《中国康复理论与实践》

《中国康复理论与实践》 ›› 2006, Vol. 12 ›› Issue (10): 901-903.

• 临床研究 • 上一篇    下一篇

音乐疗法对老年性痴呆患者激越行为的影响

李玉梅; 成林平; 黄绍宽; 邓永萍   

  1. 广州市老人院,广东广州市 510550
  • 收稿日期:2005-12-19 出版日期:2006-10-01 发布日期:2006-10-01

Effect of Musicotherapy on Agitation Behaviors in Patients with Aged Dementia

LI Yu-mei, CHENG Lin-ping, HUANG Shao-kuan, et al   

  1. Guangzhou Aged Hospital, Guangzhou 510550, Guangdong, China
  • Received:2005-12-19 Published:2006-10-01 Online:2006-10-01

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摘要： 目的探讨音乐疗法对老年性痴呆(AD)患者激越行为的影响。方法对22例AD患者采用不同的音乐治疗,分别用简易智能状态检查表(MMSE)、激越行为量表(CMAI)和自制社交心理记录表对治疗前后的各项指标进行综合评分。结果治疗后,本组患者的激越行为发生率显著降低(P<0.001);MMSE评分轻度、中度、重度患者之间的激越行为发生率比较有非常高度显著性差异(P<0.001);患者的认知功能减退和激越行为评分与治疗前比较也有非常显著性差异(P<0.01);音乐治疗对AD患者社交心理情绪、沟通、语言和交往等的有效率分别为86.36%、90.91%、72.73%和77.27%。结论音乐疗法可以有效减轻AD患者的激越行为症状。

关键词: 老年性痴呆, 激越性行为, 音乐疗法

Abstract: ObjectiveTo explore the effect of musicotherapy on agitation behaviors in patients with aged dementia (AD).Methods22 AD patients were treated with different musicotherapies, and examined with Mini-Mental State Examination (MMSE), Cohen-Mansfield Agitation Inventory (CMAI) and self made sociality psychological inventory before and after treatment.ResultsAfter musicotherapy, the incidence rate of agitation behaviors of AD patients decreased significantly ( P<0.001). The incidence rates of agitation behaviors among patients with low, middle and high MMSE scores were significantly different ( P<0.001). After musicotherapy, both depressions of patients' cognitive function and scores of agitation behaviors were significant different compared with that before treatment (P<0.01). Effectual rates of musicotherapy on sociality psychological emotion, communication, language and intercourse of this group patients were 86.36%, 90.91%, 72.73% and 77.27%, respectively.ConclusionMusicotherapy can effectively alleviate the symptoms of agitation behaviors in AD patients.

Key words: aged dementia, agitation behaviors, musicotherapy