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有效方法。方法选取唐山市某社区的老年人共647例,应用行为记忆测验第2版(RBMTⅡ)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。采用随机数字表随机选取100例睡眠障碍并发记忆障碍老年人,采取最小不平衡指数的随机分组方法分为2组,单纯记忆干预组和睡眠+记忆干预组,干预3个月后进行再次评测,对比干预效果。结果 647例老年人睡眠障碍发生率为38.8%,记忆障碍发生率为78.4%。干预3个月后单纯记忆干预组在回忆故事(即刻)等7项评分提高,与干预前比较差异有统计学意义(P<0.05);睡眠+记忆干预组干预后在回忆故事(即刻)等10项评分提高,睡眠质量提高,与干预前比较差异有统计学意义(P<0.05)。睡眠+记忆干预组干预后有5项较单纯记忆干预组提高,差异有统计学意义(P<0.05)。结论老年人记忆障碍发生率较高,受睡眠影响。记忆训练有效,睡眠干预+记忆训练效果更好。
Objective To survey the relationship between sleep disorders and the dysmnesia of elderly people in community and seek the effective interventions to improve the memory function of elders. Methods Totally 647 elderly people from a community of Tangshan city were enrolled and their memory functions and sleeping quality were evaluated by Rivermead Behavioral Memory Test-Second Edition（RBMTⅡ） and Pittsburgh Sleep Quality Index（PSQI）.A total of 100 elders with sleep disorders and dysmnesia were divided,according to random number table,as memory intervention group and memory plus sleep intervention group based on the principle to ＂minimize the unbalanced coefficient＂.The results between the two groups were compared after 3 months intervention. Results Among the 647 elderly people,the incidence rate of sleep disorders was 38.8%,and the rate of dysmnesia was 78.4%.After 3 months intervention,the scores of 7 items including recalling story（instanter） in the memory intervention group were increased（P0.05）;the sores of 10 items including recalling story（instanter） in the memory plus sleep intervention group were increased（P0.05）.And the scores of 5 items in the latter group were statistically significantly higher than those in the former group（P0.05）. Conclusion The incidence of dysmnesia in elderly people is higher and influenced by the sleep quality.Memory training can be effective,and it is more effective to combine with sleep intervention.
出处
《中国全科医学》
CAS
CSCD
北大核心
2011年第4期435-438,共4页
Chinese General Practice
基金
河北省科技厅科技支撑项目(09276103D-7)
