RESUMO
The purpose of this study was to examine bright light as a means of intervention in sleep-wakefulness and behavior disorder among patients with dementia through a review of the relevant literature. Fourteen articles were reviewed in depth for study design, intervention protocols, concurrent control groups, subject characteristics, and outcome measures of behavior and sleep. Previous studies found that behavior disorders improved, although not all the studies reviewed reported a quantitative measure of improvement. The effects on sleep disorders were controversial. As a result of limitations in past studies, the effect of bright light on dementia patients is inconclusive. The current review has revealed areas of weakness in previous research that might profitably be explored in the future.
Assuntos
Demência/complicações , Transtornos Mentais/terapia , Fototerapia/métodos , Transtornos do Sono-Vigília/terapia , Idoso , Idoso de 80 Anos ou mais , Ritmo Circadiano , Demência/diagnóstico , Humanos , Transtornos Mentais/etiologia , Entrevista Psiquiátrica Padronizada , Projetos de Pesquisa/normas , Transtornos do Sono-Vigília/etiologia , Resultado do TratamentoRESUMO
This study compared the effectiveness of bladder training versus pelvic muscle exercises in the treatment of urinary incontinence in women. It was revealed that the two intervention groups showed improvement compared with the control group, but differed in their effects on outcome measures. The pelvic muscle exercise group was more effective in increasing the peak and the average pressures of pelvic muscle contraction. The bladder-training group was more effective in reducing urinary frequency and in increasing voided volume. Further research is needed to explore the relationship among the various outcome measures of urinary incontinence.
Assuntos
Biorretroalimentação Psicológica/métodos , Terapia por Exercício/métodos , Diafragma da Pelve , Treinamento no Uso de Banheiro , Incontinência Urinária/reabilitação , Adulto , Análise de Variância , Terapia por Exercício/normas , Feminino , Humanos , Pessoa de Meia-Idade , Fatores de Risco , Método Simples-Cego , Resultado do Tratamento , Incontinência Urinária/diagnóstico , Incontinência Urinária/etiologia , Incontinência Urinária/fisiopatologia , UrodinâmicaRESUMO
In a randomized controlled trial, we compared the potential benefits of position changes on arterial oxygen pressure in 32 patients with acute respiratory failure, maintained on artificial ventilators, distinguishing prominently as left-sided, right-sided or bilateral lung disease. Our results indicate that randomly alternating supine, left-lateral, right-lateral and prone positions have influence on gas exchange and that improvement of arterial oxygen pressure is associated with various positions. Our results show, therefore, that nursing care of patients on artificial ventilators involving changes in body positions (a simple and noninvasive means of assistance) has important therapeutic consequences and warrants attention in clinical practice.
