基于严肃游戏的双重任务训练对养老机构轻度认知障碍老年人的干预效果

Effects of dual-task training based on serious games

目的 评价基于严肃游戏的双重任务训练对养老机构轻度认知障碍老年人的干预效果。方法 将60例养老机构轻度认知障碍老年人按照居住的社会福利院分为对照组和干预组各30例。对照组采取常规的生活照护及文体娱乐活动干预,干预组在对照组的基础上给予基于严肃游戏的平板游戏及有氧运动双重任务训练12周。结果 干预组和对照组分别25例、26例老年人完成研究。干预后,干预组简版老年抑郁量表评分显著低于对照组,蒙特利尔认知评估量表评分及生活质量简表的生理总评分、心理总评分显著高于对照组(均P<0.05),两组日常生活能力量表评分差异无统计学意义(P>0.05)。结论 基于严肃游戏的双重任务训练有助于提高养老机构轻度认知障碍老年人的认知功能,改善抑郁情绪,提高生活质量。

Objective To evaluate the intervention effects of dual-task training based on serious games for older adults with mild cognitive impairment(MCI) residing in nursing homes.Methods Sixty older adults with MCI from nursing homes were divided into a control group(n=30) and an intervention group(n=30) based on their place of residence.The control group received conventional care and recreational activities,while the intervention group additionally received a 12-week dual-task training program consisting of tablet games based on serious games and aerobic exercises.Results A total of 25 participants in the intervention group and 26 participants in the control group completed the study.After the intervention,the Geriatric Depression Scale score in the intervention group was statistically significant lower than that of the control group,and its scores of the Montreal Cognitive Assessment and the physical and psychological domains of the short form Quality Life Scale were statistically significant higher than those in the control group(all P<0.05).While there was no statistically significant difference in the scores of the Activity of Daily Living Scale between the two groups(P>0.05).Conclusion Dual-task training based on serious games is beneficial for improving cognitive function for older adults with MCI in nursing homes,alleviating their depressive symptoms,and enhancing their quality of life.