摘 要
随着全球人口老龄化的加剧，老年痴呆症的发病率逐年上升，其对患者及其家庭的心理健康构成了严峻挑战，因此在护理过程中引入有效的心理干预策略显得尤为重要。本研究旨在探讨适合老年痴呆患者的多种心理干预方法，并评估其对患者情绪状态及认知功能的影响研究采用随机对照试验设计，选取200名确诊为轻中度老年痴呆的患者作为研究对象，将其分为实验组和对照组实验组接受为期6个月的综合心理干预，包括认知行为疗法、音乐疗法、社交互动训练等，而对照组仅接受常规护理通过标准化量表评估两组患者的情绪变化、认知水平及生活质量结果表明，实验组患者在抑郁焦虑症状缓解、认知能力维持以及社会参与度提升方面均显著优于对照组，差异具有统计学意义本研究创新性地将多种心理干预手段整合为系统化方案，强调个性化与持续性的干预模式，为临床护理提供了新思路研究表明，科学合理的心理干预不仅能改善老年痴呆患者的心理健康状况，还能延缓疾病进展，提高其生活质量，具有重要的实践价值和推广意义
关键词：老年痴呆，心理干预，认知行为疗法，音乐疗法，生活质量
Psychological Intervention Strategies in the Care of Patients with Alzheimer's Disease
Abstract
With the intensification of global population aging, the incidence of dementia is increasing year by year, posing a severe challenge to the mental health of patients and their families; thus, the introduction of effective psychological intervention strategies in the care process has become particularly important. This study aims to explore various psychological intervention methods suitable for elderly patients with dementia and evaluate their effects on patients' emotional states and cognitive functions. A randomized controlled trial design was adopted, selecting 200 patients diagnosed with mild to moderate dementia as research subjects, who were divided into an experimental group and a control group. The experimental group received a six-month comprehensive psychological intervention, including cognitive behavioral therapy, music therapy, and social interaction training, while the control group only received routine care. Standardized scales were used to assess changes in emotions, cognitive levels, and quality of life in both groups. The results showed that patients in the experimental group significantly outperformed those in the control group in terms of alleviating depressive and anxiety symptoms, maintaining cognitive abilities, and enhancing social participation, with differences being statistically significant. This study innovatively integrates multiple psychological intervention approaches into a systematic protocol, emphasizing personalized and sustained intervention models, providing new insights for clinical care. The findings indicate that scientifically sound and reasonable psychological interventions not only improve the mental health status of elderly patients with dementia but also delay disease progression and enhance their quality of life, demonstrating significant practical value and potential for promotion.
Key Words：Alzheimer's Disease, Psychological Intervention, Cognitive Behavioral Therapy, Music Therapy, Quality Of Life
目 录
一、绪论 1
（一）老年痴呆患者护理的背景与意义 1
（二）心理干预策略的研究现状分析 2
（三）本文研究方法与技术路线 3
二、心理干预在老年痴呆护理中的理论基础 3
（一）老年痴呆患者的认知与心理特征 4
（二）心理干预的核心理论框架 5
（三）理论指导下的干预目标设定 6
三、心理干预策略的设计与实施 8
（一）干预策略的个性化设计原则 8
（二）家庭支持在心理干预中的作用 9
（三）护理人员的心理干预技能培训 10
四、心理干预效果评估与优化路径 11
（一）干预效果的量化评估方法 11
（二）患者及家属反馈的质性分析 12
（三）提升心理干预有效性的优化建议 13
结论 14
参考文献 15
致 谢 18
随着全球人口老龄化的加剧，老年痴呆症的发病率逐年上升，其对患者及其家庭的心理健康构成了严峻挑战，因此在护理过程中引入有效的心理干预策略显得尤为重要。本研究旨在探讨适合老年痴呆患者的多种心理干预方法，并评估其对患者情绪状态及认知功能的影响研究采用随机对照试验设计，选取200名确诊为轻中度老年痴呆的患者作为研究对象，将其分为实验组和对照组实验组接受为期6个月的综合心理干预，包括认知行为疗法、音乐疗法、社交互动训练等，而对照组仅接受常规护理通过标准化量表评估两组患者的情绪变化、认知水平及生活质量结果表明，实验组患者在抑郁焦虑症状缓解、认知能力维持以及社会参与度提升方面均显著优于对照组，差异具有统计学意义本研究创新性地将多种心理干预手段整合为系统化方案，强调个性化与持续性的干预模式，为临床护理提供了新思路研究表明，科学合理的心理干预不仅能改善老年痴呆患者的心理健康状况，还能延缓疾病进展，提高其生活质量，具有重要的实践价值和推广意义
关键词：老年痴呆，心理干预，认知行为疗法，音乐疗法，生活质量
Psychological Intervention Strategies in the Care of Patients with Alzheimer's Disease
Abstract
With the intensification of global population aging, the incidence of dementia is increasing year by year, posing a severe challenge to the mental health of patients and their families; thus, the introduction of effective psychological intervention strategies in the care process has become particularly important. This study aims to explore various psychological intervention methods suitable for elderly patients with dementia and evaluate their effects on patients' emotional states and cognitive functions. A randomized controlled trial design was adopted, selecting 200 patients diagnosed with mild to moderate dementia as research subjects, who were divided into an experimental group and a control group. The experimental group received a six-month comprehensive psychological intervention, including cognitive behavioral therapy, music therapy, and social interaction training, while the control group only received routine care. Standardized scales were used to assess changes in emotions, cognitive levels, and quality of life in both groups. The results showed that patients in the experimental group significantly outperformed those in the control group in terms of alleviating depressive and anxiety symptoms, maintaining cognitive abilities, and enhancing social participation, with differences being statistically significant. This study innovatively integrates multiple psychological intervention approaches into a systematic protocol, emphasizing personalized and sustained intervention models, providing new insights for clinical care. The findings indicate that scientifically sound and reasonable psychological interventions not only improve the mental health status of elderly patients with dementia but also delay disease progression and enhance their quality of life, demonstrating significant practical value and potential for promotion.
Key Words：Alzheimer's Disease, Psychological Intervention, Cognitive Behavioral Therapy, Music Therapy, Quality Of Life
目 录
一、绪论 1
（一）老年痴呆患者护理的背景与意义 1
（二）心理干预策略的研究现状分析 2
（三）本文研究方法与技术路线 3
二、心理干预在老年痴呆护理中的理论基础 3
（一）老年痴呆患者的认知与心理特征 4
（二）心理干预的核心理论框架 5
（三）理论指导下的干预目标设定 6
三、心理干预策略的设计与实施 8
（一）干预策略的个性化设计原则 8
（二）家庭支持在心理干预中的作用 9
（三）护理人员的心理干预技能培训 10
四、心理干预效果评估与优化路径 11
（一）干预效果的量化评估方法 11
（二）患者及家属反馈的质性分析 12
（三）提升心理干预有效性的优化建议 13
结论 14
参考文献 15
致 谢 18
