怀旧疗法在老年痴呆患者中的作用  

Nostalgia therapy for elderly patients with Alzheimer's disease

作　　者：金玉莲 土文珍 陈春棉 

机构地区：[1]温州市第七人民医院三病区,325000

出　　处：《浙江医学》2016年第10期718-721,共4页Zhejiang Medical Journal

基　　金：温州市卫生局课题(2014B19)

摘　　要：目的探讨怀旧疗法在老年痴呆患者中的作用。方法将83例轻、中度痴呆患者按抽签法分为干预组42例与对照组41例,干预组接受怀旧疗法、健康教育与药物治疗,对照组只接受健康教育与药物治疗,采用护士用住院病人观察量表(NOSIE)、日常生活能力量表(ADL)、汉密顿抑郁量表(HAMD)进行评估。结果干预结束后,干预组NOSIE与ADL均显著改善,差异有统计学意义(P<0.01),而HAMD评分干预组与对照组均有统计学意义,但干预组的平均值明显低于对照组,干预的效果比对照组好。结论怀旧支持疗法能有效降低痴呆患者的环境及心理压力,改善患者社会交流与活动及社会退缩行为的作用,同时亦可改善患者抑郁情绪、认知和行为问题,患者的生活质量也有所提高。Objective To investigate the role of nostalgic therapy for elderly patients with Alzheimer＇s disease（AD）.Methods Eighty three AD patients with mild and moderate dementia were randomly divided into intervention group （n=42） and control group （n=41）.Patients in intervention group received nostalgic therapy,health education and drug treatment,and those in control group received health education and medical treatment only.The nurse inpatient observation scale（NOSIE）,daily life scale （ADL） and Hamilton depression scale （HAMD） were applied for evaluation.Results After intervention the NOSIE and ADL scores in intervention group were improved significantly （P＜0.01）.HAMD scores in both groups were significantly improved after intervention,but the improvement was more markedly in intervention group than that in control group.Conclusion Nostalgic therapy can effectively improve the symptoms and quality of life of elderly patients with Alzheimer＇s disease.

关 键 词：老年人 痴呆 怀旧疗法 

分 类 号：R473.74[医药卫生—护理学]