Base de dados : MEDLINE
Pesquisa : E02.190.888 [Categoria DeCS]
Referências encontradas : 79 [refinar]
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[PMID]:28809653
[Au] Autor:Jensen L; Padilla R
[Ad] Endereço:Lou Jensen, OTD, OTR/L, is Assistant Professor of Occupational Therapy, Creighton University, Omaha, NE; loujensen@creighton.edu.
[Ti] Título:Effectiveness of Environment-Based Interventions That Address Behavior, Perception, and Falls in People With Alzheimer's Disease and Related Major Neurocognitive Disorders: A Systematic Review.
[So] Source:Am J Occup Ther;71(5):7105180030p1-7105180030p10, 2017 Sep/Oct.
[Is] ISSN:0272-9490
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: This systematic review evaluated the effectiveness of environment-based interventions that address behavior, perception, and falls in the home and other settings for people with Alzheimer's disease (AD) and related major neurocognitive disorders (NCDs). METHOD: Database searches were limited to outcomes studies published in English in peer-reviewed journals between January 2006 and April 2014. RESULTS: A total of 1,854 articles were initially identified, of which 42 met inclusion criteria. CONCLUSION: Strong evidence indicates that person-centered approaches can improve behavior. Moderate evidence supports noise regulation, environmental design, unobtrusive visual barriers, and environmental relocation strategies to reduce problematic behaviors. Evidence is insufficient for the effectiveness of mealtime ambient music, bright light, proprioceptive input, wander gardens, optical strategies, and sensory devices in improving behavior or reducing wandering and falls. Although evidence supports many environment-based interventions used by occupational therapy practitioners to address behavior, perception, and falls in people with AD and related major NCDs, more studies are needed.
[Mh] Termos MeSH primário: Acidentes por Quedas/prevenção & controle
Doença de Alzheimer/reabilitação
Terapia Ocupacional/métodos
Comportamento Problema
Comportamento Errante
[Mh] Termos MeSH secundário: Seres Humanos
Transtornos Neurocognitivos/reabilitação
Terapias Sensoriais através das Artes
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171102
[Lr] Data última revisão:
171102
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170816
[St] Status:MEDLINE
[do] DOI:10.5014/ajot.2017.027409


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[PMID]:27310606
[Au] Autor:Cheng SC; Hsu WS; Shen SH; Hsu MC; Lin MF
[Ad] Endereço:1MSN, RN, Doctoral Candidate, School of Nursing, University of Washington, USA 2MPsychN, RN, Head Nurse, National Cheng Kung University Hospital (Dou-Liou Branch), Taiwan, ROC 3MSN, RN, PhD Student, Nursing Director, Jianan Psychiatric Center, Taiwan, ROC 4PhD, RN, Associate Professor, Department of Nursing, I-Shou University, Taiwan, ROC 5PhD, RN, Associate Professor, Department of Nursing, National Cheng Kung University, Taiwan, ROC.
[Ti] Título:Dose-Response Relationships of Multisensory Intervention on Hospitalized Patients With Chronic Schizophrenia.
[So] Source:J Nurs Res;25(1):13-20, 2017 Feb.
[Is] ISSN:1948-965X
[Cp] País de publicação:China (Republic : 1949- )
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Patients with chronic schizophrenia often show negative emotional responses because of cognitive impairment. Multisensory stimulation therapy has been shown effective in improving cognitive and emotional functions in cognitively impaired patients with dementia. However, very few studies have applied this multisensory intervention to patients with chronic schizophrenia. Furthermore, it is not known whether a dose-response relationship exists between the frequency and efficacy of this intervention. PURPOSE: The objective of this study was to evaluate the relationship between the effects and dose-response of the multisensory intervention on patients with chronic schizophrenia in a mental rehabilitation hospital. METHODS: A crossover study design with a sample size of 60 was conducted. Participants were divided equally between an experimental group and a control group. The experimental group received the intervention in a multisensory stimulation room. Six sessions of the 30-minute sensory intervention were conducted on experimental group participants, who were allowed to select their preferred stimulants. In contrast, the control group received routine care only. After a 2-week washout period, participants in the experimental group were reassigned to the control group, and those in the control group were reassigned to the experimental group. Standardized questionnaires were applied to evaluate psychotic symptoms, emotional responses, and well-being of all participants. The NeXus-4 model wireless biofeedback system was used to measure the psychological-physiological parameters of participants at baseline and after the first, third, and sixth sessions of the multisensory intervention. A generalized estimating equation model was used to analyze the effects of the intervention RESULTS:: Although multisensory stimulation therapy had no significant effect on psychotic symptoms and well-being, this intervention may improve the negative emotional reactions of patients. In particular, the intervention significantly reduced the subjective anxiety level of participants and stabilized their objective respiratory and heart rates. Moreover, a positive correlation was found between the efficacy of the treatment and the frequency of the intervention. CONCLUSIONS/IMPLICATIONS FOR PRACTICE: Evidence from this study validated the multisensory stimulation therapy protocol. Therefore, this protocol may be incorporated into clinical interventions to improve quality of care and to alleviate the negative emotions of patients with chronic schizophrenia.
[Mh] Termos MeSH primário: Adaptação Psicológica
Ansiedade/terapia
Doença Crônica/terapia
Pacientes Internados/psicologia
Esquizofrenia/terapia
Terapias Sensoriais através das Artes
Estresse Psicológico/terapia
[Mh] Termos MeSH secundário: Adulto
Idoso
Ansiedade/etiologia
Estudos Cross-Over
Feminino
Seres Humanos
Masculino
Meia-Idade
Esquizofrenia/complicações
Inquéritos e Questionários
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170809
[Lr] Data última revisão:
170809
[Sb] Subgrupo de revista:IM; N
[Da] Data de entrada para processamento:160617
[St] Status:MEDLINE
[do] DOI:10.1097/jnr.0000000000000154


