奥尔夫节奏-声势-律动训练对轻度老年痴呆患者积极情绪的干预研究

Intervention study of Orff rhythm-beat-tap training on positive emotions in elderly patients with mild dementia

目的研究奥尔夫节奏-声势-律动训练对轻度老年痴呆患者积极情绪的影响。方法采用便利抽样法,选择2018年8月—2019年8月在湖州市第三人民医院进行治疗的72例轻度老年痴呆患者为研究对象,使用简单随机抽样法将其分为两组,在研究开展后有2例因未能坚持训练而脱落,1例因中途转院而退出,1例因病情加重更换药物而脱落。最终共有68例纳入研究,其中干预组33例,对照组35例。对照组进行常规护理,干预组在此基础上进行为期12周的奥尔夫节奏-声势-律动训练,比较干预前后两组患者积极情绪消极情绪量表、淡漠症状评定量表、痴呆心境评估量表得分情况。结果干预组干预后的积极情绪得分为(31.58±1.87)分,高于对照组的(26.66±2.93)分,差异有统计学意义(t=8.297,P<0.01)。干预组干预后的消极情绪得分为(21.97±2.30)分,淡漠症状得分为(44.88±5.22)分,痴呆心境得分为(23.18±4.33)分,均低于对照组的(23.80±3.94)、(51.91±7.49)、(26.09±6.20)分,两组得分比较差异均有统计学意义(t值分别为-2.356、-4.514、-2.225;P<0.05)。结论奥尔夫节奏-声势-律动训练适用于轻度老年痴呆患者,可有效提升患者的积极情绪体验,改善淡漠症状,优化心境。

Objective To study effects of Orff rhythm-beat-tap training on positive emotions in elderly patients with mild dementia.Methods Using the convenient sampling method,a total of 72 elderly patients with mild dementia who were treated in the Third People's Hospital of Huzhou from August 2018 to August 2019 were selected as the research objects and they were divided into two groups using the simple random sampling method.After the start of the study,2 cases dropped out because of failure to persist in training,1 case dropped out because of transfer during hospitalization and 1 case dropped out because of aggravation of the disease and changing drugs.A total of 68 cases were included in the study,including 33 cases in the intervention group and 35 cases in the control group.The control group received routine nursing,while the intervention group received 12-week Orff rhythm-beat-tap training on this basis.The scores of Positive and Negative Affect Schedule(PANAS),Apathy Evaluation Scale(AES)and Dementia Mood Assessment Scale(DMAS)were evaluated before and after the intervention.Results The score of positive emotion after intervention in the intervention group was(31.58±1.87),higher than(26.66±2.93)in the control group,and the difference was statistically significant(t=8.297,P<0.01).After intervention,the score of negative emotion of the intervention group was(21.97±2.30),the score of apathy was(44.88±5.22),and the score of dementia mood was(23.18±4.33),which were lower than(23.80±3.94),(51.91±7.49)and(26.09±6.20)of the control group,and there were statistically significant differences in scores between the two groups(t=-2.356,-4.514,-2.225;P<0.05).Conclusions Orff rhythm-beat-tap training is suitable for elderly patients with mild dementia,which can effectively enhance positive emotional experience of patients,improve apathy and optimize mood.