以质量求发展，以服务铸品牌

护理学报 ›› 2021, Vol. 28 ›› Issue (11): 70-73.doi: 10.16460/j.issn1008-9969.2021.11.070

• 心理卫生 • 上一篇    下一篇

轻度老年痴呆患者创造性故事疗法干预效果观察

沈银萍, 陈海勤, 刘敏, 邵磊, 沈春丽, 王飞, 徐春芸   

  1. 湖州市第三人民医院,浙江 湖州 313000
  • 收稿日期:2020-08-05 出版日期:2021-06-10 发布日期:2021-07-06
  • 通讯作者: 陈海勤（1975-）,女,浙江湖州人,本科学历,主任护师,护理部主任。E-mail：1039770471@qq.com
  • 作者简介:沈银萍（1990-）,女,浙江湖州人,本科学历,主管护师。
  • 基金资助:
    湖州市级科技计划项目（2018GYB57）

Effect of Creative Story Therapy on Alexithymia in Patients with Mild Dementia

SHEN Yin-ping, CHEN Hai-qin, LIU Min, SHAO Lei, SHEN Chun-Li, WANG Fei, XU Chun-yun   

  1. Huzhou Third People's Hospital, Huzhou 313000, China
  • Received:2020-08-05 Online:2021-06-10 Published:2021-07-06

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摘要： 目的 研究创造性故事疗法对轻度老年痴呆患者述情障碍的影响。方法 使用随机数字表法,将纳入对象分成观察组和对照组各40例,对照组进行常规护理,观察组在此基础上进行为期6周的创造性故事疗法,分别于干预前及干预6周末使用多伦多述情障碍量表、认知情绪调节问卷、常识-记忆-注意测验进行效果评价。结果 观察组的描述感情、认识情绪、认知功能得分,均优于对照组,差异有统计学意义（P<0.05）。结论 创造性故事疗法适用于轻度老年痴呆患者,可有效改善患者的表达与沟通能力、情绪状态、认知功能,从而提高生活质量。

关键词: 创造性故事疗法, 老年痴呆,轻度, 述情障碍

Abstract: Objective To study the effect of creative story therapy on alexithymia in patients with mild dementia. Methods Patients were randomly divide into experimental group and control group, with 40 cases in each group. The control group was given routine care. Based on routine care, the experimental group was given 6-week creative story therapy. The Toronto Alexithymia Scale, Cognitive Emotion Regulation Questionnaire (CERQ-C), Common Sense-Memory-Attention Test (IMCT) were used to evaluate the intervention effect. Results Emotion description, cognitive emotion, and cognitive function in the experimental group were better than those in the control group, and the differences were statistically significant (P<0.05). Conclusion Creative story therapy is practical for patients with mild Alzheimer's disease, which can effectively improve patients' expression and communication ability, emotional state and cognitive function, and eventually improve the quality of life.

Key words: creative story therapy, mild dementia, alexithymia

中图分类号: 

