认知刺激及其对墨西哥老年中心老年人幸福感、执行功能和脑源性神经营养因子的影响:一项准实验研究。

IF 2.4 Q1 NURSING
Nadia Yanet Cortés-Álvarez, César Rubén Vuelvas-Olmos, Leticia Gabriela Marmolejo-Murillo, Elizabeth Sánchez-Duarte, Alfredo Lara-Morales
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引用次数: 0

摘要

背景/目的:老龄化人口的逐渐增加突出表明需要采取旨在保持老年人认知健康和整体福祉的干预措施。本研究旨在评估结构化认知训练计划对心理健康、执行功能表现和脑源性神经营养因子水平(BDNF)的影响,这些老年人来自墨西哥老年医学中心。方法:采用准实验前测后测设计,设非等效对照组。32名老年人被分为认知刺激干预组和对照组。干预包括120个单独结构的会议,每次持续约60分钟,每周提供5次,持续24周。独立神经心理学家,对组分配不知情,评估干预前后的执行功能(BANFE-3)、抑郁症状(Yesavage老年抑郁量表)、日常生活自主性(Barthel指数)和生活质量(WHOQOL-OLD)。同时测定血清BDNF水平。结果:干预组在执行功能、抑郁症状、日常活动独立性和生活质量方面均有显著改善,而对照组无明显变化。此外,干预组干预后BDNF表达增加。结论:认知刺激方案有效地改善了老年人的认知能力、情绪幸福感、自主性和生活质量。这些发现强调了将结构化认知刺激纳入老年护理的重要性。对于护理实践,这强调了护士在提供认知干预以促进机构和非机构老年人的认知健康、独立性和情绪稳定方面可以发挥的关键作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Cognitive Stimulation and Its Effects on Well-Being, Executive Functions, and Brain-Derived Neurotrophic Factor in Older Adults from a Mexican Geriatric Center: A Quasi-Experimental Study.

Background/Objectives: The progressive increase in the aging population highlights the need for interventions aimed at preserving cognitive health and overall well-being in older adults. This study aimed to assess the impact of a structured cognitive training program on psychological well-being, executive function performance, and Brain-Derived Neurotrophic Factor levels (BDNF) in older adults from a Mexican geriatric center. Methods: A quasi-experimental pretest-posttest design with a nonequivalent control group was conducted. Thirty-two older adults were assigned either to a cognitive stimulation intervention group or a control group. The intervention consisted of 120 individually structured sessions, each lasting approximately 60 min, delivered five times per week over 24 weeks. Independent neuropsychologists, blinded to group allocation, assessed executive function (BANFE-3), depressive symptoms (Yesavage Geriatric Depression Scale), autonomy in daily living (Barthel Index), and quality of life (WHOQOL-OLD) before and after the intervention. Serum BDNF levels were also measured. Results: The intervention group showed significant improvements in executive function, depressive symptoms, independence in daily activities, and quality of life, while the control group showed no changes. Additionally, the intervention group showed an increase in BDNF expression post-intervention. Conclusions: The cognitive stimulation program effectively improved cognitive performance, emotional well-being, autonomy, and quality of life in older adults. These findings highlight the importance of integrating structured cognitive stimulation into geriatric care. For nursing practice, this underscores the key role nurses can play in delivering cognitive interventions to promote cognitive health, independence, and emotional stability among institutionalized and non-institutionalized older adults.

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来源期刊
Nursing Reports
Nursing Reports NURSING-
CiteScore
2.50
自引率
4.20%
发文量
78
期刊介绍: Nursing Reports is an open access, peer-reviewed, online-only journal that aims to influence the art and science of nursing by making rigorously conducted research accessible and understood to the full spectrum of practicing nurses, academics, educators and interested members of the public. The journal represents an exhilarating opportunity to make a unique and significant contribution to nursing and the wider community by addressing topics, theories and issues that concern the whole field of Nursing Science, including research, practice, policy and education. The primary intent of the journal is to present scientifically sound and influential empirical and theoretical studies, critical reviews and open debates to the global community of nurses. Short reports, opinions and insight into the plight of nurses the world-over will provide a voice for those of all cultures, governments and perspectives. The emphasis of Nursing Reports will be on ensuring that the highest quality of evidence and contribution is made available to the greatest number of nurses. Nursing Reports aims to make original, evidence-based, peer-reviewed research available to the global community of nurses and to interested members of the public. In addition, reviews of the literature, open debates on professional issues and short reports from around the world are invited to contribute to our vibrant and dynamic journal. All published work will adhere to the most stringent ethical standards and journalistic principles of fairness, worth and credibility. Our journal publishes Editorials, Original Articles, Review articles, Critical Debates, Short Reports from Around the Globe and Letters to the Editor.
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