摘要
目的探讨模拟家人在场疗法联合香薰触摸干预对老年痴呆患者激越行为、社会交往能力的影响。方法选择2019年3月至2020年3月在南阳医学高等专科学校第一附属医院住院治疗的94例老年痴呆患者为研究对象,按照入院的顺序分为对照组和观察组,各47例。对照组男26例、女21例,年龄(65.43±3.41)岁;观察组男25例、女22例,年龄(65.70±4.15)岁。对照组实施常规护理,观察组在对照组的基础上实施模拟家人在场疗法联合香薰触摸干预,共持续干预8个月。采用Zung氏焦虑自评量表(SAS)、Zung氏抑郁自评量表(SDS)评估患者的焦虑、抑郁情绪;采用中文版科恩-曼斯菲尔德激越情绪行为量表(CMAI)评价患者的激越行为;采用功能独立性评定量表(FIM)评估患者日常生活及社会交往能力。结果干预后,观察组患者的SAS、SDS评分分别为(41.24±5.30)分、(36.75±4.73)分,均明显低于对照组的(48.69±5.46)分、(44.19±5.26)分,差异均有统计学意义(均P<0.05);观察组患者的CMAI量表总分低于对照组[(83.27±6.18)分比(105.23±6.27)分],FIM总分高于对照组[(74.83±8.52)分比(65.15±8.27)分],两组比较差异均有统计学意义(均P<0.05)。结论模拟家人在场疗法联合香薰触摸干预能有效改善老年痴呆患者的情绪状况与社会交往能力,降低患者激越行为的发生及严重程度,是减少照护负担、提升护理质量的有效途径。
Objective To investigate the effects of simulated family member presence therapy combined with aromatherapy and touch on agitated behavior and social interaction ability of senile patients with dementia.Methods Ninety four senile patients with dementia who were hospitalized into First Affiliated Hospital of Nanyang Medical College from March 2019 to March 2020 were selected as the research objects.According to the order of admission,they were randomly divided into a control group and an observation group,with 47 cases in each group.The control group had 26 males and 21 females;and they were(65.43±3.41)years old.The observation group had 25 males and 22 females;and they were(65.70±4.15)years.The control group received routine nursing care,and the observation group received simulated family member presence therapy,aromatherapy,and touch on the basis of the control group,for 8 months.Zung's Self-Rating Anxiety Scale(SAS)and Zung's Self-Rating Depression Scale(SDS)were used to evaluate the patients'anxiety and depression.The Cohen-Mansfield Agitated Emotional Behavior Scale was used to evaluate the patients'agitated behaviors.The Functional Independence Rating Scale was used to evaluate the patients'daily living and social interaction ability.Results After the intervention,the scores of SAS and SDS in the observation group were significantly lower than those in the control group[(41.24±5.30)vs.(48.69±5.46)and(36.75±4.73)vs.(44.19±5.26);both P<0.05].The total score of the Cohen-Mansfield Agitated Emotional Behavior Scale in the observation group was lower than that in control group[(83.27±6.18)vs.(105.23±6.27);P<0.05].The total score of Functional Independence Rating Scale in the observation group was higher than that in the control group[(74.83±8.52)vs.(65.15±8.27);P<0.05].Conclusion Simulated family member presence therapy combined with aromatherapy and touch can effectively improve the emotional status and social communication ability of senile patients with dementia and reduce the occurrence and severity of their agitated behavior,so it is an effective way to reduce care burden and improve care quality.
作者
张转
Zhang Zhuan(Special Ward,First Affiliated Hospital of Nanyang Medical College,Nanyang 473000,China)
出处
《国际医药卫生导报》
2021年第15期2391-2395,共5页
International Medicine and Health Guidance News
关键词
老年痴呆
模拟家人在场疗法
香薰疗法
触摸疗法
激越行为
社会交往
Senile patients with dementia
Simulated family member presence therapy
Aromatherapy
Touch
Agitated behavior
Social communication
