Day service use and improved serial 7 and verbal fluency scores in patients with Alzheimer’s disease.
Day service use and improved serial 7 and verbal fluency scores in patients with Alzheimer’s disease.
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阿尔茨海默病患者使用日间服务并提高序列 7 和言语流畅度分数。
DOI：
10.1111/psyg.12868
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发表时间：
2022
期刊：
影响因子：
2
通讯作者：
Takechi H
中科院分区：
文献类型：
--
作者：
Honjo Y;Ide K;Takechi H
背景日间服务（DS）是日本公共护理系统的一部分。最近的研究表明，DS的使用和阿尔茨海默病（AD）的有限进展之间可能存在关系。本研究详细研究了AD患者认知功能改善与DS使用之间的关系。MethodsWe回顾性分析了208例AD患者在5个记忆诊所6个月内的修订长谷川痴呆量表（HDS-R）评分。患者被分为一组开始使用DS（n= 132）和一组没有（n= 76）在研究期间。然后，我们比较了每个参与者的总评分和项目之间的HDS‐R的第一次诊所访问和6个月后也比较了DS用户和非users.ResultsDS非用户之间的分数年轻，主要是男性，有较长的学校教育，更好的总HDS‐R评分在第一次访问。6个月后，DS使用者的HDS-R总分和个人序列7和言语流畅性评分显着改善。第一次访问和6个月后的即时记忆评分相当。在DS用户中，更频繁地参与DS显着相关的改善总HDS-R score.ConclusionsDS的使用显着相关的改善HDS-R分数，特别是序列7和言语流畅性任务，并没有恶化的即时记忆分数。这些结果表明DS参与作为非药物治疗的有用性。
BackgroundDay services (DS) are provided as part of the Japanese public nursing care system. Recent studies have suggested a possible relationship between DS use and limited progression of Alzheimer's disease (AD). This study examined in detail the relationship between improvements in cognitive function and DS use in people with AD.MethodsWe retrospectively analysed Revised Hasegawa Dementia Scale (HDS‐R) scores of 208 patients with AD at five memory clinics over a 6‐month period. The patients were divided into a group that started using DS (n= 132) and a group that did not (n= 76) during the study period. We then compared each participant's total and item scores on the HDS‐R between the first clinic visit and 6 months later also compared scores between DS users and non‐users.ResultsDS non‐users were younger, predominantly male, had longer school education, and better total HDS‐R score at the first visit. After 6 months, DS users showed significantly improved total HDS‐R score and individual Serial 7 and Verbal fluency scores. Immediate memory scores were comparable between the first visit and after 6 months. Among the DS users, more frequent participation in DS was significantly associated with improved total HDS‐R score.ConclusionsDS use was significantly associated with improved HDS‐R scores, especially for the Serial 7 and Verbal fluency tasks, and there was no deterioration in Immediate memory score. These results suggest the usefulness of DS participation as a non‐pharmacological therapy.