园艺治疗对轻中度认知症老年人抑郁情绪的干预研究  

Intervention Study of Horticultural Therapy on Depression in the Elderly with Mild to Moderate Cognitive Disease

作　　者：姜娜[1] 胡还甫[2] 谢丽琴[3] 裘云[4] JIANG Na;HU Huan-fu;XIE Li-qin;QIU Yun(School of Nursing,Yueyang Vocational Technical College,Yueyang,Hunan 414006;School of Medicine,Yueyang Vocational Technical College,Yueyang,Hunan 414006;School of Medicine,Changsha Social Work College,Changsha,Hunan 410013;School of Health,Jiangsu Vocational College of Commerce,Nanjing,Jiangsu 211168)

机构地区：[1]岳阳职业技术学院护理学院,湖南岳阳414006 [2]岳阳职业技术学院医学院,湖南岳阳414006 [3]长沙民政职业技术学院医学院,湖南长沙410013 [4]江苏经贸职业技术学院健康学院,江苏南京211168

出　　处：《岳阳职业技术学院学报》2022年第4期74-79,共6页Journal of Yueyang Vocational and Technical College

基　　金：2020年湖南省教育厅科学研究优秀青年项目“园艺治疗对轻中度失智症老人身心功能的干预研究”(20B594)。

摘　　要：目的 评价园艺治疗对轻中度认知症老年人抑郁情绪的干预效果。方法 通过便利抽样,采用简易智能精神状态检查量表(MMSE)和老年抑郁量表(GDS)进行筛查,抽取符合纳入标准的60名老年人,随机分为对照组和干预组各30名。对照组采用常规护理模式,干预组采用常规护理模式和园艺治疗。干预时间为2个月,比较两组老年人抑郁得分情况,同时采用园艺疗法福祉效益评估表了解园艺治疗对干预组老年人的福祉效益。结果 干预前两组老年人GDS得分差异无统计学意义,干预后两组老年人GDS得分差异有统计学意义(P <0.05)。经过园艺治疗后,干预组老年人在肢体运动、与家人相处、兴趣爱好、心情愉快、成就感、认知、社交关系以及园艺活动8个方面的得分均高于干预前得分,且差异有统计学意义(P <0.05)。结论 园艺治疗能有效地减轻轻中度认知症老年人抑郁情绪,促进其身心健康,值得推广。Objective: To evaluate the effect of horticultural therapy on depression in the elderly with mild to moderate cognitive symptoms. Methods: By convenience sampling, 60 elderly patients were screened by MMSE and GDS, and randomly divided into control group and intervention group, 30 in each. The control group received routine nursing mode, and the intervention group received routine nursing mode and horticultural therapy. The intervention lasted for two months. The depression scores of the two groups were compared, and the well-being benefit evaluation table of horticultural therapy was used to understand the well-being benefit of horticultural therapy for the elderly in the intervention group. Results: There was no significant difference in GDS scores between the two groups before intervention, but there was significant difference in GDS scores between the two groups after intervention (P < 0.05). After horticultural treatment, the scores of the elderly in the intervention group were higher than those before the intervention in eight aspects of physical movement, getting along with family, interests and hobbies, happiness, sense of achievement, cognition, social relations and horticultural activities, and the differences were statistically significant (P < 0.05). Conclusion: Horticultural therapy can effectively relieve depression and promote physical and mental health of the elderly with mild and moderate cognitive disease.

关 键 词：园艺治疗 认知症 抑郁 

分 类 号：R749.055[医药卫生—神经病学与精神病学]