Altern Ther Health Med. 2024 Sep;30(9):415-419.
Alzheimer's disease (AD) is a major disease that affects neurological, cognitive, and memory functions in older adults, and care for AD patients needs to be more specialized and targeted.
To analyze the effect of music and art combined with Kinect game therapy as a special care on improving cognitive function and alleviating negative emotions in AD patients in a nursing facility.
One hundred AD patients admitted to a residential aged care facility in Changsha, Hunan Province, China, from December 2020 to December 2022, were selected as the study subjects. They were divided into the observation group (OG; n=50) for special care of music art combined with Kinect game therapy and the control group (CG; n=50) for conventional care. The activities of daily living scale (ADL) and mini-mental state examination (MMSE) were used to assess the neurological and cognitive functional changes in the two groups before and after the nursing intervention. The Pittsburgh sleep quality index (PSQI) and self-rating scale of sleep (SRSS) were used to assess the quality of sleep in both groups, and the GQOL-74 scale was used to evaluate the quality of life before and after the intervention. The negative emotions were tested by the self-rating anxiety scale (SAS) and self-rating depression scale (SDS). Finally, patient satisfaction with the care was investigated.
After the nursing intervention, scores of ADL, PSQI, SRSS, SAS and SDS of the OG were lower compared with the CG, while MMSE and GQOL-74 scores were higher (P < .05). The results of the nursing satisfaction survey were also higher in the OG than in the CG (P < .05).
The combined music and art therapy with Kinect game therapy in elderly institutions can effectively enhance AD patients' neurological and cognitive functions, improve their sleep and quality of life, and alleviate negative emotions.
阿尔茨海默病（AD）是一种主要疾病，会影响老年人的神经、认知和记忆功能，对 AD 患者的护理需要更加专业和有针对性。
分析音乐和艺术结合 Kinect 游戏治疗作为特殊护理对改善养老院 AD 患者认知功能和缓解负性情绪的效果。
选择 2020 年 12 月至 2022 年 12 月期间在湖南省长沙市某养老院收治的 100 例 AD 患者作为研究对象，分为观察组（OG；n=50）接受音乐艺术结合 Kinect 游戏治疗的特殊护理和对照组（CG；n=50）接受常规护理。采用日常生活活动量表（ADL）和简易精神状态检查（MMSE）评估两组护理干预前后的神经认知功能变化，匹兹堡睡眠质量指数（PSQI）和睡眠自评量表（SRSS）评估两组的睡眠质量，采用生活质量综合评定问卷（GQOL-74）评估两组干预前后的生活质量，采用焦虑自评量表（SAS）和抑郁自评量表（SDS）评估两组的负性情绪。最后，调查患者对护理的满意度。
护理干预后，OG 的 ADL、PSQI、SRSS、SAS 和 SDS 评分均低于 CG，而 MMSE 和 GQOL-74 评分均高于 CG（P<0.05）。OG 的护理满意度调查结果也高于 CG（P<0.05）。
在养老院中采用音乐和艺术结合 Kinect 游戏治疗可以有效增强 AD 患者的神经认知功能，改善睡眠和生活质量，缓解负性情绪。
