Jahouh Maha, González-Bernal Jerónimo J, González-Santos Josefa, Fernández-Lázaro Diego, Soto-Cámara Raúl, Mielgo-Ayuso Juan
Department of Health Sciences, University of Burgos, 09001 Burgos, Spain.
Department of Biochemistry, Molecular Biology and Physiology, Faculty of Health Sciences, Campus of Soria, University of Valladolid, 42003 Soria, Spain.
Int J Environ Res Public Health. 2021 Feb 7;18(4):1570. doi: 10.3390/ijerph18041570.
As people age, the risk of disease increases and deterioration becomes more noticeable. These changes can increase the risk of cognitive impairment, with negative consequences for the quality of life and the ability to perform activities of daily living (ADLs) in older people, which translate into greater dependence and loss of wellness. This study aimed to determine the impact and effectiveness of the use of the Wii game console (Nintendo Company Limited, Kyoto, Japan) on improving performance of basic and instrumental ADLs, as well as its relationship with cognitive impairment levels and mood in institutionalized older people. A longitudinal study was designed, whose study population consisted of people over 75 years of age who lived in a nursing-home or attended a day care center ( = 80; 45 women). Cognitive status was assessed using Lobo's Mini-Cognitive Examination (MCE) and Global Deterioration Scale (FAST-GDS), while the psychological assessment used the Dementia Apathy Interview and Rating (DAIR), Yesavage scale for Geriatric Depression (EGD-15), and Goldberg Anxiety and Depression Scale (EADG). Differences from T1 to T2 in the control group (control; = 40; 23 women; 83.25 ± 8.78 years; 76.35 ± 13.54 kg) and in the experimental group (Wii; = 40; 22 women; 85.05 ± 8.63 years; 74.60 ± 13.01 kg) were evaluated using a paired Student's -test or Wilcoxon's signed rank test, and a two-way repeated measures analysis of variance (ANOVA) test. Differences in Δ (%) and other tests at T1 and T2 were compared using the independent -test or Mann-Whitney U test, with the treatment category as a fixed factor. The results showed that the Wii video console had a positive influence for older people, increasing cognitive status and levels of ADLs, and psychological status. In addition, a positive correlation between performance of ADLs and cognitive status was observed, as well as a negative correlation with the psychological status. Through a rehabilitation program with a Wii game console in the elderly, depression, anxiety and apathy levels were reduced, accompanied by an increase in memory and attention, as well as in performance of basic and instrumental ADLs.
随着人们年龄的增长，患病风险增加，身体机能衰退也愈发明显。这些变化会增加认知障碍的风险，对老年人的生活质量和日常生活活动（ADL）能力产生负面影响，进而导致他们更加依赖他人，健康状况下降。本研究旨在确定使用Wii游戏机（日本京都任天堂株式会社）对改善机构养老老年人基本和工具性ADL表现的影响及效果，以及其与认知障碍水平和情绪的关系。设计了一项纵向研究，研究对象为75岁以上居住在养老院或参加日间护理中心的人群（n = 80；45名女性）。使用洛博简易认知检查（MCE）和总体衰退量表（FAST - GDS）评估认知状态，心理评估则使用痴呆冷漠访谈与评定量表（DAIR）、老年抑郁耶萨维奇量表（EGD - 15）以及戈德堡焦虑抑郁量表（EADG）。使用配对t检验或威尔科克森符号秩检验以及双向重复测量方差分析（ANOVA）检验评估对照组（对照；n = 40；23名女性；83.25 ± 8.78岁；76.35 ± 13.54 kg）和实验组（Wii；n = 40；22名女性；85.05 ± 8.63岁；74.60 ± 13.01 kg）从T1到T2的差异。使用独立t检验或曼 - 惠特尼U检验比较T1和T2时Δ（%）及其他测试的差异，将治疗类别作为固定因素。结果表明，Wii游戏机对老年人有积极影响，可提高认知状态、ADL水平和心理状态。此外，观察到ADL表现与认知状态呈正相关，与心理状态呈负相关。通过在老年人中开展使用Wii游戏机的康复项目，抑郁、焦虑和冷漠水平降低，同时记忆力、注意力以及基本和工具性ADL的表现均有所提高。
