移情玩偶干预对中度老年痴呆患者激越行为和生命质量的影响  

Effect of empathy doll therapy on aggressive behavior and quality of life for elderly people with moderate dementia

作　　者：谭娟[1] 王礼蓉[2] Tan Juan;Wang Lirong(Department of Neurology,the People′s Hospital of Yuechi County,Sichuan Province,Guang′an 638300,China;Department of Nursing,the People′s Hospital of Yuechi County,Sichuan Province,Guang′an 638300,China)

机构地区：[1]四川省岳池县人民医院神经内科,广安638300 [2]四川省岳池县人民医院护理部,广安638300

出　　处：《中国实用护理杂志》2020年第34期2664-2669,共6页Chinese Journal of Practical Nursing

摘　　要：目的探讨移情玩偶干预对中度老年痴呆患者激越行为和生命质量的影响,为老年痴呆患者非药物治疗提供参考。方法选择2018年1月至2019年10月收治的104例老年痴呆患者作为研究对象,按照入院时间分为试验组52例和对照组52例。对照组给予常规护理,试验组实施移情玩偶治疗策略。分别于干预前和干预30 d后采用中文版科恩-曼斯菲尔德激越情绪行为量表(CMAI)和老年痴呆生命质量量表(QOL-AD)评价患者激越行为和生命质量。结果干预30 d,试验组躯体性攻击行为、躯体性非攻击行为、言语性激越行为维度得分及CMAI总分分别为(13.63±3.92)、(28.30±5.82)、(18.85±4.53)、(60.78±8.17)分,明显低于对照组的(15.94±4.09)、(30.84±4.23)、(20.78±4.78)、(67.55±7.96)分,2组比较差异有统计学意义(t值为2.014~4.088,P<0.05);试验组躯体健康及行为顺应性、精神心理状态、生活环境及社会关系、生活满意度得分及QOL-AD总分分别为(7.75±0.62)、(11.78±0.86)、(13.24±1.04)、(3.68±0.32)、(36.44±1.66)分,明显高于对照组的(6.41±0.52)、(10.12±0.71)、(11.95±0.96)、(2.59±0.50)、(31.08±1.33)分,2组比较差异有统计学意义(t值为6.281~17.444,P<0.05)。结论移情玩偶互动可以降低老年痴呆患者的激越行为,提高患者的生命质量。Objective To investigate the effect of empathy doll therapy on aggressive behaviors and subjective well-being for elderly people with dementia,to provide reference for non-drug treatment of moderate senile dementia patients.Methods A total of 104 senile dementia patients were randomly assigned to experimental group(52 cases)and control group(52 cases).Patients in the control group received routine nursing,while patients in the experimental group carried out empathy doll therapy.The aggressive behavior and quality of life-Alzheimer`s disease in two groups was assessed by Cohen-Mansfield Agitation Inventory(CMAI)and QOL-AD,respectively.Results After thirty days of intervention,the scores of physical aggressive behavior,physical non-aggressive behavior,language of agitated behavior and total CMAI were significantly decreased in the experimental group compared to the control group(13.63±3.92,28.30±5.82,18.85±4.53,60.78±8.17 vs 15.94±4.09s,30.84±4.23,20.78±4.78,67.55±7.96,t value was 2.014-4.088,P<0.05);moreover,the scores of physical health and behavioral compliance,mental state,living environment and social relations,life satisfaction and total QOL-AD were significantly increased in the experimental group compared to the control group(7.75±0.62,11.78±0.86,13.24±1.04,3.68±0.32,36.44±1.66 vs 6.41±0.52,10.12±0.71,11.95±0.96,2.59±0.50,31.08±1.33),the difference was statically significant(t value was 6.281-17.444,P<0.05).Conclusion Empathy doll therapy can reduce the aggressive behavior and enhance the quality of life of senile dementia patients.

关 键 词：移情玩偶 老年痴呆 激越行为 生活质量 

分 类 号：R473.74[医药卫生—护理学]