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针对老年人认知功能、认知自我效能感和幸福感的认知刺激干预的预试验。

Pilot testing cognitive stimulation intervention on older adults' cognitive function, cognitive self-efficacy, and sense of happiness.

作者信息

AbdElsalam Reham Magdy Mohammed, ElKholy Samia ElHusseini Abd-ElMageed

机构信息

Gerontological Nursing, Faculty of Nursing, Alexandria University, Alexandria City, Egypt.

出版信息

Geriatr Nurs. 2024 Mar-Apr;56:191-203. doi: 10.1016/j.gerinurse.2024.02.012. Epub 2024 Feb 14.

DOI:10.1016/j.gerinurse.2024.02.012
PMID:38359739
Abstract

BACKGROUND

With the ageing population increasing worldwide, identifying effective approaches to counteract cognitive decline becomes significant for maintaining cognitive health and quality of life in older adults. The lack of cognitive activity accelerates age cognitive decline. Cognitive stimulation interventions can maintain older adults' cognitive reserve, enhance their feelings of happiness, and potentially improve their psychosocial wellbeing.

AIM

This study aimed to determine the impact of Cognitive Stimulation Intervention on older adults' cognitive function, cognitive self-efficacy, and sense of happiness.

METHOD

A quasi-experimental methodological approach was applied. Two seniors' clubs were the sites for recruitment in this study as part of the Alexandria Governorate's Ministry of Social Solidarity, Egypt. Eighty older adults (aged 60 and above), randomly assigned into two equal groups. The study group received the study intervention, and the control group received regular seniors' club services.

RESULTS

Cognitive function, cognitive self-efficacy, and sense of happiness scores among the study group, were significantly increased from (22.40 ± 0.67, 54.51 ± 8.63 and 27.68 ± 14.0 respectively) to (24.30 ± 1.07, 87.84 ± 4.96 and 65.98 ± 8.90 respectively) (P < 0.001) following the interventions, and were significantly higher than the control group's post-test percent scores (22.08 ± 0.98, 54.35 ± 6.97, and 28.75 ± 9.60 respectively) (P < 0.001).

CONCLUSIONS

Cognitive Stimulation Intervention effectively fostered the older adults' cognitive function, cognitive self-efficacy, and sense of happiness. Consequently, seniors' clubs, care homes, and other contexts seeking to apply Cognitive Stimulation Intervention to improve older adults' cognitive function, and general wellbeing must embed this intervention as part of their routine care and social activities programs.

摘要

背景

随着全球老龄化人口的增加,确定有效的方法来对抗认知衰退对于维持老年人的认知健康和生活质量变得至关重要。缺乏认知活动会加速年龄相关的认知衰退。认知刺激干预可以维持老年人的认知储备,增强他们的幸福感,并有可能改善他们的心理社会幸福感。

目的

本研究旨在确定认知刺激干预对老年人认知功能、认知自我效能感和幸福感的影响。

方法

采用准实验方法。作为埃及亚历山大省社会团结部的一部分,本研究在两个老年俱乐部进行招募。80名老年人(年龄在60岁及以上),随机分为两组,每组人数相等。研究组接受研究干预,对照组接受常规的老年俱乐部服务。

结果

干预后,研究组的认知功能、认知自我效能感和幸福感得分分别从(22.40±0.67、54.51±8.63和27.68±14.0)显著提高到(24.30±1.07、87.84±4.96和65.98±8.90)(P<0.001),且显著高于对照组的后测百分得分(分别为22.08±0.98、54.35±6.97和28.75±9.60)(P<0.001)。

结论

认知刺激干预有效地促进了老年人的认知功能、认知自我效能感和幸福感。因此,老年俱乐部、养老院和其他寻求应用认知刺激干预来改善老年人认知功能和总体幸福感的机构,必须将这种干预作为其日常护理和社会活动计划的一部分。

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