Williams Kristine N
University of Kansas School of Nursing, Kansas City, KS, USA.
Rehabil Nurs. 2011 Nov-Dec;36(6):225-32. doi: 10.1002/j.2048-7940.2011.tb00087.x.
This pilot study tested an intervention designed to improve memory for assisted-living (AL) residents. Seven residents in one Midwestern AL facility participated in a six-session memory program based on qualitative research that identified typical memory challenges of residents (e.g., remembering names, schedules, and appointments). Scores on memory self-efficacy (the Memory Complaint in Age-Associated Impairment) and performance (Rivermead Behavioral Memory Test) measures were compared before and after the intervention. Self-efficacy improved significantly after the program (z = 2.37, p = .018) for remembering names, phone numbers, lists of items, and facts. Increases in actual memory performance were not statistically significant. However, three out of seven participants (43%) improved in recalling first and last names. Ongoing testing on larger samples with a control group design is needed to verify effects and determine any effects on daily functioning. This study suggests that cognitive interventions targeting frail elder populations are feasible to provide to older adults in AL.
这项试点研究测试了一项旨在改善辅助生活(AL)居民记忆力的干预措施。中西部一个辅助生活设施中的七名居民参加了一个基于定性研究的为期六节的记忆项目,该研究确定了居民典型的记忆挑战(例如,记住名字、日程安排和预约)。在干预前后,对记忆自我效能感(年龄相关损伤中的记忆投诉)和表现(里弗米德行为记忆测试)指标的得分进行了比较。项目结束后,在记住名字、电话号码、物品清单和事实方面,自我效能感有显著提高(z = 2.37,p = 0.018)。实际记忆表现的提高在统计学上并不显著。然而,七名参与者中有三名(43%)在回忆名字方面有所改善。需要采用对照组设计对更大样本进行持续测试,以验证效果并确定对日常功能的任何影响。这项研究表明,针对体弱老年人群体的认知干预措施对辅助生活中的老年人来说是可行的。