音乐治疗对不同严重程度痴呆患者精神行为症状的影响

Effects of music therapy on behavioral and psychological symptoms of patients with different severityof dementia

目的比较音乐治疗对不同严重程度痴呆患者精神行为症状的影响。方法选取2017年1—6月在重庆市精神卫生中心住院的痴呆患者80例，所有患者均接受精神科药物治疗，在此基础上进行为期12周的音乐治疗。采用神经精神科问卷（Neuropsychiatric Inventory，NPI）评估患者的精神行为症状，采用临床痴呆评定量表（Clinical Dementia Ratingscale，CDR）评估患者的痴呆严重程度，比较不同痴呆严重程度患者的NPI评分情况。结果干预结束后轻、中、重3组痴呆患者的NPI评分均较干预前改善，但不同组间评分差异无统计学意义（P〉0．05）。结论音乐治疗对不同严重程度痴呆患者精神行为症状干预均有效。

Objective To eompare the effects of music therapy on behavioral and psychological symptoms of patients with different severity of dementia. Methods A total of 80 demcntiapatients in Chongqing Mental Health Hospital from January 2017 to June 2017 were selected. On the basis of psychotropic medication treatment, all the patients enrolled received music therapy for 12 weeks. Neuropsychiatric Inventory（NPI）and Clinical Dementia Rating scale （CDR） were applied to assess patients＇ behavioral and psychological symptoms and the severity of dementia respectively. The scores of NPI of patients with different severity of dementia were compared. Results After intervention, the NPI scores of all 3 groups of patients with mild, moderate and severe dementia increased than before, however there was no significant difference among the 3 dementia groups （P 〉 0.05）. Conclusions Music therapy is effective onbehavioral and psychological symptomsin patients with different severity of dementia.