3R疗法对社区老年轻度认知功能障碍患者生活质量和主观幸福感的影响

目的观察3R疗法对轻度认知功能障碍患者生活质量和主观幸福感改善的效果。方法在宁波市8 个社区筛查确诊158 例轻度认知功能障碍患者，以美国精神病学会的精神障碍诊断和统计手册第四修订版(DSM-Ⅳ)作为诊断标准，运用蒙特利尔认知量表(MoCA)测评。实验组(n=79)采用3R疗法的往事回忆、现实定向和再激发的训练程序进行训练，共12 周，对照组不干预(n=79)。采用世界卫生组织生活质量测定量表简表(WHOQOL-BREF)进行生活质量评定，费城老年中心信心量表(PGC)进行主观幸福感评定。结果干预后，实验组生活质量、主观幸福感较干预前改善(P<0.05)，且对照组提高(P<0.05)。结论3R疗法可有效提高轻度认知功能障碍患者的生活质量和主观幸福感。

Effect of 3R Therapy on Quality of Life and Subjective Well-being in Older Patients with Mild Cognitive Impairment in Ningbo Communities

Objective To observe the effect of 3R therapy on quality of life and subjective well-being in older patients with mild cognitive impairment (MCI). Methods 158 patients with MCI were collected from 8 communities in Ningbo city with Diagnostic and Statistical Manual of Mental Disorders (DSM)-IV as the diagnostic criteria, and assessed by Montreal Cognitive Assessment (MoCA). The experimental group (n=79) was intervened by 3R (Reminiscence, Reality Orientation, Remotivation) for 12 weeks, and the control group (n=79) received no intervention. Their quality of life was assessed with WHO Quality of Life-BREF (WHOQOL-BREF) and the subjective well-being was assessed with Philadelphia Geriatric Center Morale Scale (PGC). Results Their quality of life and subjective well-being improved after intervention in the experimental group (P<0.05), and were better in the experimental group than in the control group (P<0.05). Conclusion 3R therapy could effectively improve the quality of life and subjective well-being in patients with MCI.