people with PNC major. It also included the translation and cultural adaptation of the "Caregiver's Manual for Robotherapy". Ten participants were submitted to individual Robotherapy sessions using a robot device with the appearance of a baby seal (PARO). The sessions were 30 minutes long, twice a week, for 8 weeks. In the pre and post intervention period, each participant was administered, the Global Deterioration Scale scales – to assess the degree of cognitive deterioration, Neuropsychiatric Inventory – to assess neuropsychiatric symptoms and Cornell Scale for Depression in Dementia – to assess the states of depression. In the weeks one, three, six and eight, video-recording sessions were also carried out for the evaluation of the behaviors. Results: A total of 8 participants have completed the study. At the INP level, significant improvements were observed (z=−2,00; p = 0,046; dcohen=1,633). The Wilcoxon classification test showed that verbal communication skills (z=−1,73; p = 0,083; dcohen=1,414), Interpersonal relationship (z=−1,00; p = 0,317; dcohen=0,707) and interaction with the PARO (z=−1,134; p = 0,257; dcohen=0,817) a large size of effect was obtained, which corresponds to improvement after the sessions of Robotherapy-PARO. Conclusions: Gradual improvements were verified at the level of verbal communication, facial expression, interpersonal relationship, interaction with PARO, increase in the frequency and duration of the participants ' glances, gestures and mood manifestations. The implementation of non-pharmacological therapies in the daily care plan of elderly people with PNC may bring multiple benefits in the control of SNP.
Description
Keywords
Roboterapia-PARO Terapias não farmacológicas Perturbação neurocognitiva Sintomas neuropsiquiátricos Pessoa idosa Demência Robotherapy-PARO Non-pharmacological therapies Neurocognitive impairment Neuropsychiatric symptoms Eelderly people Dementia