怀旧疗法对阿尔茨海默病患者认知和自尊水平的影响

The effects of reminiscence therapy on cognitive and self-esteem level in patients with Alzheimer's disease

目的探讨怀旧疗法对轻中度阿尔茨海默病患者的治疗效果。方法选择42例轻、中度阿尔茨海默病性痴呆患者,随机分为干预组(常规治疗+怀旧疗法)和对照组(常规治疗)。在治疗前、治疗3个月后采用简明智能精神状态检查量表(MMSE)和自尊量表(SES)进行疗效评定。结果干预组在接受3个月团体怀旧治疗后,其MMSE评分改善程度较对照组差异无统计学意义(t=0.104,P=0.917);干预组SES评分在治疗3个月后较干预前明显改善(t=2.520,P=0.020),且与对照组治疗后SES评分比较差异有统计学意义(t=2.238,P=0.031)。结论怀旧疗法可显著提高轻、中度阿尔海默病性痴呆的自尊水平,临床值得推广。

Objective To assess the effects of reminiscence therapy in older people with mild to moderate Alzheimer＆#39;s dementia. Methods A randomized controlled trial with two parallel arms-an intervention group （n=21） and a usual-care control group （n=21） was carried out. The intervention consists of joint reminiscence groups therapy weekly for twelve consecutive weeks. The primary outcome measures were the cognitive and self-esteem level of people with AD, as assessed by the Mini Mental State Examination （MMSE） and the Self-Esteem Scale （SES）. Results After 3month＆#39;s remi-niscence therapy, the MMSE improvement of the intervention group was almost as the same as the control group （t=0.104, P= 0.917）, but the SES in the intervention group was significantly higher than that in the control group （t= 2.238, P=0.031）. Conclusion The reminiscence therapy can remarkable improve the self-esteem level of older people with mild to moderate Alzheimer＆#39;s dementia. This approach is worth to be promoted in clinical practice.