摘要
目的探讨音乐导向叙事护理对阿尔茨海默病(AD)患者认知功能及生活能力的干预效果。方法回顾性分析2024年6月-2025年6月本院收治的100例AD患者,其中音乐叙事组52例,接受音乐导向叙事护理,常规组48例,接受常规护理,两组干预时间均为12周。比较两组干预前后的简易精神状态检查量表(MMSE)评分、日常生活能力量表(ADL)评分及汉密尔顿抑郁量表(HAMD)和汉密尔顿焦虑量表(HAMA)评分。结果干预前,两组各项指标比较,差异无统计学意义(均P>0.05)。干预后,音乐叙事组MMSE评分高于常规组,ADL评分及HAMD、HAMA评分低于常规组(均P<0.05)。结论音乐导向叙事护理可有效改善AD患者的认知功能及生活能力,减轻负性情绪,值得临床推广。
Objective To investigate the intervention effect of music-guided narrative nursing on cognitive function and daily living ability in patients with Alzheimer’s disease(AD).Methods A retrospective analysis was conducted on 100 AD patients admitted to our hospital between June 2024 and June 2025.Among them,52 patients were assigned to the music narrative group and received musicoriented narrative nursing,while 48 patients were assigned to the conventional group and received conventional nursing.The intervention duration for both groups was 12 weeks.The Mini-Mental State Examination(MMSE)scores,Activities of Daily Living(ADL)scale scores,Hamilton Depression Rating Scale(HAMD)scores,and Hamilton Anxiety Rating Scale(HAMA)scores were compared between the two groups before and after the intervention.Results Before the intervention,there were no statistically significant differences in any of the indicators between the two groups(all P>0.05).After the intervention,the MMSE scores in the music narrative group was higher than the conventional group,while the ADL,HAMD and HAMA scores were lower than those in the conventional group(all P<0.05).Conclusion Music-oriented narrative nursing can effectively improve cognitive function and daily living ability in AD patients,while alleviating negative emotions,making it worthy of clinical promotion.
作者
刘叶青
钟凤元
刘文娟
赖晓晓
Liu Yeqing;Zhong Fengyuan;Liu Wenjuan;Lai Xiaoxiao(Ganzhou Third People’s Hospital,Ganzhou,Jiangxi 341000,China)
出处
《首都食品与医药》
2026年第4期139-142,共4页
Capital Food Medicine
关键词
音乐导向叙事护理
阿尔茨海默病
认知功能
生活能力
负性情绪
Music-guided narrative nursing
Alzheimer’s disease
Cognitive function
Daily living ability
Negative emotions
