辅助生活中的推理练习（REAL）：一项可行性研究。
Reasoning Exercises in Assisted Living (REAL): a feasibility study.
作者信息
Williams Kristine N
机构信息
School of Nursing, University of Kansas, Kansas City, Kansas 66160-7502, USA.
出版信息
Issues Ment Health Nurs. 2008 Aug;29(8):797-816. doi: 10.1080/01612840802182813.
Assisted living facility residents are at risk of cognitive decline that can precipitate nursing home placement. Cognitive training protects cognition and leads to maintained self-care for community dwelling elders. This pilot study tested an intervention designed to improve reasoning and everyday problem solving for assisted living residents. Volunteers (N = 4) completed six Reasoning Exercises in Assisted Living (REAL) training sessions provided over one month. Pre-intervention, immediate post-intervention, and three-month follow-up assessments of problem solving were compared. Participants' scores on Everyday Problems for Cognitively Challenged Elderly (EPCCE) increased 20% from pre-(M = 11.00, SD = 8.83) to post-intervention (M = 19.5, SD = 8.35, t = -312, p = .05). After three months, participants showed sustained EPCCE score improvement (M = 21.75, SD = 4.57, t = -3.95, p = .03).
辅助生活设施中的居民存在认知能力下降的风险，这可能促使他们被安置到养老院。认知训练可以保护认知能力，并使社区居住的老年人能够维持自我护理能力。这项试点研究测试了一种旨在改善辅助生活居民推理能力和日常问题解决能力的干预措施。志愿者（N = 4）在一个月内完成了六次辅助生活中的推理练习（REAL）培训课程。比较了干预前、干预后即刻以及三个月随访时的问题解决能力评估。参与者在针对认知障碍老年人的日常问题（EPCCE）上的得分从干预前（M = 11.00，SD = 8.83）提高到干预后（M = 19.5，SD = 8.35，t = -3.12，p = .05），提高了20%。三个月后，参与者的EPCCE得分持续改善（M = 21.75，SD = 4.57，t = -3.95，p = .03）。
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