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The Trend of Overseas Studies on the Intervention of Multisensory Environment: Systemic Review

다감각환경중재에 관한 국외 연구의 경향: 체계적 고찰

  • Received : 2019.04.29
  • Accepted : 2019.06.21
  • Published : 2019.06.30

Abstract

Objective : The purpose of this study is to study the effects of multisensory environment interventions, to provide information about clinical applications, and to aid South Korean research on the multisensory environment. Methods : PubMed, Cochrane, and Google Scholar were used to search for papers published from 2008 to 2018. The main search terms were "multisensory environment" and "snoezelen", a total of 10 foreign research articles were selected. And they were summarized according to Patient, Intervention, Comparison, Outcome (PICO). Results : Among the 10 papers, 6 included participants with dementia. The other studies examined patients with intellectual disabilities, patients with schizophrenia, and pregnant women. The study periods ranged from 3 weeks to 10 months. Most of the interventions included 2 or 3 sessions per week. The duration of each intervention session was 30 to 60 minutes. The dependent variables were psychological factors (such as anxiety and depression), social factors (such as quality of life), and cognitive and physical domains. The multisensory environment used for the interventions in the studies consisted of visual, auditory, and tactile senses, as well as additional olfactory and taste sensations, and vestibular sensations. Conclusion : In the future, the research should be applied to various target groups, especially children, who are interested in multisensory environmental intervention in South Korea.

목적 : 다감각환경 중재에 관한 효과를 연구한 국외 논문들을 체계적으로 분석하여 임상적용 시 정보를 제공하고, 국내 다감각환경 연구에 도움이 되고자 한다. 연구방법 : 전자 데이터 베이스인 Pubmed, Cochrane, Google scholar을 이용하여 2008년부터 2018년까지의 논문을 검색하였다. 주요 검색어는 'multi-sensory environment', 'snoezelen'을 사용하였다. 최종적으로 10편의 국외논문을 선정하였으며, PICO(Patient, Intervention, Comparison, Outcome)에 따라 정리하였다. 연구결과 : 선정된 10편의 논문 중 치매환자를 대상으로 한 연구가 6편으로 가장 많았고, 그 외에 지적장애, 정신분열증, 임산부를 대상자로 하였다. 연구기간은 3주에서 10개월로, 주 2~3회기의 중재가 대부분이였고, 회기별 중재시간은 30~60분으로 나타났다. 종속변인으로는 불안과 우울과 같은 심리적인 요인과 삶의 질과 같은 사회적 요인, 인지적, 신체적인 영역에서 효과를 알아보고자 하였다. 연구에서 중재로 사용된 다감각환경은 시각, 청각, 촉각으로 구성되었으며, 그 외의 후각과 미각, 전정감각 등이 추가적으로 제공되었다. 결론 : 앞으로 국내에서는 다감각환경 중재에 대해 관심을 가지고, 다양한 대상군 특히, 아동에게 적용해 보는 연구가 이루어져야 할 것이다.