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[PMID]:26112166
[Au] Autor:Sposito G; Barbosa A; Figueiredo D; Yassuda MS; Marques A
[Ad] Endereço:School of Medical Sciences, State University of Campinas (Unicamp), Campinas-SP, Brazil.
[Ti] Título:Effects of multisensory and motor stimulation on the behavior of people with dementia.
[So] Source:Dementia (London);16(3):344-359, 2017 Apr.
[Is] ISSN:1741-2684
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:A quasi-experimental study using a pre-posttest design was conducted in four aged care facilities to assess the effects of a person-centred care (PCC) multisensory stimulation (MSS) and motor stimulation (MS) program, implemented by direct care workers, on the behaviors of residents with dementia. Data were collected at baseline and after the intervention through video recordings of morning care routines. Forty-five residents with moderate and severe dementia participated in the study. A total of 266 morning care routines were recorded. The frequency and duration of a list of behaviors were analyzed. The frequency of engagement in task decreased significantly ( p = .002) however, its duration increased ( p = .039). The duration of gaze directed at direct care workers improved significantly ( p = .014) and the frequency of closed eyes decreased ( p = .046). There was a significant decrease in the frequency of the expression of sadness. These results support the implementation of PCC-MSS and MS programs as they may stimulate residents' behaviors.
[Mh] Termos MeSH primário: Demência/psicologia
Demência/terapia
Assistência Centrada no Paciente/métodos
Modalidades de Fisioterapia
Terapias Sensoriais através das Artes
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Comportamento
Feminino
Fixação Ocular
Seres Humanos
Masculino
Terapias Sensoriais através das Artes/métodos
Resultado do Tratamento
[Pt] Tipo de publicação:EVALUATION STUDIES; JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170427
[Lr] Data última revisão:
170427
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150627
[St] Status:MEDLINE
[do] DOI:10.1177/1471301215592080


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[PMID]:27615038
[Au] Autor:Kim EY; Hwang SD; Kim EJ
[Ad] Endereço:Department of Psychotherapy, College of Nursing and Public Health, Kyungil University, Kyungsan, Korea.
[Ti] Título:[Stimulation-Oriented Interventions for Behavioral Problems among People with Dementia: A Systematic Review and Meta-Analysis].
[So] Source:J Korean Acad Nurs;46(4):475-89, 2016 Aug.
[Is] ISSN:2093-758X
[Cp] País de publicação:Korea (South)
[La] Idioma:kor
[Ab] Resumo:PURPOSE: This study was a systematic review and meta-analysis designed to investigate the effects of stimulation-oriented interventions for behavioral problems among people with dementia. METHODS: Based on the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA), a literature search was conducted using seven electronic databases, gray literature, and other sources. Methodological quality was assessed using the Scottish Intercollegiate Guidelines Network (SIGN) for randomized controlled trials (RCTs). Data were analyzed using R with the 'meta' package and the Comprehensive Meta-Analysis (CMA 2.0) program. RESULTS: Sixteen studies were included for meta-analysis to investigate the effect of stimulation-oriented interventions. The quality of individual studies was rated as '++' for eight studies and '+' for the rest. The effect sizes were analyzed according to three subgroups of interventions (light, music, and others); Hedges' g=0.04 (95% CI: -0.38~0.46), -0.23 (95% CI: -0.56~0.10), -0.34 (95% CI: -0.34~0.00), respectively. To explore the possible causes of heterogeneity (I²=62.8%), meta-regression was conducted with covariates of sample size, number of sessions, and length of session (time). No moderating effects were found for sample size or number of sessions, but session time showed a significant effect (Z=1.96, 95% CI: 0.00~0.01). Finally, a funnel plot along with Egger's regression test was performed to check for publication bias, but no significant bias was detected. CONCLUSION: Based on these findings, stimulation-oriented interventions seem to have a small effect for behavioral problems among people with dementia. Further research is needed to identify optimum time of the interventions for behavioral problems among dementia pateints.
[Mh] Termos MeSH primário: Demência/terapia
Comportamento Problema
[Mh] Termos MeSH secundário: Estimulação Acústica
Bases de Dados Factuais
Demência/enfermagem
Demência/fisiopatologia
Seres Humanos
Musicoterapia
Terapias Sensoriais através das Artes
[Pt] Tipo de publicação:JOURNAL ARTICLE; META-ANALYSIS; REVIEW
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170407
[Lr] Data última revisão:
170407
[Sb] Subgrupo de revista:IM; N
[Da] Data de entrada para processamento:160913
[St] Status:MEDLINE
[do] DOI:10.4040/jkan.2016.46.4.475


