CAJ | 학술논문

目的探讨怀旧疗法对轻中度阿尔茨海默病患者的治疗效果。方法选择42例轻、中度阿尔茨海默病性痴呆患者，随机分为干预组（常规治疗+怀旧疗法）和对照组（常规治疗）。在治疗前、治疗3个月后采用简明智能精神状态检查量表（MMSE）和自尊量表（SES）进行疗效评定。结果干预组在接受3个月团体怀旧治疗后，其MMSE评分改善程度较对照组差异无统计学意义（t=0.104，P=0.917）；干预组SES评分在治疗3个月后较干预前明显改善（t=2.520，P=0.020），且与对照组治疗后SES评分比较差异有统计学意义（t=2.238，P=0.031）。结论怀旧疗法可显著提高轻、中度阿尔海默病性痴呆的自尊水平，临床值得推广。
목적탐토부구요법대경중도아이자해묵병환자적치료효과。방법선택42례경、중도아이자해묵병성치태환자，수궤분위간예조（상규치료+부구요법）화대조조（상규치료）。재치료전、치료3개월후채용간명지능정신상태검사량표（MMSE）화자존량표（SES）진행료효평정。결과간예조재접수3개월단체부구치료후，기MMSE평분개선정도교대조조차이무통계학의의（t=0.104，P=0.917）；간예조SES평분재치료3개월후교간예전명현개선（t=2.520，P=0.020），차여대조조치료후SES평분비교차이유통계학의의（t=2.238，P=0.031）。결론부구요법가현저제고경、중도아이해묵병성치태적자존수평，림상치득추엄。
Objective To assess the effects of reminiscence therapy in older people with mild to moderate Alzheimer's dementia. Methods A randomized controlled trial with two parallel arms-an intervention group (n=21) and a usual-care control group (n=21) was carried out. The intervention consists of joint reminiscence groups therapy weekly for twelve consecutive weeks. The primary outcome measures were the cognitive and self-esteem level of people with AD, as assessed by the Mini Mental State Examination (MMSE) and the Self-Esteem Scale (SES). Results After 3month's remi-niscence therapy, the MMSE improvement of the intervention group was almost as the same as the control group (t=0.104, P= 0.917), but the SES in the intervention group was significantly higher than that in the control group (t= 2.238, P=0.031). Conclusion The reminiscence therapy can remarkable improve the self-esteem level of older people with mild to moderate Alzheimer's dementia. This approach is worth to be promoted in clinical practice.