【摘要】 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。更多还原

【Abstract】 Objective To observe the effect of 3R therapy on quality of life and subjective well-being in older patients with mild cognitive 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 experimental group(n=79) was intervened by 3R(Reminiscence, Reality Orientation, Remotivation) for 12 weeks, and the control group(n=79) received no intervention. Their quality of life was assessed with WHO Quality of Life-BREF(WHOQOL-BREF) and the subjective well-being 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). Conclusion 3R therapy could effectively improve the quality of life and subjective well-being in patients with MCI.更多还原