[认知干预对阿尔茨海默型早期痴呆患者学习和参与重要休闲活动的长期影响:一项案例研究]。

Véronique Provencher, Nathalie Bier, Thérèse Audet, Lise Gagnon
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引用次数: 7

摘要

完成重要休闲活动的能力下降通常发生在阿尔茨海默氏型痴呆的早期阶段。作为一个长期的影响,它可能最终影响病人的生活质量以及照顾者的生活质量。在之前的一项研究中,一名患有早期DAT的女性(77岁,MMSE: 24/30)在学习了一些任务(例如使用收音机磁带,记住预编程戒指的意义)之后,通过认知干预提高了她在两项休闲活动(听音乐和在小组中祈祷)中的参与度。本研究展示了这种干预对学习任务的保留和对日常生活中休闲活动的自发参与的长期影响。通过直接观察(例如:在没有帮助的情况下使用学习任务的能力)和与照顾者的电话交谈,可以获得任务学习和自发参与活动的措施。这些措施在干预后9至15个月进行。干预结束9个月后,参与者不能再使用收音机盒式磁带,但能够记住预先编程的戒指的意义。同样,她不再听音乐,但仍然参加她的祈祷小组。干预似乎维持参与休闲活动几个月的早期DAT患者,尽管预期的功能下降。这种功能影响可以通过保留特定的学习任务以及强大的外部提示(每日预编程环)来实现,并可以提高DAT患者的生活质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Long-term effect of a cognitive intervention on learning and participation in a significant leisure activity in early dementia of Alzheimer type: a case study].

Decreased ability to accomplish significant leisure activities often occurs in early stages of dementia of Alzheimer type (DAT). As a long term effect, it may eventually affect the quality of life of the patient as well as that of the caregiver's. In a previous study, a woman with early DAT (77 years old, MMSE: 24/30) improved her participation in 2 leisure activities (listening to music and praying in a group) following the learning of a few tasks (e.g. using a radio cassette, remembering the significance of an pre-programmed ring) as a result of a cognitive intervention. The present study presents the long term effect of this intervention on the retention of the learned tasks and on spontaneous participation in both leisure activities of her daily living. Measures of tasks' learning and spontaneous participation in activities have been obtained through direct observation (ex: ability to use the tasks learned without assistance) and telephone conversations with the caregiver. The measures were taken 9 to 15 months post-intervention. Nine months after the end of the intervention, the participant could no longer use the radio cassette, but was able to remember the significance of the pre-programmed ring. Similarly, she stopped listening to music, but still attended her prayer group. The intervention appears to maintain participation in a leisure activity for several months in a patient with early DAT, in spite of expected functional decline. This functional impact can be achieved through retention of specific learned tasks as well as by strong external cues (daily pre-programmed ring), and can increase the quality of life for patients with DAT.

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