Keywords

References

  1. Baillin, S., Van Diepen, E., Prettyman, R., Redman, J., Rooke, N., & Campbell, R. (2004). A comparison of the effects of snoezelen and reminiscences therapy on the agitated behavior of patients with dementia. International Journal of Geriatric Psychiatry, 19, 1047-1052. https://doi.org/10.1002/gps.1208
  2. Baker, R., Dowling, Z., Wareing, L., Dawson, J., & Assey, J. (1997). Snoezelen: Its long-term and short-term effects on older people with dementia. British Journal of Occupational Therapy, 60, 213-218. https://doi.org/10.1177/030802269706000507
  3. Cheng, S. C., Shen, W. H., Hsu, M. C., & Lin, M. F. (2017). Dose response relationships of multisensory intervention on hospitalized patients with chronic schizophrenia. Journal of Nursing Research, 25(1), 13-20. https://doi.org/10.1097/jnr.0000000000000154
  4. Cohen, M. J. (2001). Nonpharmacologic interventions for inappropriate behaviors in dementia. American Journal of Geriatric Psychiatry, 9, 361-391. https://doi.org/10.1097/00019442-200111000-00005
  5. Collier, L., Bucks, R., Ellis-Hill, C., McPherson, K., & Staal, J. (2010). Multisensory stimulation to improve functional performance in moderate to severe dementia-interim results. American Journal of Alzheimer's Disease & Other Dementias, 25(8), 698-703. https://doi.org/10.1177/1533317510387582
  6. Cuvo, A. J., May, M. E., & Post, T. M. (2001). Effects of living room, snoezelen room and outdoor activities on stereotypic behavior and engagement by adults with profound mental retardation. Research in Developmental Disabilities, 22, 183-204. https://doi.org/10.1016/S0891-4222(01)00067-1
  7. Dowling G. A., Graf C. L., Hibbard E. M. & Luxenberg J. S. (2007). Light treatment for neuropsychiatric behaviors in Alzheimer's disease. Western Journal of Nursing Research, 29, 961-975. https://doi.org/10.1177/0193945907 303083
  8. Fava, L., & Strauss, K. (2010). Multi-sensory rooms: Comparing effects of the snoezelen and the stimulus perference environment on the behavior of adults with profound mental retardation. Research in Developmental Disabilities, 31, 160-171. https://doi.org/10.1016/j.ridd.2009.08.006
  9. Hutchinson, R., & Kewin, J. (1994). Sensation and disability: Sensory environments for leisure, snoezelen, education and therapy. Chesterfield; ROMPA
  10. Hulsegge, J., & Verheul, A. (1987). Snoezelen: Another world. England, ROMPA.
  11. Jackson G. A., Sterling R., Russell K., & Templeton G. (2003). A multisensory programme: evaluating effects on agitation. Nursing & Residential care, 5, 126-129. https://doi.org/10.12968/nrec.2003.5.3.11114
  12. Klages, K., Hobson, S., Orange, J. B., & Zecevic, A. (2011). Potential of snoezelen room multisensory stimulation to improve balance in individuals with dementia: A feasibility randomized controlled trial. Clinical Rehabilitation. 25(7), 607-616. https://doi.org/10.1177/0269215510394221
  13. Lancioni, G., Cuvo, A., & O'Reily, M. (2002). Snoezelen: an overview of research with people with developmental disabilities and dementia. Disability and Rehabilitation, 24(4), 175-184. https://doi.org/10.1080/09638280110074911
  14. Lindsay, W. R., Pitcaithly, D., Geelen, N., Buntin, L., Brox-holme, S., & Ashby, M. (1997). A comparison of the effects of four therapy procedures on concentration and responsiveness in people with profound learning disabilities. Journal of Intellectual Disability Research, 41, 201-207. https://doi.org/10.1046/j.1365-2788.1997.03535.x
  15. Manesh, M. J., Kalti, M., & Hosseini, F. (2015). Snoezelen room and childbirth outcome: A randomized clinical trial. Iranian Red Crescent Medical Journal, 17 (5), e18373. https://doi.org/10.5812/ircmj.17(5)2015.18373
  16. Maseda, A., Gonzalez-Abraldes, I., Labra, C., Millan-Calenti, J. C., Marante, M. P., & Sanchez, A. (2014). Effects of multisensory stimulation on a sample of institutionalized elderly people with dementia diagnosis: A controlled longitudinal trial. American Journal of Alzheimer's Disease & Other Dementias, 29(5), 463-473. https://doi.org/10.1177/1533317514522540
  17. Pagliano, P. (1999). Multisensory environments. London: David Fulton Publishers.
  18. Park, Y. R., Oh, D. N., Kim, K. S., Kim, J. A., & Wee, H. (2011). The analysis of intervention studies for snoezelen. Korean Academic Society of Rehabilitation Nursing, 14(2), 95-102.
  19. Safavi, M., Farahani, H., Mahboubinia, M., Mahmoudi, N., & Yahyavi, S. H. (2013). The effect of multisensory stimulation(MSS) on cognitive status of women with Alzheimer's disease in fereshtegan elderly care center. Journal of Jahrom University of Medical Science, 11(2), 45-51. https://doi.org/10.29252/jmj.11.2.7
  20. Sanchez, A., Maseda, A., MArante-Moar MP., de Labra, C., Lorenzo-Lopez, L., & Millan-Calenti, JC. (2016). Comparing the effects of multisensory stimulation and individualized music session on elderly people with severe dementia: A randomized controlled trial. Journal of Alzheimers Disease, 52(1), 303-315. https://doi.org/10.3233/JAD-151150
  21. Schofield, P. (2009). Snoezelen within a palliative care day setting: A randomized controlled trial investigating the potential. International Journal on Disability and Human Development, 8(1), 59-65. https://doi.org/10.1515/IJDHD.2009.8.1.59
  22. Schofield, P. & Davis, B. (1998). Sensory deprivation and chronic pain: A review of the literature. Disability and Rehabilitation, 20, 357-366. https:// doi.org/10.3109/09638289809166094
  23. Schofield, P. & Davis, B. (2000). Sensory stimulation(snoezelen) versus relaxation: A potential strategy for management of chronic pain. Disability and Rehabilitation, 22(15), 675-682. https://doi.org/10.1080/096382800445470
  24. Shapiro, M. & Bacher, S. (2002). Snoezeling controlled multisensory stimulation. A handbook for practitioners. Ranana: Beit Issie Shapira.
  25. Svansdottir, HB., & Snaedal, J. (2006). Music therapy in moderate and severe dementia of Alzheimer's type: A case-control study. International Psychogeriatrics, 18(4), 613-621. https://doi.org/10.1017/S1041610206003206
  26. Taher, A. V., Ahmadi, M. K., & Zamir, F. P. (2015). Effects of multisensory stimulation on cognition function, depression, anxiety and quality of life in elderly persons with dementia. International Journal of Sport Studies, 5(3), 355-360.
  27. Van Weert, J., Van Dulmen, A. M., Spreeuwenberg, P. M., Ribbe, M. W., & Bensing, J. M. (2005). Behavioral and mood effects of snoezelen integrated into 24‐hour dementia care. Journal of the American Geriatrics Society, 53(1), 24-33. https://doi.org/10.1111/j.1532-5415.2005.53006
  28. Walters, T. (1991). The magic of the white room. Nursery World, 18-20.