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轻度阿尔茨海默病或轻度认知障碍老年人日常生活活动表现与日常技术使用之间的关联。

Associations between performance of activities of daily living and everyday technology use among older adults with mild stage Alzheimer's disease or mild cognitive impairment.

作者信息

Ryd Charlotta, Nygård Louise, Malinowsky Camilla, Öhman Annika, Kottorp Anders

机构信息

Department of Neurobiology, Care Sciences and Society, Karolinska Institutet , Stockholm , Sweden.

出版信息

Scand J Occup Ther. 2015 Jan;22(1):33-42. doi: 10.3109/11038128.2014.964307. Epub 2014 Oct 20.

Abstract

BACKGROUND

The use of everyday technology (ET) is important for many activities in daily life (ADL) and can be especially challenging for older adults with cognitive impairments.

OBJECTIVE

The aim was to explore associations between ADL performance and perceived ability to use ET among older adults with mild stage Alzheimer's disease (AD) and mild cognitive impairment (MCI). ADL motor and process ability, and ability to use ET were also compared between the groups.

METHODS

Participants with AD (n = 39) and MCI (n = 28) were included. Associations and group differences were explored with non-parametric statistics.

RESULTS

Significant correlations were found between ADL process ability and ET use in both groups (Rs = 0.44 and 0.32, p < 0.05), but for ADL motor ability and ET use, correlations were only found in the MCI group (Rs = 0.51, p < 0.01). The MCI group had significantly higher measures of ADL process ability (p < 0.001) and ET use (p < 0.05).

CONCLUSION

ADL performance ability and perceived ability to use ET are important to consider in evaluations of older adults with cognitive impairments. Group differences indicate that measures of ADL performance ability and ET use are sensitive enough to discriminate the MCI group from the AD group with individually overlapping measures.

摘要

背景

日常技术(ET)的使用对日常生活活动(ADL)中的许多活动都很重要,对于有认知障碍的老年人来说可能尤其具有挑战性。

目的

旨在探讨轻度阿尔茨海默病(AD)和轻度认知障碍(MCI)老年人的ADL表现与感知ET使用能力之间的关联。还比较了两组之间的ADL运动和过程能力以及ET使用能力。

方法

纳入了患有AD(n = 39)和MCI(n = 28)的参与者。使用非参数统计方法探讨关联和组间差异。

结果

两组中ADL过程能力与ET使用之间均存在显著相关性(Rs = 0.44和0.32,p < 0.05),但对于ADL运动能力与ET使用,仅在MCI组中发现相关性(Rs = 0.51,p < 0.01)。MCI组的ADL过程能力(p < 0.001)和ET使用(p < 0.05)的测量值显著更高。

结论

在对有认知障碍的老年人进行评估时,ADL表现能力和感知ET使用能力是重要的考虑因素。组间差异表明,ADL表现能力和ET使用的测量足够敏感,可以在个体测量值有重叠的情况下区分MCI组和AD组。

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