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[PMID]:27060958
[Au] Autor:Sánchez A; Maseda A; Marante-Moar MP; de Labra C; Lorenzo-López L; Millán-Calenti JC
[Ad] Endereço:Gerontology Research Group, Department of Medicine, Faculty of Health Sciences, Universidade da Coruña, A Coruña, Spain.
[Ti] Título:Comparing the Effects of Multisensory Stimulation and Individualized Music Sessions on Elderly People with Severe Dementia: A Randomized Controlled Trial.
[So] Source:J Alzheimers Dis;52(1):303-15, 2016 03 08.
[Is] ISSN:1875-8908
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:The objective of this study was to compare the effects of a multisensory stimulation environment (MSSE) and individualized music sessions on agitation, emotional and cognitive status, and dementia severity in a sample of institutionalized patients with severe dementia. Twenty-two participants with a diagnosis of severe or very severe dementia were randomly assigned to two groups: MSSE and individualized music sessions. Both groups participated in two 30-min weekly sessions over 16 weeks. Outcomes were agitation (Cohen-Mansfield Agitation Inventory, CMAI), mood (Cornell Scale for Depression in Dementia, CSDD), anxiety (Rating Anxiety in Dementia, RAID), cognitive function (Severe Mini-Mental State Examination, SMMSE), and the overall severity of dementia (Bedford Alzheimer Nursing Severity Scale, BANS-S). They were assessed at baseline (pre-trial), in the middle (mid-trial), at the end of the intervention (post-trial), and 8 weeks after the intervention (follow-up). Patients in the MSSE group showed significant improvement in their RAID and BANS-S scores compared with the individualized music group post- versus pre-trial. With regard to agitation, there was improvement during the intervention in both the MSSE and individualized music groups in the CMAI total score after 16 weeks of intervention, with no significant differences between the groups. The results suggest that MSSE could have better effects on anxiety symptoms and dementia severity in comparison with individualized music sessions in elderly patients with severe dementia.
[Mh] Termos MeSH primário: Demência/terapia
Musicoterapia/métodos
Medicina de Precisão/métodos
Terapias Sensoriais através das Artes/métodos
[Mh] Termos MeSH secundário: Afeto
Idoso
Idoso de 80 Anos ou mais
Ansiedade/terapia
Cognição
Meio Ambiente
Feminino
Seguimentos
Seres Humanos
Masculino
Entrevista Psiquiátrica Padronizada
Índice de Gravidade de Doença
Resultado do Tratamento
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1701
[Cu] Atualização por classe:170123
[Lr] Data última revisão:
170123
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160411
[St] Status:MEDLINE
[do] DOI:10.3233/JAD-151150


