社区老年人记忆障碍的记忆训练处方干预效果研究

目的 通过记忆干预6个月后对社区记忆障碍老年人记忆改善情况,进一步探讨社区记忆障碍老年人干预方法及干预时间.方法 随机选取唐山社区Rivermead行为记忆测验第2版(RBMTⅡ)评分＜22分的老年人100例,分为于预组和对照组各50人,干预组进行针对性记忆训练6个月,对照组顺其自然发展.分别在训练3个月、6个月时进行评分.应用SPSS13.0软件进行t检验和方差分析,观察效果.结果 在记忆干预6个月后,试验组RBMTⅡ标准分、立即回忆故事、立即回忆路线、信件回忆、定向、日期、回忆预约、故事延迟同忆、回忆姓名、回忆被藏物品10项评分明显高于对照组,差异有显著性(P＜0.05或P＜0.01).试验组干预6月后RBMTⅡ评分、即刻同忆故事、信息回忆、回忆预约、延迟回忆故事、回忆姓名6项评分比干预前提高,有统计学意义(P＜0.01).试验组RBMTⅡ评分由干预前的(17.10±2.38)分,提高到干预3个月时的(19.90±2.17)分和干预6个月时的(21.63±1.45)分,差异有显著性(P＜0.01).结论 记忆干预明显提高了社区记忆障碍老年人的记忆评分,改善了老年人的记忆力,值得在社区推广.

Abstract：

Objective To investigate the effects of the memory intervention on dysmnesia of elder people in 6 months as well as the intervention method and intervention duration. Methods 100 elderly people in Tangshan communities with memory impairment, with score less than 22 by Rivermead Behavioural Memory Test Second Edition( RBMT Ⅱ) ,were randomly selected and divided into the intervention group(n=50) and control group( n =50). The intervention group were given personalized memory training while the control group just went its normal course. Each group was evaluated with score by RBMT Ⅱ after 3 and 6 months respectively. All the data were made analysis of variance and t test using SPSS 13.0 software. Results After 6 months of intervention, the evaluation scores in the following aspects of the standard score, immediate story recalling, immediate route recalling, letter recalling,orientation, date and appointments recalling, delayed story recalling, name recalling and the hidden recalling were significantly higher than those of control group(P＜ 0. 01 or P＜ 0.05 ). The scores in the standard score,immediate story recalling, imformation recalling, appointments recalling, delayed story recalling, name recalling after 6 months of intervention were significantly higher than those before intervention(P＜ 0.01 or P＜ 0.05). The RBMT Ⅱ score increased significantly from (17.10±2.38 ) before the intervention to ( 19.90 ±2.17) after 3 months of intervention and to( 21.63 ± 1.45 ) after 6 months (P＜0.01). Conclusion Memory intervention is an effective method worthy to be widely spread in the communities in improving the memory of elderly people with dysmnesia.

Research on the memory intervention to dysmnesia of elderly people in community

Objective To investigate the effects of the memory intervention on dysmnesia of elder people in 6 months as well as the intervention method and intervention duration. Methods 100 elderly people in Tangshan communities with memory impairment, with score less than 22 by Rivermead Behavioural Memory Test Second Edition( RBMT Ⅱ) ,were randomly selected and divided into the intervention group(n=50) and control group( n =50). The intervention group were given personalized memory training while the control group just went its normal course. Each group was evaluated with score by RBMT Ⅱ after 3 and 6 months respectively. All the data were made analysis of variance and t test using SPSS 13.0 software. Results After 6 months of intervention, the evaluation scores in the following aspects of the standard score, immediate story recalling, immediate route recalling, letter recalling,orientation, date and appointments recalling, delayed story recalling, name recalling and the hidden recalling were significantly higher than those of control group(P＜ 0. 01 or P＜ 0.05 ). The scores in the standard score,immediate story recalling, imformation recalling, appointments recalling, delayed story recalling, name recalling after 6 months of intervention were significantly higher than those before intervention(P＜ 0.01 or P＜ 0.05). The RBMT Ⅱ score increased significantly from (17.10±2.38 ) before the intervention to ( 19.90 ±2.17) after 3 months of intervention and to( 21.63 ± 1.45 ) after 6 months (P＜0.01). Conclusion Memory intervention is an effective method worthy to be widely spread in the communities in improving the memory of elderly people with dysmnesia.