叠杯运动训练对老年轻度认知障碍患者的干预作用研究

Effect of cup-stacking task in the elderly with mild cognitive impairment

目的探讨叠杯运动训练对老年轻度认知障碍患者的干预疗效。方法将48例老年轻度认知障碍患者随机分为对照组与观察组各24例。对照组采取常规门诊管理,观察组在此基础上进行为期6个月的叠杯运动训练干预。干预前、干预6个月后进行认知功能、日常生活能力、睡眠质量及抑郁评价,干预后对观察组患者进行访谈。结果对照组20例、观察组23例完成研究。干预前后观察组蒙特利尔认知评估量表、华山版听觉词语学习测验、日常生活能力评分显著高于对照组(均P<0.05);访谈结果显示,患者均表示从叠杯运动训练中能获得一定的益处,90.48%患者希望能长期参加该项锻炼或参与类似训练。结论叠杯运动训练有助于改善老年轻度认知障碍患者的认知功能,提高其生活自理能力。

Objective To explore the effect of cup-stacking task on cognitive function of elderly patients with mild cognitive impairment(MCI).Methods Forty-eight elderly patients with MCI were selected and randomly divided into a control group(n=24)and an experimental group(n=24).Both groups received routine outpatient management,while the experimental group was additionally provided with a 6-month cup-stacking intervention.Before and after the intervention,both groups were evaluated using the Montreal Cognitive Assessment(MoCA),the Auditory Verbal Learning Test-Huashan version(AVLT-H),the Alzheimer′s Disease Cooperative Study-Activities of Daily Living scale(ADCS-ADL),the Pittsburgh Sleep Quality Index(PSQI)and the 30-Geriatric Depression Scale(GDS-30).Moreover,after the intervention,the experimental group was interviewed.Results Twenty cases of the control group and 23 of the experimental group completed the study.Before and after the intervention,the average scores of MoCA,AVLT-H and ADCS-ADL of the experimental group were significantly higher than the control group(P<0.05).All interviewees reported that they benefited much from the intervention,and 90.48%of them hoped to participate in this exercise or similar training in the long term.Conclusion Cup-stacking can help improve cognitive function and self-care ability of elderly patients with MCI.