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[PMID]:27030571
[Au] Autor:Strøm BS; Ytrehus S; Grov EK
[Ad] Endereço:Center of Diakonia and Professional Practice, VID Specialized University, Oslo, Norway.
[Ti] Título:Sensory stimulation for persons with dementia: a review of the literature.
[So] Source:J Clin Nurs;25(13-14):1805-34, 2016 Jul.
[Is] ISSN:1365-2702
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:AIMS AND OBJECTIVES: To provide an overview of available sensory stimulation interventions, and their effect on persons with dementia and to present theoretical and methodological characteristics of the studies included. BACKGROUND: Different sensory stimulation interventions are used for persons with dementia to increase alertness, reduce agitation and improve quality of life. However, the effect of these interventions is not clear, neither are their characteristics. DESIGN: A systematic search and review of the literature with description of the content and an evaluation of theoretical and methodological approaches. METHODS: Systematic searches in CINAHL, PubMed (Medline), The Cochrane library and PsycINFO. Studies included have been subject to quality assessment by means of Critical Appraisal Skills Programme. RESULTS: Fifty-five studies were included and thirty of these documented significant effect. The effect of the sensory stimulation interventions mainly reported on negative behaviours, except from five studies assessing quality of life and well-being. The majority of the studies had methodological limitations. The different sensory stimulation interventions were organised into eight categories: music, light therapy, acupressure/reflexology, massage/aromatherapy and doll therapy/pet therapy/toy therapy, the Sonas programme and Snoezelen. CONCLUSIONS: More studies are needed to clarify appropriate substantial background for the specific interventions. However, most of the studies based their interventions on a theoretical foundation. Furthermore, more research is needed to measure the effect of sensory stimulation on communication as well as quality of life. In addition, studies are to focus on whether the effect depends on the stage of dementia. RELEVANCE TO CLINICAL PRACTICE: Nurses are to be aware of sensory stimulation as a possible intervention to improve persons' quality of life.
[Mh] Termos MeSH primário: Demência/enfermagem
Agitação Psicomotora/enfermagem
Terapias Sensoriais através das Artes
[Mh] Termos MeSH secundário: Terapia Assistida por Animais
Aromaterapia
Seres Humanos
Massagem
Musicoterapia
Qualidade de Vida
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:160401
[St] Status:MEDLINE
[do] DOI:10.1111/jocn.13169


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[PMID]:26976319
[Au] Autor:Dubois-Terrail C; Kemken LM; Makamwe N
[Ad] Endereço:c/o Soins Gérontologie, Elsevier Masson, 92442 Issy-les-moulineaux cedex, France. Electronic address: caroline.terrail@bluewin.ch.
[Ti] Título:[A Swiss medical-social institution and the Snoezelen concept].
[Ti] Título:Mise en place d'un espace Snoezelen dans un établissement médico-social en Suisse..
[So] Source:Soins Gerontol;(118):41-4, 2016 Mar-Apr.
[Is] ISSN:1268-6034
[Cp] País de publicação:France
[La] Idioma:fre
[Ab] Resumo:In collaboration with six student nurses from the Geneva Haute École de Santé, the Les Franchises medical-social institution in Geneva has launched an innovative project: the integration of the Snoezelen concept into its care programme, which will benefit residents with moderate or advanced dementia.
[Mh] Termos MeSH primário: Demência/terapia
Terapias Sensoriais através das Artes
[Mh] Termos MeSH secundário: Idoso
Seres Humanos
Avaliação de Programas e Projetos de Saúde
Instituições Residenciais
Estudantes de Enfermagem
Suíça
[Pt] Tipo de publicação:ENGLISH ABSTRACT; JOURNAL ARTICLE
[Em] Mês de entrada:1606
[Cu] Atualização por classe:160315
[Lr] Data última revisão:
160315
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:160316
[St] Status:MEDLINE


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[PMID]:26631687
[Au] Autor:Sánchez A; Marante-Moar MP; Sarabia C; de Labra C; Lorenzo T; Maseda A; Millán-Calenti JC
[Ad] Endereço:Grupo de Investigación en Gerontología, Departamento de Medicina, Facultade de Ciencias da Saúde, Universidade da Coruña, Campus de A Coruña, Coruña, Spain.
[Ti] Título:Multisensory Stimulation as an Intervention Strategy for Elderly Patients With Severe Dementia: A Pilot Randomized Controlled Trial.
[So] Source:Am J Alzheimers Dis Other Demen;31(4):341-50, 2016 Jun.
[Is] ISSN:1938-2731
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The objective of this study was to compare the effect of multisensory stimulation environment (MSSE) and one-to-one activity sessions in the symptomatology of elderly individuals with severe dementia. Thirty-two participants were randomly assigned to the following 3 groups: MSSE, activity, and control group. The MSSE and activity groups participated in two 30-minute weekly sessions over 16 weeks. Pre-, mid-, and posttrial; 8-week follow-up behavior; mood; cognitive status; and dementia severity were registered. Patients in the MSSE group demonstrated a significant improvement in the Neuropsychiatric Inventory and Bedford Alzheimer Nursing Severity Scale scores compared with the activity group. Both MSSE and activity groups showed an improvement during the intervention in the Cohen-Mansfield Agitation Inventory aggressive behavior factor and total score, with no significant differences between groups. The MSSE may have better effects on neuropsychiatric symptoms and dementia severity in comparison with one-to-one activity sessions in patients with severe dementia.
[Mh] Termos MeSH primário: Demência/terapia
Terapias Sensoriais através das Artes/métodos
Índice de Gravidade de Doença
[Mh] Termos MeSH secundário: Afeto
Idoso
Agressão/psicologia
Cognição
Feminino
Seres Humanos
Masculino
Casas de Saúde
Agitação Psicomotora/psicologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171023
[Lr] Data última revisão:
171023
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:151204
[St] Status:MEDLINE
[do] DOI:10.1177/1533317515618801


