Keywords:
Senile dementia; Doll therapy; Agitation behavior; Pleasure; Interpersonal interaction; Difficulty in care
老年痴呆症;玩偶疗法;激越行为;愉悦感;人际互动;照护难度
Abstract:
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.
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。