Are Analogue or Digital Clocks Friendlier for People Living with Dementia?

Are Analogue or Digital Clocks Friendlier for People Living with Dementia?
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DOI:
10.1159/000518350
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发表时间:
2021-09
影响因子:
2.3
通讯作者:
Sado M
Sado M
中科院分区:
其他
文献类型:
--
作者:
Koreki A;Kusudo K;Suzuki H;Nozaki S;Onaya M;Bowes A;Sado M

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在人口老龄化中,减少认知能力下降对日常生活的影响是可取的。虽然已经提出了各种类型的痴呆症友好环境,但问题仍然是模拟或数字时钟对痴呆症患者是否更友好。在临床实践中,我们通常使用我们的原始时钟阅读测试(10个模拟时钟和10个数字时钟)来评估患者阅读时钟的能力。在本研究中,进行了回顾性病历调查。确定了55名参与者进行了测试。对模拟钟和数字钟的测试结果进行了比较。此外,为了评估读取模拟时钟的具体能力,“模拟-数字差距”被定义为患者对模拟和数字时钟的表现之间的差异。进行单变量和多变量分析,以检测与特定于模拟时钟的阅读能力相关的显著因素。模拟时钟被证明比数字时钟可读性差,即使在调整MMSE总分后也是如此(p = 0.003)。多因素分析显示,模拟时钟的阅读能力与MMSE计算和时钟绘制测试显著相关(分别为p = 0.009和0.040)。在目前的研究中,数字时钟比模拟时钟对痴呆症患者更友好。与数字时钟相比,阅读模拟时钟可能需要更广泛的认知,如工作记忆和视觉空间处理。虽然我们的发现是一个普遍的趋势,个人评估是必要的,它可能有助于发展个性化的环境调整。
In ageing population, it is desirable to reduce the impact of cognitive decline on daily life. While various types of dementia-friendly environments have been proposed, the question still remains regarding whether analogue or digital clocks are friendlier for people with dementia. In clinical practice, we normally use our original clock reading test (10 analogue and 10 digital clocks) to assess patients' ability to read a clock. In the present study, a retrospective medical record survey was conducted. Fifty-five participants who had done the test were identified. The result of the test was compared between analogue and digital clocks. Additionally, to assess specific ability to read analogue clocks, an “analogue-digital gap” was defined as the difference between patients' performance for analogue and digital clocks. Univariate and multivariate analyses were conducted to detect significant factors associated with reading ability specific to analogue clocks. The analogue clock proved less readable than the digital clock, even after adjusting for MMSE total score (p = 0.003). Multivariate analysis revealed reading ability of the analogue clock was significantly associated with MMSE calculation and clock drawing test (p = 0.009 and 0.040, respectively). In the present study, the digital clock was friendlier than the analogue clock for patients with dementia. Compared to the digital clock, reading analogue clocks might require more widespread cognition, such as working memory and visuospatial processing. While our finding was a general tendency, and individual assessment is necessary, it might help the development of personalized environmental adjustments.
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