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[PMID]:24691272
[Au] Autor:Lopez JJ; Bolívar JC; Perez MS
[Ad] Endereço:Department of Geriatric Psychiatry Sagrat Cor Hospital, Germanes Hospitalàries del Sagrat Cor de Jesús, Martorell, Barcelona, Spain bl.javier@gmail.com.
[Ti] Título:COMMUNI-CARE: Assessment tool for reactions and behaviours of patients with dementia in a multisensory stimulation environment.
[So] Source:Dementia (London);15(4):526-38, 2016 Jul.
[Is] ISSN:1741-2684
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The 'Snoezelen' is an approach based on stimulation and sensory stimulation proposals, giving priority to the notion of caretaking. The aim of this paper is to present the creation and validation of the COMMUNI-CARE scale. This is a new tool that allows for an evaluation of the psycho-emotional well-being that the patient with dementia shows in a 'Snoezelen' multisensory stimulation environment. METHODS: In total 429 evaluations in 143 multisensory stimulation interventions were made using the COMMUNI-CARE scale, in 16 patients between 53 and 85 years of age, diagnosed with moderate to severe dementia. The goal was to evaluate the psycho-emotional well-being the patients present. RESULTS: The tool's internal consistency showed a Crombach alpha of 0.90. The concurrent validity between the COMMUNI-CARE scale and the Clinical Global Impression (CGI) was of r = -0.961. The Kappa index used to determine the reliability between evaluators was of K = 0.87. CONCLUSIONS: The COMMUNI-CARE scale fulfills the basic principles of classic psychometrics of construct, and criterion validity and reliability. It does so while showing a clear idea, through its five subscales (anxiety, communication, pleasure, adaptation to the surroundings and affection), of the degree of well-being that the patient with dementia shows during such interventions. This scale embodies, through psychometrics, a very subjective human experience with a tool unavailable to date.
[Mh] Termos MeSH primário: Demência/psicologia
Demência/terapia
Terapias Sensoriais através das Artes/normas
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Feminino
Seres Humanos
Masculino
Psicometria
Reprodutibilidade dos Testes
Terapias Sensoriais através das Artes/métodos
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE; VALIDATION STUDIES
[Em] Mês de entrada:1701
[Cu] Atualização por classe:170126
[Lr] Data última revisão:
170126
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:140403
[St] Status:MEDLINE
[do] DOI:10.1177/1471301214528346


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[PMID]:26530121
[Au] Autor:Kühlmann AY; Jeekel JH; Pierik EG
[Ad] Endereço:Erasmus MC, Rotterdam.
[Ti] Título:[Healing with art?].
[Ti] Título:Beter met kunst?.
[So] Source:Ned Tijdschr Geneeskd;159:A9606, 2015.
[Is] ISSN:1876-8784
[Cp] País de publicação:Netherlands
[La] Idioma:dut
[Ab] Resumo:Music and other forms of art are increasingly being integrated into hospitals. As well as the aesthetic value of art, more and more attention is being paid to its contribution to the healing of the patient. Scientific research indicates the possible benefits of specific art in healthcare facilities. Using this knowledge of the role and employability of surroundings and art in the healing of patients may be complementary to the high quality of care in the Netherlands. By means of proper, methodologically correct research, it is possible to investigate the use of different aspects of the patient's environment as simple, safe and low-cost measures in improving health and well-being of patients.
[Mh] Termos MeSH primário: Meio Ambiente
Hospitais/normas
Terapias Sensoriais através das Artes/métodos
[Mh] Termos MeSH secundário: Seres Humanos
Musicoterapia
Países Baixos
Avaliação de Resultados da Assistência ao Paciente
[Pt] Tipo de publicação:ENGLISH ABSTRACT; JOURNAL ARTICLE
[Em] Mês de entrada:1609
[Cu] Atualização por classe:151104
[Lr] Data última revisão:
151104
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:151105
[St] Status:MEDLINE



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