轻度阿尔采默氏病病人智力竞技休闲型活动训练研究  

A study on training by recreational activities of intelligence tournament in patients with mild Alzheimer's disease

作　　者：张丽[1] 居丽晶[1] 

机构地区：[1]济宁市精神病防治院,272051

出　　处：《中国实用护理杂志》2004年第9期54-55,共2页Chinese Journal of Practical Nursing

摘　　要：目的　探讨轻度阿尔采默氏病 (AD)人智力竞技休闲型活动训练的效果。方法　 5 6例轻度AD病人分为智力活动组 (30例 )和非智力活动组 (2 6例 ) ,智力活动组给予 1年的智力竞技休闲型活动训练 ;采用痴呆严重程度临床评定量表 (CDR)、简易精神状态检查量表 (MMSE)、成人韦氏记忆量表 (WMS)、日常生活能力量表 (ADL)在入组时和 1年后评定其认知功能及日常生活能力。结果　通过有目的的智力竞技休闲型活动训练 ,1年后 2组病人MMSE评分、ADL评分、WMS评分差异均有显著性 (均P <0 .0 5 ) ,痴呆程度的演变 ,差异也有显著性 (P <0 .0 5 )。结论　智力竞技休闲型活动训练可以延缓病情发展 ,智力活动可为AD的保护性因素。Objective To study the effect of training by recreational activities of intelligence tournament (RAIT) in patients with mild Alzheimer's disease (AD). Methods 56 patients with mild AD were divided into 2 groups: the trial group with RAIT (30 cases) and the control group without RAIT (26 cases). Clinical Dementia Rating Scale (CDR), Mini-Mental State Examination (MMSE), Wechsler Memory Scale for Adult (WMS) and Activity of Daily Living Scale (ADL) had been used to assessed cognitive function and daily life function at start of study and after 1 year training. Results A significant difference between two groups had appeared in scores of MMSE, ADL and WMS (P<0.05), and in degrees of evolvement of dementia (P<0.05), too. Conclusions Training RAIT would suspend development of dementia in patients with mild Alzheimer's disease (AD). It suggests that intelligent activities is one of the protective factors.

关 键 词：阿尔采默氏病 智力竞技 休闲型活动训练 痴呆严重程度临床评定量表 简易精神状态检查量表 

分 类 号：R473.74[医药卫生—护理学]