老年痴呆患者被窃妄想的心理干预及影响  

Psychological Intervention and Impact of Delusion of Theft in Elderly Dementia Patients

作　　者：王小燕 王艳[1] 陈佳佳[1] 王翀翀[1] 孙丽丽[1] 苗晓慧 Wang Xiaoyan;WangYan;Chen Jiajia(People’s Hospital of Jiaozuo City,Jiaozuo,Henan,454000,China)

机构地区：[1]河南省焦作市人民医院,河南焦作454000 [2]河南中医药大学第一附属医院心脏中心,河南郑州450000

出　　处：《黑龙江医学》2024年第14期1690-1692,共3页Heilongjiang Medical Journal

基　　金：2020河南省医学科技攻关计划项目(LHGJ20200012)。

摘　　要：目的:研究心理干预手段对有被窃妄想症状的老年痴呆患者的作用以及影响效果。方法:选取2020年1月—2022年12月河南省焦作市人民医院收治的100例老年痴呆症患者作为研究对象,采用随机数表法将其分为观察组和对照组,每组各50例。对照组采用传统药物治疗手段[天智颗粒和盐酸多奈哌齐片(Donepezil)],观察组在对照组传统药物治疗的基础上增加心理干预治疗。观察两组患者的被窃妄想程度变化、焦虑障碍情绪状况以及认知功能变化。结果:治疗后,观察组患者数字评价量表(NRS)评分高于对照组、平均改善量明显优于对照组,差异有统计学意义(t=5.537、7.488,P<0.05);两组患者焦虑自评量表(SAS)评分均低于治疗前,且观察组低于对照组,差异有统计学意义(t=8.307,P<0.05);两组患者简易精神状态检查表(MMSE)评分和蒙特尔认知评估(MoCA)评分均高于治疗前,且观察组高于对照组,差异有统计学意义(t=7.029、4.858,P<0.05)。结论:心理干预能够缓解患者被窃妄想情况及焦虑情绪,改善患者认知功能,提高患者的生活质量。Objective:To study the function and influence effect of psychological intervention on senile dementia patients with symptoms of theft.Methods:100 patients with dementia admitted to the hospital from January 2020 to December 2022 were divided into observation group and control group with random number method,with 50 cases in each group.The control group adopted traditional drug treatment[Tianzhi Granules and Donepezil hydrochloride tablets(Donepezil)].The observation group added psychological intervention on the basis of this.Changes in the degree of theft delusion,emotional status of anxiety disorders,and changes in cognitive function were observed in the two groups.Results:After treatment,the scores of NAS of the observation group were higher than those of the control group,and the differences were statistically significant(t=5.537,7.488;P<0.05).SAS of two groups were lower than before treatment,and observation group was lower than control group,with statistically significant difference(t=8.307,P<0.05).The MMSE score and MoCA score of the experimental group with simultaneous psychological intervention were significantly higher than those in the observation group,and the difference was statistically significant(t=7.029,4.858;P<0.05).Conclusion:Psychological intervention is a more effective treatment method to help patients relieve stolen delusion and anxiety,improve cognitive function,and improve the quality of life of patients.

关 键 词：老年痴呆症 被窃妄想 心理治疗 认知功能 

分 类 号：R749[医药卫生—神经病学与精神病学]