思维导图联合怀旧疗法对AD患者抑郁情绪及生存质量的影响

Effect of mind mapping combined with reminiscence therapy on depression emotion and quality of life in AD patients

目的探讨思维导图联合怀旧疗法与怀旧疗法对阿尔茨海默病(AD)患者抑郁情绪及生存质量的影响。方法选取该院2018年1—12月收治的AD患者62例,根据随机数字表法分为对照组和干预组各31例,两组患者均给予常规药物治疗、健康宣教、康复治疗、日常生活护理,此基础上对照组进行怀旧疗法;干预组进行思维导图联合怀旧疗法干预,为期8周,每周1次,每次约50 min。干预前后对两组患者采用康奈尔痴呆抑郁量表(CSDD)、老年抑郁量表(GDS)、世界卫生组织生存质量简表(WHOQOL-BREF)评定疗效。结果干预前两组患者CSDD、GDS、WHOQOL-BREF评分比较,差异均无统计学意义(t=0.72、0.89、0.40,P>0.05)。干预8周后,对照组、干预组CSDD评分分别为(13.65±5.40)、(10.90±4.75)分,GDS评分分别为(9.39±3.01)、(7.29±3.49)分,WHOQOL-BREF评分分别为(47.28±4.11)、(50.43±3.69)分。与干预前比较,干预8周后两组患者CSDD、GDS、WHOQOL-BREF得分明显改善(P<0.01),且干预组CSDD、GDS、WHOQOL-BREF得分明显优于对照组(t=2.12、2.54、-3.17,P<0.05)。结论思维导图联合怀旧疗法与怀旧疗法均能有效地改善AD患者的抑郁情绪,提高患者的生存质量,但思维导图联合怀旧疗法的疗效更佳。

Objective To explore the effect of nostalgia therapy and nostalgia therapy combined with mind mapping on the depression emotion and quality of life in the patients with Alzheimer′s disease(AD).Methods A total of 62 AD patients admitted to the hospital from January to December 2018 were selected and divided into the control group and the intervention group according to the random number table method,31 cases in each group.Both groups were given the conventional medication,health education,rehabilitation treatment,and daily life care.On this basis,the control group was given the reminiscence therapy,and the intervention group conducted the mind mapping combined with reminiscence therapy intervention for 8 weeks,once a week,about 50 min each time.The Cornell Dementia Depression Scale(CSDD),Geriatric Depression Scale(GDS),and World Health Organization on Quality of Life Brief Scale(WHOQOL-BREF)were used to assess the efficacy of the two groups before and after the intervention.Results Before the intervention,the CSDD,GDS and WHOQOL-BREF scores had no statistical differences between the two groups(t=0.72,0.89,0.40,P>0.05).After 8-week intervention,the CSDD scores in the control group and intervention group were(13.65±5.40)points and(10.90±4.75)points respectively.The GDS scores were(9.39±3.01)points and(7.29±3.49)points respectively,and the WHOQOL-BREF scores were(47.28±4.11)points and(50.43±3.69)points respectively.Compared with before the intervention,the CSDD,GDS and WHOQOL-BREF scores after 8-week intervention in the two groups were significantly improved(P<0.01),moreover the CSDD,GDS,and WHOQOL-BREF scores of the intervention group were significantly better than those of the control group(t=2.12,2.54,-3.17,P<0.05).Conclusion The mind mapping combined with reminiscencetherapy and reminiscence therapy all can effectively improve the depression emotion of AD patients and improve the life quality of the patients,but the curative effect of the mind mapping combined with the reminiscence therapy is better.