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淺談失智症遊戲

Introduction to Games for People With Dementia

摘要


失智症依症狀嚴重度可分為輕度、中度及重度失智,未發病前的預防及早期診斷為失智症的照護重點之一。輕度認知功能障礙(mild cognitive impairment, MCI)為正常老化到失智症發病前一個認知功能變化的過渡時期。當病患出現MCI時,若能提早擬定治療方針,決定治療方式,應可延緩部分症狀的惡化。研究已證實非藥物治療可以改善認知退化的程度及減少精神行為症狀的發生,並可訓練失智症患者的日常生活功能。除了常見的懷舊治療、音樂治療、認知訓練、認知刺激及芳香療法外,遊戲治療也是非藥物治療的方式之一。此外,遊戲也可做為評估及篩選潛在危險族群的工具,期望經由容易取得、容易操作並可負擔的遊戲,讓失智症病患及照顧者能以更輕鬆愉悅的方式面對治療,將治療無痕的融入生活休閒中,當治療不再只是治療,將能增強使用動機,達到較優化的治療效果。本篇文章針對數個失智症遊戲進行介紹及比較,以便提供失智症家屬及醫療專業人員在照護失智症患者時的參考。

關鍵字

失智症 遊戲 治療

並列摘要


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.

並列關鍵字

dementia games therapy

參考文獻


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朱育秀、陳箛儀、林宜錚(2015).Wii虛擬實境遊戲於失智症患者認知與平衡及步態之療效:系統性回顧.物理治療,40(3),129–135。[Chu, Y. H., Chen, H. I., & Lin, Y. C. (2015). Effectiveness of Wii game on the cognitive, balance, and gait training in patients with dementia: A systematic review. Formosan Journal of Physical Therapy, 40(3), 129–135.] https://doi.org/10.6215/FJPT.PTS1428692030

被引用紀錄


廖紫涵、陳祐蓉(2023)。應用擬真娃娃治療於阿茲海默症合併精神行為症狀病人之護理經驗新臺北護理期刊25(1),96-106。https://doi.org/10.6540/NTJN.202303_25(1).0009
蘇億玲、曾旻、賴嘉敏、楊雅婷(2022)。應用Natural Helper Model提升失智據點服務成效之推動經驗長庚護理33(1),58-70。https://doi.org/10.6386/CGN.202203_33(1).0006
潘怡欣、簡睿穎、謝婕穎、葉桓安、童蔘美(2022)。提升表達型失語症病人溝通能力嘉基護理22(2),15-25。https://www.airitilibrary.com/Article/Detail?DocID=1816661x-202212-202212260013-202212260013-15-25

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