音乐疗法对老年性痴呆患者激越行为的影响

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。

Effect of Musicotherapy on Agitation Behaviors in Patients with Aged Dementia

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.