玩偶疗法对改善老年痴呆患者激越行为的效果观察

Observation of the Effect of Doll Therapy on Improving Aggressive Behavior in Patients with Alzheimer’s Disease

目的探讨玩偶疗法改善老年痴呆激越行为的临床效果。方法将2016年11月-2018年12月科室收治的80例患者进行分组研究。为达到研究目的,采用随机分组法将对象分为观察组和对照组各40例。对照组实施老年痴呆常规治疗干预,观察组在此基础上加入玩偶疗法,比较两组的干预效果。结果两组干预前激越问卷(Cohen-Mansfield,CMAI)评分比较无统计学差异(P> 0. 05);干预后,观察组CMAI评分(17. 1±8. 2)分,对照组CMAI评分(23. 9±9. 4)分,组间两数据统计学差异显著(P <0. 05);观察组干预后简易智能评分、生活质量评分、信心评分均优于对照组,各数据组间统计学差异显著(P <0. 05)。结论玩偶疗法可有效改善老年痴呆患者的激越行为,并提高患者的生活质量,值得借鉴。

Objective To explore the clinical effect of doll therapy on improving aggressive behavior in patients with Alzheimer’s disease. Methods 80 patients treated in our hospital from November 2016 to December 2018 were randomly divided into two groups: an observation group and a control group,with 40 cases in each. The control group was given routine treatment intervention for senile dementia,and on this basis,the observation group was given additional doll therapy. The intervention effects of the two groups were compared. Results There was no significant difference in the scores of Cohen-Mansfield( CMAI) between the two groups before intervention( P > 0. 05);after intervention,the CMAI scores of the observation group( 17. 1 + 8. 2) and the control group( 23. 9 + 9. 4) were significantly different( P < 0. 05);after intervention,the simple intelligence score,quality of life score and confidence score of the observation group were better than those of the control group respectively. There was significant difference between the data groups( P < 0. 05). Conclusion Doll therapy can effectively improve the aggressive behavior of patients with Alzheimer’s disease and improve their quality of life,which is worthy to be used as a frame of reference.