社区可逆认知衰弱老年人运动联合认知干预方案的构建

Construction of an exercise-combined cognitive intervention program among Chinese community-dwelling older adults with reversible cognitive frailty

目的针对社区可逆认知衰弱老年人,构建运动联合认知干预方案。方法采用文献分析法,结合运动和认知干预相关指南、专家共识等制订方案初稿,并通过德尔菲专家咨询形成干预方案。结果纳入专家10名,2轮问卷回收率分别为80%和100%;运动干预方案、认知干预方案的专家权威系数分别为0.90和0.99;各条目重要性评分均数为4.25~5.00分,满分率为0.25~1.00;2轮专家意见的肯德尔和谐系数分别为0.429(P=0.002)、0.545(P=0.031);各条目变异系数为0~0.133。干预方案包括一级指标10个,二级指标24个,三级指标23个。结论社区可逆认知衰弱老年人运动联合认知干预方案科学可靠,可以用于社区可逆认知衰弱老年人,为改善其身体功能和认知功能,延缓不良结局的发生提供参考。

Objective To construct an exercise combined cognitive intervention program for the older adults with reversible cognitive frailty in the community.Methods The first draft of the program was formulated by literature analysis with the reference to guidelines and expert consensuses related to exercise and cognitive intervention.Results 10 experts were included.The recovery rates of the 2 rounds of questionnaires were 80%and 100%,respectively.The expert authority coefficients of the exercise intervention program and cognitive intervention program were 0.90 and 0.99,respectively.The mean importance score of each item was 4.25~5.00,and the full score ratio was 0.25~1.00.The coordination coefficients of expert opinions were 0.429(P=0.002)and 0.545(P=0.031).The coefficient of variation of each item was 0~0.133.The results were credible and desirable.Finally,the exercisecombined cognitive intervention program for older adults with reversible cognitive frailty was formed.Conclusion The exercise combined cognitive intervention program for older adults with reversible cognitive frailty in community is scientific and reliable,and it can be used to improve physical and cognitive functions of older adults,to delay the occurrence and development of adverse outcomes.