对社区老人认知功能干预的近期效果

目的:探索对社区老人认知功能干预的近期效果。方法:对某社区65岁以上自愿参加的老人进行为期12周(共24次)的认知功能干预;采用老年成套神经心理测验(NTBE),比较干预组(44名自愿参加的老人)和对照组(51名完成基线和随防评估的老人)认知功能差异。结果:在干预前后两组NTBE的自身比较中:干预组在视觉匹配和推理等项目得分的差异有统计学意义,对照组在运动测验、前摄抑制和学习效应指数等得分的差异有统计学意义。通过Logistic回归分析,认知干预和NTBE相关的项目如下:听觉词汇学习4正确、听觉词汇学习4重复、分类测验、小标记测验、视觉匹配和推理、听觉词汇8插入和连线测验1顺序提示数共7项,均呈正相关。结论:综合认知训练干预在短期内能改善或延缓部分认知功能的衰退,逻辑推理能力是社区老人认知干预的易感领域。

Short-term effect of cognitive training intervention in community elders

Objective:To explore the short-term effect of cognitive training intervention in community elders.Method:The volunteer elders aged more than 65 in one community were conducted the cognitive training intervention for 12 weeks(totally 24 times).We compared the cognitive function difference between invention group(44 volunteer elders participating in the cognitive intervention training)and control group(51 elders only finishing basement and follow-up evaluation)by neuropsychological tests battery for eladerly(NTBE).Results:In self-comparison of NTBE between before and after cognitive training intervention,there were significant differences in scores of visual matching and reasoning item in intervention group,and in scores of motor testing,proactive inhibition and learning efficacy index item in control group.Cognitive training intervention were positively correlated with the items of NTBE,such as right number for listening and learning words 4,repeating number for listening and learning words 4,sort test,small sign test,visual matching and reasoning,inserting for listening words 8 and hint times for sequence of 1 in connected line test.Conclusion:Cognitive training intervention can improve short-term cognitive function or postpone part of cognitive dysfunction.