认知功能衰退人群日常技术使用与活动参与度的关系
Everyday Technology Use Related to Activity Involvement Among People in Cognitive Decline.
作者信息
Hedman Annicka, Nygård Louise, Kottorp Anders
机构信息
Annicka Hedman, PhD, OT Reg, is Postdoctoral Fellow, Division of Occupational Therapy, Department of Neurobiology, Care Sciences and Society, Division of Occupational Therapy, Karolinska Institutet, Huddinge, Sweden;
Louise Nygård, PhD, OT Reg, is Professor, Division of Occupational Therapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden.
出版信息
Am J Occup Ther. 2017 Sep/Oct;71(5):7105190040p1-7105190040p8. doi: 10.5014/ajot.2017.027003.
OBJECTIVE
We investigated how everyday technology use related to activity involvement over 5 yr in people with mild cognitive impairment.
METHOD
Thirty-seven older adults with mild cognitive impairment were evaluated regarding everyday technology use and involvement in activities over time. Information on diagnostic changes was collected from medical files. Linear mixed-effects models were used in data analysis.
RESULTS
Ability to use everyday technology showed a significant effect on activity involvement (p = .007) beyond the effects of time, diagnostic change, and age. Decreases in number of everyday technologies used (p < .001) and share of accessible and relevant everyday technologies used (p = .04) were associated with decreasing activity involvement. However, these two aspects did not reinforce each other.
CONCLUSION
When monitoring activity involvement in clients with cognitive decline, health care professionals should take into account clients' ability to use everyday technologies and the amount of everyday technologies they use.
目的
我们研究了轻度认知障碍患者日常技术使用与5年活动参与度之间的关系。
方法
对37名患有轻度认知障碍的老年人的日常技术使用情况以及一段时间内的活动参与情况进行了评估。从医疗档案中收集了有关诊断变化的信息。数据分析采用线性混合效应模型。
结果
日常技术使用能力对活动参与度有显著影响（p = 0.007），超出了时间、诊断变化和年龄的影响。使用的日常技术数量减少（p < 0.001）以及可获取且相关的日常技术使用比例下降（p = 0.04）与活动参与度降低相关。然而，这两个方面并未相互强化。
结论
在监测认知功能下降患者的活动参与度时，医疗保健专业人员应考虑患者使用日常技术的能力以及他们使用的日常技术数量。
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