【摘要】 目的探讨社区老年人睡眠与记忆障碍的相关性,寻求提高社区老年人记忆功能的方法。方法随机选取河北省唐山市某社区的753名老年人,应用Rivermead行为记忆测验第2版(RBM-Ⅱ)和匹兹堡睡眠质量指数(PSQI)分别进行记忆功能和睡眠质量的测评:并随机选取150名睡眠障碍并发记忆障碍老年人,分为3组,空白对照组,单纯记忆训练组,睡眠+记忆干预组,分别于3个月、6个月后再次进行评测。结果 753名老年人睡眠障碍者263人,发生率为31.3%,记忆障碍583人,发生率为77.4%;干预3个月后单纯记忆训练组7项评分高于对照组:睡眠+记忆训练组9项评分高于对照组,且睡眠质量评分降低;睡眠+记忆训练组在回忆故事(即刻)项评分高于单纯记忆训练组,睡眠质量评分降低,差异有统计学意义(P<0.01或P<0.05);干预6个月后单纯记忆训练组9项评分高于对照组;睡眠+记忆训练组12项评分高于对照组,睡眠质量评分降低;睡眠+记忆训练组在回忆故事(即刻)、回忆故事(延迟)、回忆姓名、总标准分4项评分高于单纯记忆训练组,睡眠质量评分降低,差异有统计学意义(P<0.01或P<0.05)。结论老年人记忆障碍发生率较高,睡眠干预+记忆训练效果较好,应长期坚持。更多还原

【Abstract】 Objective To explore the relationship between sleep disorders and dysmnesia of the elder people in the community of Tangshan and to provide basis for effective intervention.Methods Totally 805 elder people in a community were evaluated with Pittsburgh Sleep Quality Index(PSQI) and Rivermead-Ⅱ Memory Test(RBMT-Ⅱ) and 150 elders with both sleep disorder and dysmnesia were divided into three groups:the control,the memory intervention,and the sleep+memory intervention group.The surveys among the elder people were carried out 3 and 6 months after the initial evaluation.Results Among 753 eligible elder people,263 had sleep disorders with an incidence rate of 31.3% and 583(77.4%) had dysmnesia.There was a significant correlation between sleep disorder and dysmnesia.Three months after the intervention,7 memory scores in the memory intervention group were improved significantly(P<0.01 or P<0.05),as well as 9 memory scores and sleep quality in the sleep+memory intervention group and the scores of the story recalling(instantly) and the sleeping in the sleep+memory intervention group were better than those of in the memory intervention group compared to the control group.Compared to those of the control group,9 memory scores were improved significantly(P<0.01 or P<0.05) in the memory intervention group,as well as 12 memory scores and sleep quality in the sleep+memory intervention group 6 months after the intervention.Compared to those of memory intervention group,story recalling(instantly),story recalling(delayed),name recalling,and the con-score were improved significantly(P<0.01 or P<0.05) in the sleep+memory intervention group.Conclusion The occurrence of dysmnesia in elder people maybe influenced by sleep quality.Memory training can improve memory,while the sleep intervention combined with memory training is more effective for the improvement of memory among the elderly.更多还原