Department of Family Medicine, Changhua Christian Hospital, Changhua, Taiwan.
Department of Neurology, Changhua Christian Hospital, Changhua, Taiwan.
J Alzheimers Dis. 2022;89(2):553-562. doi: 10.3233/JAD-220372.
The global population with dementia is growing rapidly. Dementia patients have been included in the services of the long-term care Act 2.0, supported by Taiwan's government since 2017. Community aging care centers are extensively established, which are places providing social connections and group physical and cognitive training programs for elderly people.
To elucidate the efficacy of community aging care centers on cognitive function in people with dementia.
A total of 1,277 patients with dementia diagnosed at the Changhua Christian Hospital outpatient departments were enrolled. A total of 113 patients who used community aging care centers and 452 subjects matched for age, education, and initial score of clinical dementia rating scale sum of boxes (CDR-SOB) control group were analyzed. The primary outcome was the change in CDR-SOB scores before and after utilization of community aging care centers.
The mean annual change of CDR-SOB scores were 1.72±2.97, 1.08±2.36, and 1.04±3.64 in control, Community Service Centers for Dementia, and community elderly stations, respectively, after about 1.5 years follow-up. Patients with dementia using community aging care centers had significantly less progression in CDR-SOB scores than those in the control group (-0.65; 95% CI: -1.27, -0.03; p = 0.041). Using one more day of community aging care centers per week significantly promotes 0.16 points of CDR-SOB decline (-0.16, 95% CI: -0.31; -0.00; p = 0.045).
Community aging care centers, based on the long-term care Act 2.0 in Taiwan, were effective in delaying the decline in global function in people living with dementia.
全球痴呆症患者人数迅速增加。自 2017 年以来，台湾政府将痴呆症患者纳入《长期照护法 2.0》服务范围。广泛建立社区老龄化护理中心，为老年人提供社会联系和团体身体及认知训练计划的场所。
阐明社区老龄化护理中心对痴呆症患者认知功能的疗效。
共纳入在彰化基督教医院门诊诊断为痴呆症的 1277 例患者。共分析了 113 名使用社区老龄化护理中心的患者和 452 名年龄、教育程度和临床痴呆评定量表总和盒初始评分（CDR-SOB）对照组相匹配的患者。主要结局是使用社区老龄化护理中心前后 CDR-SOB 评分的变化。
在大约 1.5 年的随访后，对照组、社区失智症服务中心和社区老人站的 CDR-SOB 评分的平均年变化分别为 1.72±2.97、1.08±2.36 和 1.04±3.64。使用社区老龄化护理中心的痴呆症患者的 CDR-SOB 评分进展明显低于对照组（-0.65；95%CI：-1.27，-0.03；p=0.041）。每周多使用一天社区老龄化护理中心可显著促进 CDR-SOB 下降 0.16 分（-0.16，95%CI：-0.31；-0.00；p=0.045）。
基于台湾《长期照护法 2.0》的社区老龄化护理中心，对延缓痴呆症患者整体功能下降有效。
