摘要
目的 研制一套适用于辅助社区卫生机构开展老年人轻度认知障碍(MCI)早期识别和干预的工具包。方法 采用文献评阅方法,构建识别和干预工具包初稿。经过专家咨询,纳入专家认可率高于70%的工具,结合国内官方推荐工具,形成社区专业人员识别-干预工具包终稿。结果 专家权威系数为0.84。工具包纳入简易精神状态检查、蒙特利尔认知评估量表、全科医生认知功能评估量表、认知能力筛查量表和画钟测验等评定工具,药物治疗、认知训练和心理干预等18项干预措施。结论 老年人MCI社区识别-干预工具包可为指导社区识别和干预老年人MCI提供参考。
Objective To develop a toolkit suitable for assisting community health institutions in the early identification and intervention of mild cognitive impairment(MCI)among older adults.Methods A literature review was conducted to construct a draft of the identification and intervention toolkit.Tools with an expert approval rate above 70%were included after expert consultation.The final version of the toolkit was developed by integrating these tools with officially recommended tools in China.Results The expert consultation yielded an authority coefficient of 0.84.The finalized toolkit included the assessment tools of Mini-Mental State Examination,Montreal Cognitive Assessment,General Practitioner Assessment of Cognition,Cognitive Abilities Screening Instrument and Clock Drawing Test,and 18 intervention measures including pharmacological treatment,cognitive training and psychological interventions,etc.Conclusion The MCI Identification-Intervention Toolkit may serve as a reference for guiding the identification and intervention of MCI among older adults for community health institutions.
作者
陈俊利
张晗
石志学
刘亚
赵盈喆
董志伟
嵇丽红
李海燕
陈芳芳
王春平
马安宁
井淇
CHEN Junli;ZHANG Han;SHI Zhixue;LIU Ya;ZHAO Yingzhe;DONG Zhiwei;JI Lihong;LI Haiyan;CHEN Fangfang;WANG Chunping;MA Anning;JING Qi(School of Public Health,Shandong Second Medical University,Weifang,Shandong 261053,China;School of Public Policy and Administration,Xi'an Jiaotong University,Xi'an,Shaanxi 710049,China;School of Management/China Academy of ICF/China Rehabilitation and Health Research Institute,Shandong Second Medical University,Weifang,Shandong 261053,China;Affiliated Hospital,Shandong Second Medical University,Weifang,Shandong 261053,China;Healthy Shandong Collaborative Innovation Center for Major Social Risk Prediction and Management,Weifang,Shandong 261053,China)
出处
《中国康复理论与实践》
北大核心
2025年第6期692-702,共11页
Chinese Journal of Rehabilitation Theory and Practice
基金
国家自然科学基金青年科学基金项目(No.72004165)
山东省高等学校"青创团队计划"团队研究课题(No.2022RW075)
山东省医药卫生科技项目(No.202315020668)。
关键词
老年人
轻度认知障碍
识别
干预
社区
older adults
mild cognitive impairment
identification
intervention
community
