【摘要】 【目的】探讨MAKS联合回忆疗法对失智症患者的干预效果。【方法】80例失智症患者随机分为对照组与观察组，每组40例。对照组实施常规干预，观察组接受MAKS联合回忆疗法。比较两组患者干预前后的认知功能[蒙特利尔认知评估量表(MoCA)评分]、激越情绪行为[中文版科恩-曼斯菲尔德激越情绪行为量表(CMAI)评分]、生活自理能力[阿尔茨海默病协作研究-日常生活能力评估量表(ADCS-ADL)评分]、精神行为状况[神经精神问卷(NPI-NH)评分]、生活质量[阿尔茨海默病生活生命质量量表(QOL-AD)评分]的差异。【结果】干预后，观察组MoCA评分高于对照组(P<0.05),CMAI各项评分及总分低于对照组(P<0.05),ADCS-ADL评分高于对照组(P<0.05),NPI-NH评分低于对照组(P<0.05),QOL-AD各项评分高于对照组(P<0.05)。【结论】MAKS联合回忆疗法应用于失智症患者干预中，可有效提升认知功能，缓解激越情绪行为，增强生活自理能力，改善精神行为状况，提升生活质量。更多还原

【Abstract】 【Objective】To investigate the intervention effect of MAKS combined with reminiscence therapy on patients with dementia.【Methods】 Eighty patients with dementia were randomly divided into a control group and an observation group, with 40 patients in each group. The control group received routine interventions, while the observation group was treated with MAKS combined with reminiscence therapy. Differences in cognitive function [Montreal Cognitive Assessment(MoCA) score], agitated emotional and behavioral symptoms [Chinese version of the Cohen-Mansfield Agitation Inventory(CMAI) score], activities of daily living [Alzheimer’s Disease Cooperative Study-Activities of Daily Living(ADCS-ADL) score], neuropsychiatric symptoms [Neuropsychiatric Inventory-Nursing Home Version(NPI-NH) score], and quality of life [Quality of Life in Alzheimer’s Disease(QOL-AD) score] were compared between the two groups before and after the intervention.【Results】 After the intervention, the observation group had higher MoCA scores(P<0.05), lower CMAI scores in all items(P<0.05), higher ADCS-ADL scores(P<0.05), lower NPI-NH scores(P<0.05), and higher QOL-AD scores in all items(P<0.05)than those the control group.【Conclusion】 The application of MAKS combined with reminiscence therapy in the intervention for patients with dementia can effectively improve cognitive function, alleviate agitated emotional and behavioral symptoms, enhance activities of daily living, improve neuropsychiatric status, and enhance quality of life.更多还原