  • R473.59
[1] 王晓静,魏树林,初丽敏,等.老年痴呆的早期诊断与治疗[J].临床合理用药杂志,2015,8(11):176-179.DOI:10.15887/j.cnki.13-1389/r.2015.11.129.
[2] Monastero R, Mangialasche F, Camarda C, et al.A Systematic Review of Neuropsychiatric Symptoms in Mild Cognitive Impairment[J]. Alzheimers Dis,2009,18:11-30.DOI:10.323 3/JAD-20 09-1120.
[3] Ismail Z, Gatchel J, Bateman DR, et al.Affective and Emotional Dysregulation as Pre-dementia Risk Markers: Exploring the Mild Behavioral Impairment Symptoms of Depression, Anxiety, Irritability, And Euphoria[J]. Int Psychogeriatr, 2017:1-12.DOI:10.1017/S1041610217001880.
[4] Fitzpatrick-Lewis D, Warren R, Ali MU, et al.Treatment for Mild Cognitive Impairment: A Systematic Review and Meta-analysis[J].CMAJ Open, 2015,3(4):E419-E427.DOI:10.9778%2Fcmajo.20150057.
[5] Leonardo T Apgáua, Antônio Jaeger.Memory for Emotional Information and Alexithymia a Systematic Review[J]. Dement neuropsychol, 2019, 13(1):22-30.DOI:10.1590/1980-57642018dn13-010003.
[6] Yuruyen M, Akcan FE, Batun GC, et al.Alexithymia in People with Subjective Cognitive Decline,Mild Cognitive Impairment, and Mild Alzheimer's Disease[J]. Aging Clin Exp Res, 2017,29(6):1105-1111.DOI:10.1007/s40520-017-0725-8.
[7] Smirni D, Beadle JN, Paradiso S.An Initial Study of Alexithymia and its Relationship with Cognitive Abilities among Mild Cognitive Impairment, Mild Alzheimer's Disease, and Healthy Volunteers[J]. J Nerv Ment Dis, 2018,206(8):628-636.DOI:10.1097/NMD.0000000000000853.
[8] Waller E, Scheidt CE.(2004) Somatoform Disorders as Disorders of Affect Regulation: A Study Comparing the Tas-20 With Non-self-report Measures of Alexithymia[J]. J Psychosom Res, 2004, 57(3):239-247.DOI:10.1016/S0022-3999(03)00613-5.
[9] 李晶,李红.创造性故事疗法及其在老年痴呆患者中的应用现状[J]. 中华护理杂志,2014,49(6):720-723.DOI:10.3761/j.issn.0254-1769.2014.06.020.
[10] George DR,Stuckey HL,Dillon CF, et al.Impact of Participation in Timeslips, A Creative Group-based Storytelling Program,On Medical Student Sttitudes Toward Persons with Dementia:A Qualitative Study[J]. Gerontologist,2011,51(5):699.DOI:10.1093/geront/gnr035.
[11] 王相兰,孙先广,韩自力,等.早期创伤后应激障碍症状清单平民版最佳筛查界值ROC分析[J].中华行为医学与脑科学杂志,2009(18):933-935.
[12] 张立秀,王黎红.自我情绪评定量表在老年痴呆人群中的应用[J].中华护理杂志,2016,51(2):231-234. DOI:10.3761/j.issn.0254-1769.2016.02.018.
[13] 袁勇贵,沈鑫华,张向荣,等.多伦多述情障碍量表(TAS-20)的信度和效度研究[J]. 四川精神卫生,2003(1):25-27.DOI:10.3969/j.issn.1007-3256.2003.01.009.
[14] 朱熊兆,罗伏生,姚树桥,等.认知情绪调节问卷中文版(CERQ-C)的信效度研究[J]. 中国临床心理学杂志,2007(2):121-124.DOI:10.3969/j.issn.1005-3611.2007.02.004.
[15] Phillips LJ, Reid-Arndt SA, Pak Y.Effects of a Creative Expression Intervention on Emotions, Communication and Quality of Life in Person with Dementia[J].Nurs Res,2010,59(6):417-425.DOI:10.1097/NNR.0b013e3181faff52.
[16] 董圣鸿,鞠芊芊,邱甜甜,等.不同类型述情障碍的团体辅导干预效果[J].中国临床心理学杂志,2017,25(2):304-309. DOI:10.16128/j.cnki.1005-3611.2017.02.024.
[17] 郑萍萍,李丹,郑晓丽,等.团体益智游戏对老年轻度认知障碍患者情绪状态和认知功能的影响[J]. 护理管理杂志,2019,19(7):530-533. DOI:10.3969/j.issn.1671-315x.2019.07.018.
[18] Zhong JK, Valenzuela M, Yan HD.Can Computerized Cognitive Training Improve Cognition in Patients with Heart Failure?: A Review[J].J Cardiovasc Nurs, 2019,34(2):E19-E27. DOI:10.1097/JCN.0000000000000558.
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