对患有轻度至中度痴呆症的人进行认知康复
Aleksandra Kudlicka1, Anthony Martyr2, Alex Bahar-Fuchs3,4
1Department of Psychology, University of Exeter, Exeter, UK.
The Cochrane database of systematic reviews
|June 30, 2023
概括
认知康复 (CR) 显著改善了轻度至中度痴呆症患者的日常功能,提高了他们管理日常活动的能力. 这种方法为保持独立性和克服与认知衰退相关的挑战提供了有价值的工具.
科学领域:
- 神经科学是一个神经科学.
- 老年学是一门学科.
- 康复医学 康复医学 康复医学
背景情况:
- 认知障碍是痴呆症患者功能衰退的主要原因.
- 认知康复 (CR) 提供了一个个性化的,以解决方案为中心的策略,以改善轻度至中度痴呆症患者的日常功能和独立性.
研究的目的:
- 评估CR对患有轻度至中度痴呆症的个体日常功能的影响.
- 评估CR对护理伙伴的影响.
- 确定影响CR疗效的因素.
主要方法:
- 六项随机对照试验 (RCT) 的系统审查和元分析,涉及1702名参与者.
- 搜索了多个数据库,包括 MEDLINE, EMBASE, CINAHL, PsycINFO 和 LILACS.
- 评估了与使用GRADEpro GDT实现目标,自我效能,注意力,记忆和生活质量相关的结果.
主要成果:
- 高确定性证据表明,在即时和中期随访中,CR对痴呆症患者的目标实现产生了很大的积极影响.
- 观察到CR对自我有效性和立即回忆的微小积极影响,注意力和记忆的结果各不相同.
- 在中期随访中,护理合作伙伴对生活质量,特别是社会方面产生了微小的积极影响.
结论:
- 认知康复 (CR) 有效地改善轻度至中度痴呆症患者日常活动的管理.
- CR可以成为临床干预的宝贵组成部分,以支持独立性和减轻功能困难.
- 建议进行进一步的研究,包括过程评估,以优化CR对功能能力和整体幸福感的影响.
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