不同神经认知干预方法对健康老年人功能性的有效性:系统性审查
Susana Sáez-Gutiérrez1, Eduardo J Fernandez-Rodriguez1,2, Celia Sanchez-Gomez2,3
1Department of Nursing and Physiotherapy, University of Salamanca, 37007 Salamanca, Spain.
Behavioral sciences (Basel, Switzerland)
|February 23, 2024
概括
针对日常认知的神经认知干预措施显示,在老年人中维持功能是有前途的. 传统的认知刺激没有显著的益处,建议使用特定的评估工具进行准确的测量.
科学领域:
- 老年学是一门学科.
- 神经科学是一个神经科学.
- 认知心理学 认知心理学
背景情况:
- 在健康的老年人中,微妙的功能衰退预示着认知衰退.
- 研究神经认知干预措施,以预防性维持功能能力.
研究的目的:
- 评估各种神经认知方法对健康老年人功能性的有效性.
- 为这一群体确定最佳的神经认知干预和评估工具.
主要方法:
- 对2013-2023年间发表的文章进行系统审查,这些文章来自Medline,Scopus和Web of Science.
- 从最初的809个确定中,包括了18个符合条件的试验.
- 分析研究设计,干预措施和结果衡量的异质性.
主要成果:
- 传统的认知刺激没有产生显著的功能益处.
- 基于日常认知的干预表明了更显著的功能益处.
- 日常生活中的仪器活动 (IADL) 尺度表现出有限的灵敏度; 日常生活中的计时仪器活动 (TIADL) 对于检测变化更有利.
结论:
- 专注于日常认知的神经认知干预措施更有效地提高健康老年人的功能.
- 推使用TIADL尺度,而不是IADL,以便在这个人群中进行敏感的功能评估.
- 需要标准化的研究方案和干预措施来实现可泛化的研究结果.
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