Mochizuki-Kawai Hiroko, Kotani Izumi, Mochizuki Satoshi, Yamakawa Yuriko
Institute of Vegetable and Floriculture Science, National Agriculture and Food Research Organization, Tsukuba, Japan.
Graduate School of Humanities and Social Sciences, University of Tsukuba, Tsukuba, Japan.
Front Psychol. 2018 Aug 3;9:1328. doi: 10.3389/fpsyg.2018.01328. eCollection 2018.
We attempted to clarify positive benefits in cognitive abilities and motivation during our cognitive intervention [structured floral arrangement (SFA) program] for patients with neurocognitive disorder due to stroke, traumatic brain injury (TBI), and other related disorders. In this SFA program, participants are required to arrange cut flowers and leaves on absorbent foam according to an instruction sheet. In a previous study of patients with schizophrenia, our SFA program encouraged participants and contributed to stimulating their visuospatial process and memory. Here, 27 patients with neurocognitive disorders participated in this study. Sixteen patients were assigned to an SFA-treated group and participated in six sessions during two phases plus to daily activities. Eleven non-treated patients engaged only daily activities during the same period. We compared Apathy Scale scores and neuropsychological scores between the SFA-treated and non-treated patients. Their mean attendance rate was more than 90% during the two phases. SFA-treated patients copied a Rey-Osterrieth complex figure more accurately than non-treated patients ( < 0.05) during the later intervention phase, whereas during the earlier phase, accuracy was comparable between treated and non-treated groups. In the SFA-treated group, recall scores also improved ( < 0.01), and the positive outcomes were maintained for about 3 months ( < 0.05). The Apathy Scale scores did not show significant change in either the SFA-treated or non-treated groups. Our present results suggest that the SFA program encouraged continuous participation to cognitive intervention and was useful for ameliorating dysfunctions in visuospatial memory and recognition in patients with neurocognitive disorder.
我们试图在针对因中风、创伤性脑损伤（TBI）及其他相关疾病导致神经认知障碍的患者所开展的认知干预[结构化插花（SFA）项目]中，阐明其在认知能力和动机方面的积极益处。在这个SFA项目中，参与者需根据说明书在吸水泡沫上摆放切花和叶子。在之前一项针对精神分裂症患者的研究中，我们的SFA项目激发了参与者的积极性，并有助于刺激他们的视觉空间处理能力和记忆力。在此，27名神经认知障碍患者参与了本研究。16名患者被分配到SFA治疗组，在两个阶段参加了六次课程，并参与日常活动。11名未接受治疗的患者在同一时期仅参与日常活动。我们比较了SFA治疗组和未治疗组患者的冷漠量表得分和神经心理学得分。在两个阶段中，他们的平均出勤率超过90%。在后期干预阶段，SFA治疗组患者临摹雷-奥斯特里思复杂图形比未治疗组患者更准确（<0.05），而在早期阶段，治疗组和未治疗组的准确率相当。在SFA治疗组中，回忆得分也有所提高（<0.01），且积极结果维持了约3个月（<0.05）。冷漠量表得分在SFA治疗组和未治疗组中均未显示出显著变化。我们目前的结果表明，SFA项目促进了对认知干预的持续参与，并且有助于改善神经认知障碍患者视觉空间记忆和识别方面的功能障碍。
