Res Gerontol Nurs. 2024 Sep-Oct;17(5):257-264. doi: 10.3928/19404921-20240913-01. Epub 2024 Sep 1.
To understand whether a culture-based multicomponent cognitive training program is feasible and tolerable for persons with dementia (PWD) in day care centers in Taiwan, and to examine the effectiveness of a 16-week program in preventing declines in cognitive function and self-care, as well as the development of depressed mood and behavioral problems.
This study was a 4-month cluster randomized controlled trial. PWD ( = 56) who met sample selection criteria were recruited from five day care centers and assigned to the experimental or comparison group. Participants in the experimental group received a series of culture-based multicomponent cognitive training activities via research assistants and day care center caregivers for 16 weeks. Participants in the comparison group received usual daily activities. Time attending activities and degree of participation were used as criteria for determining feasibility and tolerability of the program.
Results confirmed the feasibility of culture-based multicomponent cognitive training activities if the activities were guided by caregivers. Results also showed participants in the experimental group had statistically significant improvements in cognitive function. Activities of daily living performance, depressed mood, and behavioral problems showed non-significant improvements.
The current study suggests that this program can assist PWD in preventing declines in self-care and the development of behavioral and psychological problems, and improve their cognitive function. Further research with a larger sample size and staff training should be considered to test the effectiveness of this program. [(5), 257-264.].
了解以文化为基础的多成分认知训练方案在台湾日间护理中心的痴呆症患者（PWD）中是否可行和可耐受，并检验为期 16 周的方案在预防认知功能和自我护理下降、抑郁情绪和行为问题发展方面的有效性。
这是一项为期 4 个月的群组随机对照试验。符合样本选择标准的 PWD（n=56）从五家日间护理中心招募，并被分配到实验组或对照组。实验组的参与者通过研究助理和日间护理中心护理人员接受了一系列以文化为基础的多成分认知训练活动，为期 16 周。对照组的参与者接受了日常的日常活动。活动出席时间和参与程度是确定方案可行性和可耐受性的标准。
结果证实，如果活动由护理人员指导，以文化为基础的多成分认知训练活动是可行的。结果还表明，实验组参与者的认知功能有统计学上的显著改善。日常生活活动表现、抑郁情绪和行为问题的改善不显著。
本研究表明，该方案可以帮助 PWD 预防自我护理下降和行为及心理问题的发展，并改善他们的认知功能。应该考虑进一步进行更大样本量和工作人员培训的研究，以检验该方案的有效性。[（5），257-264.]。
