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娃娃玩偶疗法对重度老年痴呆症患者激越行为的影响

Effect of Doll Therapy on Agitation Behaviors in Patients with Severe Senile Dementia

中国心理学前沿 / 2020,2(9)：1013-1022 / 2020-09-25 563 682

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• 作者： 冯怡*      王秀华      张小莲      俞连星      邹循英      叶惠静     
• 单位：

  杭州橡树老年病医院，杭州

• 关键词： 老年痴呆症；玩偶疗法；激越行为；愉悦感；人际互动；照护难度
• Senile dementia; Doll therapy; Agitation behavior; Pleasure; Interpersonal interaction; Difficulty in care
• 摘要： 目的：探讨玩偶疗法对老年痴呆症患者激越行为的影响。方法：对 19名重度老年痴呆症患者采用玩偶疗法干预，在干预前和干预后 1 个月分别使用MMSE 和激越行为量表进行测定，观察记录患者的表情、言语、人际互动和照护情况。结果：患者在玩偶疗法干预前后的 MMSE 均分无明显差异；激越行为总分和躯体非攻击行为因子分差异有统计学意义；患者的笑容、言语和人际互动量增加，照护难度下降。结论：在重度老年痴呆症患者的照护中采用玩偶疗法能够减少患者的激越行为，提高患者的愉悦感、促进互动，降低照护难度，值得临床推广使用。
• Objective: To investigate doll therapy of influence of agitation behaviors in patients with severe senile dementia. Methods: The doll therapy was used as the intervention in 19 patients. MMSE and agitation behavior scale were measured, and patient’s facial expression, speech, interpersonal interaction as well as difficulties in care were observed before intervention and 1 month after intervention. Results: there was no significant difference in MMSE scores before and after intervention with the doll therapy. However, the total scores of excitation behavior and the somatic nonaggression behavior showed statistically significant differences. Increased smiling, speaking and interpersonal interaction and decreased difficulties in care were also found. Conclusion: Doll therapy applied in the care of patients with severe senile dementia can reduce patients’ agitation behavior, improve patients’ sense of pleasure, promote interpersonal interaction, reduce the difficulty of care, and is worthy of clinical use.
• DOI： https://doi.org/10.35534/pc.0209071
• 引用： 冯怡，王秀华，张小莲，等．娃娃玩偶疗法对重度老年痴呆症患者激越行为的影响［J］．中 国心理学前沿，2020，2（9）：1013-1022．