Kao Wei-Chi, Kuo Li-Min, Chuang Yeu-Hui
BSN, RN, Department of Nursing, Taoyuan Armed Forces General Hospital, and Graduate Student, School of Nursing, College of Nursing, Taipei Medical University, Taiwan, ROC.
PhD, RN, Assistant Professor, Department of Gerontological Health Care, College of Nursing, National Taipei University of Nursing and Health Sciences, Taiwan, ROC.
Hu Li Za Zhi. 2019 Feb;66(1):101-106. doi: 10.6224/JN.201902_66(1).12.
Dementia is typically classified into mild, moderate, and severe stages based on symptom severity. Prevention and early diagnosis is one of the care goals for dementia. Mild cognitive impairment (MCI) is a transitional stage between the cognitive changes of normal aging and dementia. Initiating an appropriate treatment regimen and methods at a sufficiently early stage has been shown to be effective in postponing the onset of dementia. Previous studies have confirmed the effectiveness of non-pharmacological treatments in improving the cognitive functions, reducing the onset of the behavioral and psychological symptoms of dementia, and training the physical functions of daily living in patients diagnosed with MCI. Game therapy, in addition to reminiscence therapy, music therapy, cognitive training, cognitive stimulation, and aromatherapy, is one of these non-pharmacological treatments. Moreover, game therapy may be used as a tool to screen individuals for symptoms of dementia. Using easily accessible, user-friendly, and affordable games, patients with dementia and their caregivers may receive their therapy in a more relaxed and enjoyable manner. Patients and their caregivers who perceive a prescribed therapy as a game are expected to exhibit higher motivation to use, which should result in better treatment outcomes. This paper will introduce and compare several games for people with dementia, providing valuable information for caregivers and healthcare professionals who are responsible for caring for patients with dementia.
痴呆症通常根据症状严重程度分为轻度、中度和重度阶段。预防和早期诊断是痴呆症护理的目标之一。轻度认知障碍(MCI)是正常衰老的认知变化与痴呆症之间的过渡阶段。在足够早的阶段启动适当的治疗方案和方法已被证明可有效推迟痴呆症的发病。先前的研究已证实非药物治疗在改善认知功能、减少痴呆症行为和心理症状的发作以及训练被诊断为MCI的患者的日常生活身体功能方面的有效性。游戏疗法除了回忆疗法、音乐疗法、认知训练、认知刺激和芳香疗法外,是这些非药物治疗方法之一。此外,游戏疗法可用作筛查个体是否患有痴呆症症状的工具。使用易于获取、用户友好且价格合理的游戏,痴呆症患者及其护理人员可以更轻松愉快地接受治疗。将规定疗法视为游戏的患者及其护理人员预计会表现出更高的使用积极性,这应会带来更好的治疗效果。本文将介绍和比较几种针对痴呆症患者的游戏,为负责照顾痴呆症患者的护理人员和医疗保健专业人员提供有价值的信息。