数智化认知训练对社区老年轻度认知障碍患者认知功能的影响OA
Effects of digital and intelligent cognitive training on cognitive function of elderly community residents with mild cognitive impairment
目的 探讨应用数智化认知训练对延缓社区老年轻度认知障碍(MCI)患者认知功能下降的效果.方法 纳入60 例老年 MCI 患者作为研究对象,随机分为对照组30 例,干预组30 例.对照组接受辖区社工站的志愿者服务和社区卫生服务中心提供的常规护理和健康教育服务;干预组在对照组的基础上增加认知训练强化课程和为期12 周(90 min/周)的数智化认知训练.干预12 周后,采用协方差分析评估干预组相较对照组对于改善认知功能的效果,并分析依从性与认知功能改善的相关性.结果 采用协方差分析控制混杂因素,干预12 周后,干预组 MMSE 评分显著高于对照组[调整后差值为3.21(95%CI:1.60～4.73),P<0.001],而 AD8 评分显著低于对照组[调整后差值为-0.72(95%CI:-1.10～-0.33),P=0.001].非参数敏感性分析显示,干预12 周后,干预组 MMSE 评分提升幅度和 AD8 评分下降幅度均大于对照组(均P<0.05).干预前后的组内比较分析显示,干预12 周后,干预组 MMSE 评分较干预前显著提升(P<0.001),AD8 评分较干预前显著下降(P<0.001);而对照组干预后较干预前均无显著变化(P>0.05).训练总时长和训练达标周数与MMSE 评分干预前后差值均呈现显著正相关性(P<0.05).结论 应用数智化认知训练系统进行认知训练能有效提高社区老年 MCI 患者的认知能力,且训练依从性越高,认知功能改善越显著.该训练有利于老年人养成脑健康理念,值得在社区医疗机构进一步推广.
Objective To explore the effects of digital and intelligent cognitive training on delaying the decline of cognitive function in elderly community residents with mild cognitive impairment(MCI).Methods A total of 60 elderly community residents with MCI were recruited and randomly divided into control group(n=30)and intervention group(n=30).The control group received volunteer services from the local social work station,along with routine nursing and health education services provided by the community health center.In addition to these services,the intervention group received enhanced cognitive training courses and a 12-week(90 min/week)digital and intelligent cognitive training program.After the 12-week intervention,the analysis of covariance(ANCOVA)was used to compare the improvement effects of cognitive functions between the two groups.Furthermore,the correlation between training compliance and cognitive improvement was analyzed.Results After controlling for confounding factors using ANCOVA,after 12 weeks of intervention,mini-mental state examination(MMSE)score of the intervention group was significantly higher than that of the control group[adjusted mean difference:3.21(95%CI:1.60--4.73),P<0.001],while the AD8 score was significantly lower than that of the control group[adjusted mean difference[-0.72(95%CI:-1.10---0.33),P=0.001].Non-parametric sensitivity analysis indicated that the magnitude of MMSE score improvement and AD8 score reduction in the intervention group were both significantly greater than those in the control group(both P<0.05).Intra-group comparisons analysis before and after the intervention revealed that the intervention group had a significant increase in MMSE scores(P<0.001)and a significant decrease in AD8 scores(P<0.001)after 12 weeks,whereas no significant changes were observed in the control group(P>0.05).Both the total training duration and the number of weeks meeting training standards showed a significant positive correlation with the difference in MMSE scores before and after intervention(P<0.05).Conclusion The application of the digital and intelligent cognitive training system can effectively improve the cognitive abilities of elderly community residents with MCI.Moreover,higher training compliance is associated with more pronounced cognitive improvements.This training is beneficial for the elderly to develop a concept of brain health and is worthy of further promotion in community medical institutions.
徐祁新;廖婧;蔡爱武;陈柱章;孙瑞妮;黄志杰;植靖怡;黎俊勇;苏伟扬;沈沃洪
广州市番禺区石碁镇社区卫生服务中心,广东 广州 511450||澳门科技大学医学院,中国澳门特别行政区 999078中山大学公共卫生学院,广东 广州 510055广州市番禺区石碁镇社区卫生服务中心,广东 广州 511450广州市番禺区石碁镇社区卫生服务中心,广东 广州 511450中山大学公共卫生学院,广东 广州 510055澳门科技大学医学院,中国澳门特别行政区 999078||广州市番禺区大石街社区卫生服务中心,广东 广州 511430中山大学公共卫生学院,广东 广州 510055广州市番禺区石碁镇社区卫生服务中心,广东 广州 511450广州市番禺区石碁镇社区卫生服务中心,广东 广州 511450广州市番禺区石碁镇社区卫生服务中心,广东 广州 511450
数智化认知训练社区老年人轻度认知障碍认知功能干预效果
digital and intelligent cognitive trainingelderly community residentsmild cognitive impairmentcognitive functionintervention effect
《老年医学与保健》 2026 (2)
175-181,7
广州市卫生健康科技一般引导项目(20261A011112)广州市卫生健康科技两新项目(20261A040016)广州市番禺区科技计划医疗卫生项目(2025-Z04-94,2024-Z04-105)
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