CAJ | 학술논문

目的：了解家庭陪护对老年痴呆症病人认知功能的影响。方法使用简易智能精神状态检查量表（ MMSE）、功能活动调查表（FAQ）与瑞文标准推理测验（SPM）量表对病人的认知功能进行评定。3个量表的分数作为病人认知功能的原初指标。1年后将仍保持随访的病人用初测的量表及同样的方法复测认知功能。根据陪护情况确定检验组及对照组。将3个量表的初测与复测的分数进行统计学处理，了解每个量表分数前后变化情况，分析检验组与对照组病人前后认知功能的差异。结果检验组MMSE初测均数高于复测均数，均数的差异不显著（初测15.91±3.66，复测14.20±3.74，t＝1.94，P＞0.05）；对照组初测均数高于复测均数，均数的差异非常显著（初测15.84±3.95，复测12.91±3.30， t＝3.23， P＜0.01）；检验组FAQ初测均数低于复测均数，均数的差异不显著（初测9.91±3.15，复测11.83±3.59，t＝2.37，P＞0.05），对照组初测均数低于复测均数，均数的差异非常显著（初测10．03±3．16，复测13．78±3．48，t＝4．52，P＜0．01）；检验组SPM初测均数高于复测均数，均数的差异不显著（初测11.34±3.64，复测10.91±3.09，t＝0.53，P＞0.05），对照组初测均数高于复测均数，均数的差异非常显著（初测11.13±3.29，复测8.75±2.41， t＝3.30， P＜0.001）。结论家庭陪护可减缓老年痴呆症病人认知功能的减退。
목적：료해가정배호대노년치태증병인인지공능적영향。방법사용간역지능정신상태검사량표（ MMSE）、공능활동조사표（FAQ）여서문표준추리측험（SPM）량표대병인적인지공능진행평정。3개량표적분수작위병인인지공능적원초지표。1년후장잉보지수방적병인용초측적량표급동양적방법복측인지공능。근거배호정황학정검험조급대조조。장3개량표적초측여복측적분수진행통계학처리，료해매개량표분수전후변화정황，분석검험조여대조조병인전후인지공능적차이。결과검험조MMSE초측균수고우복측균수，균수적차이불현저（초측15.91±3.66，복측14.20±3.74，t＝1.94，P＞0.05）；대조조초측균수고우복측균수，균수적차이비상현저（초측15.84±3.95，복측12.91±3.30， t＝3.23， P＜0.01）；검험조FAQ초측균수저우복측균수，균수적차이불현저（초측9.91±3.15，복측11.83±3.59，t＝2.37，P＞0.05），대조조초측균수저우복측균수，균수적차이비상현저（초측10．03±3．16，복측13．78±3．48，t＝4．52，P＜0．01）；검험조SPM초측균수고우복측균수，균수적차이불현저（초측11.34±3.64，복측10.91±3.09，t＝0.53，P＞0.05），대조조초측균수고우복측균수，균수적차이비상현저（초측11.13±3.29，복측8.75±2.41， t＝3.30， P＜0.001）。결론가정배호가감완노년치태증병인인지공능적감퇴。
Objective Understanding the home care to the influence that cognizes function to the patients of Alzheimers disease . Methods Uses Mini-mental state examination ( MMSE)、Functional Activites Questionnaire ( FAQ) with Raven's Standard Progressive Matrices ( SPM) quantity the form carry on assessing to the patients of cognition function .It was measure form are the original early in-dex signs that the patients of cognizes function .Will still keep after 1 year with visit of the patients retest cognition function with quantity form and same method that the beginning measures .Certain the experimental group and the control group that according to the accompa -ny of circumstance .Carry on the scores that 3 beginnings that measure form measure and retest the statistics learn a processing and un-derstand each scale score to change a circumstance before or after , analysis experimental group and control group the patient cognize the variety and difference of function before or after .Results Experimental group MMSE primary test average and retest average compari-son,primary test average is higher than to retest average ,the average of the difference didn't show meaning (primary test 15.91 ±3.66, retest:14.20 ±3.74,t=1.94,P>0.05),control group MMSE primary test average and retest average comparison ,primary test average is higher than to retest average ,the statistics learns a processing ,average of the difference showed meaning very much ( primary test 15.84 ±3.95,retest 12.91 ±3.30,t=3.23,P<0.01) ;The experimental group FAQ primary test average and retest average compari-son, primary test average is lower than to retest average ,the average of the difference didn't show meaning(primary test 9.91 ±3.15,re-test 11.83 ±3.59,t=2.37,P<0.05),control group FAQ primary test average and retest average comparison , primary test average is lower than to retest average,the average of the difference showed meaning very much (primary test 10.03 ±3.16,retest 13.78 ±3.48, t=4.52,P<0.01) ;the experimental group SPM primary test average with retest average comparison , primary test average is higher r than to retest average,the average of the difference didn't show meaning (primary test 11.34 ±3.64,retest 10.91 ±3.09,t=0.53,P<0.05),control group SPM primary test average with retest average comparison , primary test average is higher than to retest average ,the average of the difference showed meaning very much ( primary test 11.13 ±3.29, retest 8.75 ±2.41, t =3.30, P <0.001 ).Conclusion The home care can decelerate the cognize function of decrease to the patients of Alzheimers disease .