- 期刊
Feasibility of the cognitive assessment of nursing home residents with mild-to-moderate cognitive impairment using the intelligent voice-guided digital assistant THALIE: A pilot study
摘要
Background: Generally, little information is available on the cognitive status of institutionalized elderly persons. The intelligent voice-guided digital assistant THALIE is a computer-based device measuring memory, executive functions, language, visuo-spatial skills, and attention, developed to facilitate the cognitive assessment of residents in nursing homes. Objective: The objective was to determine its feasibility of implementation for the clinical assessment of cognitive functioning in residents in nursing homes. Methods: The computerized battery THALIE consisting of five neuropsychological tests and the traditional paper-and-pencil MMSE were administered to 14 elderly participants residing in three French nursing homes (EHPAD) who had mild-to-moderate cognitive impairment, potentially due to Alzheimer's disease or related disorders. Non-parametric Spearman's correlations were performed to assess the association between THALIE and MMSE scores. Individual neuropsychological performance profiles were determined. Results: THALIE performances were weakly correlated with MMSE score. THALIE gave a better overview per resident of the extent of impairment of their various cognitive functions than the MMSE used alone, and made it possible to identify less impaired functions. Conclusion: The feasibility of THALIE computerized cognitive assessment of residents in nursing homes is confirmed. It allows to evaluate various neurocognitive functions in nursing-home residents and holds much promise for setting up personalized cognitive care plans for these subjects.
延伸閱讀
- 蔡佳殷、陳惠媚、蘇純瑩（2007）。Clinical Utility of the Loewenstein Occupational Therapy Cognitive Assessment-Second Edition in Stroke Patients with Mild Vascular Cognitive Impairment. A Preliminary Study。職能治療學會雜誌，25(2)，15-31。https://doi.org/10.6594/JTOTA.2007.25(2).02
- 鍾燕宜、鍾祥玥、蔡金記（2012）。Nurse Aides Positive Emotions and Emotional Contagion and Residents Well-being in the Long-term Care Facilities-Moderated Mediation Effect of Resident Emotional Susceptibility。健康管理學刊，10(2)，150-165。https://doi.org/10.29805/JHM.201212.0005
- Chen, H. M., Tsai, L. J., Chao, S. Y., & Clark, M. J. (2016). Study on the Effects of Individualized Learning Therapy on Cognitive Function and Behavioral and Psychological Symptoms of Dementia in the Institutionalized Older Adults. The Journal of Nursing Research, 24(4), 300-310. https://doi.org/10.1097/jnr.0000000000000118
- 蔡月珍（2014）。The Trends and Impact of Nursing Home Care Service On Medical Resource Utilization and Mortality for Disable Patients: A Long-term cohort Study〔碩士論文，高雄醫學大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0011-1507201417124100
- 唐元翎（2020）。The Effects of a Multicomponent Cognitive Intervention Program on the Daily and Cognitive Function in Adults with Subjective Cognitive Decline: A Pilot Study〔碩士論文，國立臺灣大學〕。華藝線上圖書館。https://doi.org/10.6342/NTU202002406