戲劇治療於失智症照護之應用

Application of Drama Therapy in Dementia Care

全世界失智症者的盛行率隨著人口老化而倍 增，許多研究證實非藥物治療，可降低患者精神行 為狀態及提升生活品質。戲劇治療為失智症非藥物 治療方法之一，其是透過劇場與心理治療結合而 成，運用演戲的歷程，促成行為改變與心理發展。 許多國外研究發現，戲劇治療對於失智症照護有正 向之成效，然而國內本土之應用上仍未有文獻探 討。因此，本文將論述國外戲劇治療於失智症照護 之應用現況，以及分析戲劇治療在失智症照護應用 上所遭遇的困難，包含：戲劇治療執行者、戲劇 治療應用方式、戲劇治療步驟與教案內容、戲劇 治療研究等方面，並提出相關建議，以供台灣未 來應用、推展或研究戲劇治療於失智症照護之參 考。（澄清醫護管理雜誌 2020；16（4）：73-78）

The prevalence of dementia has increased twofold with the growth of the elderly population. Many studies have confirmed that non-pharmacological interventions can reduce behavioral and psychological symptoms of dementia in patients and improve their quality of life. As one of the non-pharmacological interventions for dementia care, drama therapy is a combination of theater and psychotherapy that uses the process of performance to promote behavioral change and psychological development. Many foreign studies have found that drama therapy has positive effects on dementia care. However, there has been no research about this issue in Taiwan. Therefore, this article examined the current application of drama therapy in dementia care in foreign countries and analyzed related difficulties encountered in Taiwan, including drama therapists and application methods, procedures and teaching plans, and drama therapy research. Based on these difficulties, this article provided relevant suggestions for the future application, promotion, or research of drama therapy in dementia care in Taiwan. (Cheng Ching Medical Journal 2020; 16(4): 73-78)