RESUMO
Neuropsychiatric disorders are one of the frequent complications of neurocognitive disease, and have an impact on the quality of life of patients and caregivers. Non-phamacologic interventions are recommended as first-line treatment. The Snoezelen method is a multisensory stimulation method based on the assumption that acting on sensoriality can improve neuropsychiatric symptoms and thus quality of life, but its level of evidence is controversial. To explore this, we performed a systematic literature review of randomized controlled articles focusing on the use of the Snoezelen method in patients with cognitive disorders. Eighteen studies were included. The clinical outcomes studied were multiple (behavior, mood, cognition, functional capacities and biomedical parameters). When the Snoezelen method was compared to the "standard activities" group, it appears to be effective on short-term behavior. This was more negligible when the method was compared to others non-pharmacological interventions. Although the Snoezelen method could be effective on mood, cognition, and functional abilities, its level of evidence remains low. Furthers mixed studies (quantitative and qualitative) would be an interesting approach to delve into this topic in the most holistic way by integrating the patients, the caregivers and the cost of the method.
La prise en soin des symptômes neuropsychiatriques de patients ayant des troubles neurocognitifs est basée sur des traitements non médicamenteux. Certains auteurs suggèrent que la méthode Snoezelen pourrait être une alternative thérapeutique. L'objectif de cette revue de littérature était de faire une recherche systématique des essais contrôlés et randomisés ayant analysé l'effet de la méthode Snoezelen sur les patients âgés ayant des troubles cognitifs. Le processus de sélection a permis d'inclure 18 études, ayant des méthodologies hétérogènes. Dans plusieurs études, la méthode Snoezelen pourrait avoir un effet bénéfique, à court terme, sur les troubles du comportement, sur l'humeur, la cognition, ou les capacités fonctionnelles. Cependant, la méthode Snoezelen ne semblait pas être supérieure à d'autres interventions non médicamenteuses et certaines études montraient des résultats discordants. Finalement, le niveau de preuve d'efficacité de la méthode Snoezelen reste faible et des études mixtes (quantitatives et qualitatives) seraient intéressantes à mener pour évaluer l'intérêt de la méthode Snoezelen sur des profils spécifiques de patients ayant des troubles neurocognitifs.
Assuntos
Demência , Atividades Cotidianas , Afeto , Demência/psicologia , Humanos , Transtornos Neurocognitivos/terapia , Qualidade de VidaRESUMO
This article is about the development of complementary and alternative medicine in geriatrics. He questions the meaning of his practices - and more broadly that of relational and non-drug care - as well as their application in the field in the aging sector. Indeed, the promotion of non-drug therapies by the high health authority, the growing role of actors in relational care or the emergence of practices complementary attest to a new dynamic of care in favor of a more global approach to support. If this dynamic was initially deployed in oncology, through supportive care, other sectors - and in particular geriatrics - are opening up to these practices in a logic of personalization of care. As such, the establishment of centers of activity and adapted care reflects a new model of support specific to aging focused on the specific needs of people weakened by age and disease. This work responds to the need to better understand this field as a whole and to highlight the plural issues, societal or medical, scientific, in connection with the process of their integration in geriatrics.