综合认知训练对社区健康老人推理能力影响的对照研究  

Effects of compositive cognitive training for healthy community elders in reasoning ability： a controlled trial

作　　者：冯威[1] 吴文源[1] 陈优[1] 成燕[1] 李春波[2] 

机构地区：[1]同济大学附属同济医院精神医学科,上海200065 [2]上海交通大学医学院附属精神卫生中心

出　　处：《中华行为医学与脑科学杂志》2011年第12期1125-1127,共3页Chinese Journal of Behavioral Medicine and Brain Science

基　　金：国家科技支撑计划项目（2009BA177803）;国家自然科学基金资助项目（30770769）;上海市自然科学基金资助项目（06ZR14086）;上海市预防精神医学学科建设子项目（05Ⅲ028-09）

摘　　要：目的探索综合认知训练对社区健康老人逻辑推理能力的中短期影响效果。方法对上海市某街道社区老人（年龄／〉70岁）以每50人一组筛查，共有151例老人符合入组标准并同意参加研究，按先后次序分为认知训练干预组（90例）和非认知训练组（对照组，61例）。对干预组进行12周（共24次）的综合认知训练（包括推理训练、记忆训练等）。分别于基线、干预结束时、干预后6个月、干预后1年采用中国老年成套神经心理测验（NTBE）对两组进行测查及推理训练前后进行课上瑞文推理测验测评。结果干预组干预阶段推理训练后瑞文推理测验成绩高于训练前，差异具有显著性[（15．54±5．70）分，（10．35±5．10）分，t=-10．595，P〈0．01]。干预组NTBE推理测验3次随访均优于基线且优于对照组，差异具有显著性（P〈0．05或0．01）。结论综合认知训练对社区健康老人推理能力有提高作用且能持续1年有效性。Objective To evaluate the effects of compositive cognitive training on reasoning ability for healthy community elderly. Method All the participants were selected from one district in Shanghai by every 50 samples. 151 community healthy elderly who accorded with the standard were collected at last. They were divided into cognitive intervention group （ n = 90） and control group （ n = 61 ） by sequence. The interventions （includes reasoning,memory training, et al） were conducted in 24 sessions over 12 weeks. All individuals were assessed by Neuropsychologieal Test Battery for Elderly （NTBE） at baseline,follow-up,half a year follow-up and one year fol- low-up phase,and Raven＇ sStandard Progressive Matrices on reasoning classes. Results The scores of Raven＇ s Standard Progressive Matrices were significantly higher after reasoning training in intervention group （（ 15.54 ± 5.70） , （ 10.35 ± 5.10） , t = 3. 595, P 〈 0.01 ）. Compared with baseline, the reasoning test scores of NTBE were significantly higher after cognitive intervention in treatment group at follow-up phase, and were also significantly higher than control group （P 〈 0.05 or P 〈 0.01 ）. Conclusion Results support the effectiveness of compositive cognitive training in improving reasoning ability are positive, and can last for one year.

关 键 词：社区精神卫生服务 老年人 推理能力 干预研究 

分 类 号：R749.1[医药卫生—神经病学与精神病学]