创造性故事疗法在老年轻度认知功能障碍患者中的应用

Application of Creative Story Therapy in Elderly Patients with Mild Cognitive Impairment

目的:探讨创造性故事疗法在老年轻度认知功能障碍(MCI)患者中的应用效果。方法:将2019年2月1日~7月31日收治的68例老年MCI患者随机分为对照组和研究组各34例,对照组采用常规护理进行干预,研究组在常规护理基础上采用创造性故事疗法进行干预;比较两组干预前后认知功能[采用蒙特利尔认知评估量表(MoCA)]、负性情绪[采用焦虑自评量表(SAS)、抑郁自评量表(SDS)]及生活质量[采用老年痴呆患者生活质量量表(QOL-AD)]。结果:干预后,研究组MoCA、QOL-AD评分均高于对照组(P<0.01);干预后,研究组SAS、SDS评分均低于对照组(P<0.01)。结论:创造性故事疗法能有效改善老年MCI患者的整体认知功能,缓解其焦虑、抑郁等负性情绪,提高患者的社会活动功能与生活质量。

Objective:To investigate the effect of creative story therapy in elderly patients with mild cognitive impairment(MCI).Methods:A total of 68 elderly patients with MCI from February 1 to July 31,2019 were randomly divided into control group and research group with 34 cases each.The control group used routine nursing to intervene,and the research group used creative story therapy to intervene on the basis of routine nursing.The cognitive function[using Montreal Cognitive Assessment scale(MoCA)],negative emotion[using Self-rating Anxiety Scale(SAS),Self-rating Depression Scale(SDS)]and quality of life[using Quality of Life-Alzheimer′s Disease QOL-AD)]before and after intervention of the two groups were compared.Results:MoCA and QOL-AD scores in the research group were higher than those in the control group(P<0.01).The SAS and SDS scores of the research group were lower than those of the control group(P<0.01).Conclusion:Creative story therapy can effectively improve the overall cognitive function of elderly MCI patients,relieve anxiety,depression and other negative emotions,and improve the social activity function and quality of life of patients.