CAJ | 학술논문

目的：探讨认知训练对轻、中度阿尔茨海默病( AD)病人情绪障碍的影响。方法将90例轻、中度AD病人按入院顺序分为对照组、研究组各45例。对照组给予一般治疗及照护指导，研究组给予认知训练：注意训练、同时性言语及图形加工任务训练、继时性加工任务训练、计划系统训练以及日常生活能力训练，应用 MMSE、HAMA、HAM量表每3个月评估一次。结果干预后6个月，研究组的HAMA、HAMD分值开始比对照组及干预前低( P<0.05)，有一定的统计学意义，干预后9、12个月，研究组的MMSE分值高于对照组(P<0.05)。结论认知训练可以大大减轻AD病人的情绪障碍，延缓其智能减退的过程。
목적：탐토인지훈련대경、중도아이자해묵병( AD)병인정서장애적영향。방법장90례경、중도AD병인안입원순서분위대조조、연구조각45례。대조조급여일반치료급조호지도，연구조급여인지훈련：주의훈련、동시성언어급도형가공임무훈련、계시성가공임무훈련、계화계통훈련이급일상생활능력훈련，응용 MMSE、HAMA、HAM량표매3개월평고일차。결과간예후6개월，연구조적HAMA、HAMD분치개시비대조조급간예전저( P<0.05)，유일정적통계학의의，간예후9、12개월，연구조적MMSE분치고우대조조(P<0.05)。결론인지훈련가이대대감경AD병인적정서장애，연완기지능감퇴적과정。
Objective To study the effect of cognitive training on mood disorders with mild and moderate Alzhemer's disease( AD) . Methods Ninety cases of AD were assigned into two groups. Inter ventional group were given cognitive training including attention training,rehabilitation therapy,working image nursing,intellectual training,daily life training and all-day health care. MMSE,HAMA and HAMD were evaluated every three months. Results The scores of HAMA,HAMD were lower compared with control group in first three months,and also lower than those before intervention in the third month ( P< 0. 05 ). The scores of HAMA,HAMD were lower than those before intervention in the ninth month. Conclusions General nursing could reduce mood disorders and delay the mental de-generation in AD.