Otaka Yohei, Kitamura Shin, Suzuki Megumi, Maeda Akiko, Kato Chinami, Ito Rena, Hirano Asuka, Okochi Yuki, Mizutani Koji, Yoshino Hiroshi, Takechi Hajime
Department of Rehabilitation Medicine I, School of Medicine.
Faculty of Rehabilitation, School of Health Sciences.
J Rehabil Med Clin Commun. 2023 Oct 5;6:12293. doi: 10.2340/jrmcc.v6.12293. eCollection 2023.
To evaluate the effectiveness of a dyadic outpatient rehabilitation program focused on improving the real-life daily activities of patients with mild cognitive impairments or dementia and their caregivers.
Retrospective study.
Eight patients with mild cognitive impairments or dementia and their caregivers.
The rehabilitation program comprised eight 1-hour sessions by occupational therapists with patients and his/her caregivers. Patients were assessed for motor function, cognitive function, and quality of life, and their caregivers were assessed for depression and caregiver burden. Participants were assessed at pre-program and post-program, and 3-month follow-up.
The scores of caregiver-assessed Quality of life in Alzheimer's disease scale in patients significantly improved at post-program (median [interquartile range], 30.0 [7.0]) compared with pre-program (27.0 [2.8], effect size = 0.77, = 0.029). In caregivers, the Zarit Caregiver Burden Interview scores decreased significantly at post-program (16.5 [13.0]) compared with pre-program (22.0 [17.5], effect size = 0.72, = 0.042). There were no significant differences in other assessments.
The rehabilitation program focused on real daily activities and demonstrated to improve patients' quality of life and caregivers' depression and caring burden through patient-caregiver interaction. Future enhanced follow-up systems are warranted.
评估一项二元门诊康复计划的有效性，该计划旨在改善轻度认知障碍或痴呆患者及其照顾者的现实生活日常活动。
回顾性研究。
8名轻度认知障碍或痴呆患者及其照顾者。
康复计划由职业治疗师与患者及其照顾者进行8次每次1小时的课程。对患者进行运动功能、认知功能和生活质量评估，对其照顾者进行抑郁和照顾负担评估。在计划前、计划后以及3个月随访时对参与者进行评估。
与计划前相比，患者在计划后阿尔茨海默病患者生活质量量表中照顾者评估的得分显著提高（中位数[四分位间距]，计划后为30.0[7.0]，计划前为27.0[2.8]，效应量=0.77，P=0.029）。在照顾者中，与计划前相比，计划后Zarit照顾者负担访谈得分显著降低（计划后为16.5[13.0]，计划前为22.0[17.5]，效应量=0.72，P=0.042）。其他评估无显著差异。
该康复计划关注实际日常活动，并通过患者与照顾者的互动证明可改善患者生活质量以及照顾者的抑郁和照顾负担。未来需要加强随访系统。
