CAJ | 학술논문

目的：观察3R疗法对轻度认知功能障碍患者生活质量和主观幸福感改善的效果。方法在宁波市8个社区筛查确诊158例轻度认知功能障碍患者，以美国精神病学会的精神障碍诊断和统计手册第四修订版(DSM-Ⅳ)作为诊断标准，运用蒙特利尔认知量表(MoCA)测评。实验组(n=79)采用3R疗法的往事回忆、现实定向和再激发的训练程序进行训练，共12周，对照组不干预(n=79)。采用世界卫生组织生活质量测定量表简表(WHOQOL-BREF)进行生活质量评定，费城老年中心信心量表(PGC)进行主观幸福感评定。结果干预后，实验组生活质量、主观幸福感较干预前改善(P<0.05)，且对照组提高(P<0.05)。结论3R疗法可有效提高轻度认知功能障碍患者的生活质量和主观幸福感。
목적：관찰3R요법대경도인지공능장애환자생활질량화주관행복감개선적효과。방법재저파시8개사구사사학진158례경도인지공능장애환자，이미국정신병학회적정신장애진단화통계수책제사수정판(DSM-Ⅳ)작위진단표준，운용몽특리이인지량표(MoCA)측평。실험조(n=79)채용3R요법적왕사회억、현실정향화재격발적훈련정서진행훈련，공12주，대조조불간예(n=79)。채용세계위생조직생활질량측정량표간표(WHOQOL-BREF)진행생활질량평정，비성노년중심신심량표(PGC)진행주관행복감평정。결과간예후，실험조생활질량、주관행복감교간예전개선(P<0.05)，차대조조제고(P<0.05)。결론3R요법가유효제고경도인지공능장애환자적생활질량화주관행복감。
Objective To observe the effect of 3R therapy on quality of life and subjective well-being in older patients with mild cogni-tive impairment (MCI). Methods 158 patients with MCI were collected from 8 communities in Ningbo city with Diagnostic and Statistical Manual of Mental Disorders (DSM)-IV as the diagnostic criteria, and assessed by Montreal Cognitive Assessment (MoCA). The experimen-tal group (n=79) was intervened by 3R (Reminiscence, Reality Orientation, Remotivation) for 12 weeks, and the control group (n=79) re-ceived no intervention. Their quality of life was assessed with WHO Quality of Life-BREF (WHOQOL-BREF) and the subjective well-be-ing was assessed with Philadelphia Geriatric Center Morale Scale (PGC). Results Their quality of life and subjective well-being improved after intervention in the experimental group (P<0.05), and were better in the experimental group than in the control group (P<0.05). Conclu-sion 3R therapy could effectively improve the quality of life and subjective well-being in patients with MCI.