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Day service use and improved Serial 7 and Verbal fluency scores in patients with Alzheimer's disease 阿尔茨海默病患者日间服务的使用和改善的序列7和语言流利性评分
IF 2 4区 医学 Q3 GERIATRICS & GERONTOLOGY Pub Date : 2022-06-17 DOI: 10.1111/psyg.12868
Yasuyuki Honjo, K. Ide, H. Takechi
Day services (DS) are provided as part of the Japanese public nursing care system. Recent studies have suggested a possible relationship between DS use and limited progression of Alzheimer's disease (AD). This study examined in detail the relationship between improvements in cognitive function and DS use in people with AD.
日托服务(DS)是日本公共护理体系的一部分。最近的研究表明,DS的使用与阿尔茨海默病(AD)的有限进展之间可能存在关系。本研究详细探讨了AD患者认知功能的改善与DS使用之间的关系。
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引用次数: 1
Speedometer‐reading performance of senior drivers with cognitive impairment: a comparison of analogue and digital speedometers 认知障碍老年驾驶员的车速表读取性能:模拟和数字车速表的比较
IF 2 4区 医学 Q3 GERIATRICS & GERONTOLOGY Pub Date : 2022-06-10 DOI: 10.1111/psyg.12863
Zhouyuan Peng, Momoyo Shimosaka, Hiroyuki Nishimoto, A. Kinoshita
With the deterioration of cognitive functions, the capability to obtain information with speed, one of the essential elements needed to perform safe driving, may be impacted. We aimed to compare the legibility of analogue and digital speedometers for senior drivers with cognitive impairment, and examined the demographic, cognitive, and driving‐related variables that predict their speedometer‐reading performance.
随着认知功能的退化,快速获取信息的能力——安全驾驶所需的基本要素之一——可能会受到影响。我们旨在比较有认知障碍的老年驾驶员的模拟和数字速度表的易读性,并检查预测其速度表读数性能的人口统计学、认知和驾驶相关变量。
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引用次数: 0
Effectiveness of change from suvorexant to lemborexant drug in the treatment of sleep disorders suvorexant改为lemborexant药物治疗睡眠障碍的疗效观察
IF 2 4区 医学 Q3 GERIATRICS & GERONTOLOGY Pub Date : 2022-06-10 DOI: 10.1111/psyg.12858
Kazumaro Okino, Hirohisa Suzuki, Seiji Kondo, H. Tomioka, Takahiro Tokumasu, Hiroki Yamada, A. Iwanami, Atsuko Inamoto
This study aimed to examine the effects of a change in medication from suvorexant to lemborexant among patients with insomnia.
这项研究旨在检验失眠患者从苏维己酯改为乐莫瑞松的药物治疗效果。
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引用次数: 4
Feasibility study of comfort with and use of sleep visualisation data from non‐wearable actigraphy among psychiatric unit staff 精神科工作人员非穿戴式活动记录仪睡眠可视化数据舒适度和使用的可行性研究
IF 2 4区 医学 Q3 GERIATRICS & GERONTOLOGY Pub Date : 2022-06-05 DOI: 10.1111/psyg.12859
R. Odachi, M. Yamakawa, Keisuke Nakashima, T. Kajiwara, Yuko Takeshita, M. Iwase, Junko Tsukuda, Manabu Ikeda
Sleep disorders are a common factor in many psychiatric disorders, and objective observation and assessment of sleep states are important. However, observing the sleep of hospitalised patients in psychiatry units is complex. Polysomnography (PSG), the gold standard for objective sleep observation, is invasive and uncomfortable for the patient because of the sensors attached to the body. In addition, understanding the correct use of PSG systems is often difficult for observers. Wrist-worn actigraphy is an effective tool that is simpler and less invasive than PSG. However, there are unique problems associated with using wrist-worn actigraphy in a psychiatric unit. For patients with psychiatric illnesses, various issues are likely to occur, such as unexpected behaviour caused by hallucinations or cognitive decline that can result in the patient’s inability to correctly wear the device, or a lack of cooperation. Consequently, observation in psychiatric units is often limited to visual checks by nurses, which are considered to have low validity and can interfere with patient sleep. Nemuri Scan (Paramount Bed, Tokyo, Japan) is a non-wearable actigraphy system designed to avoid some of these difficulties. Because the thickness of the Nemuri Scan system is only 1.5 cm and it is placed under a mattress, it is difficult for the user to detect the device under their mattress. Therefore, the Nemuri Scan allows the continuous monitoring of their activities. The sensitivity, specificity, and concordance rate of the Nemuri Scan to PSG are equivalent to those of wearable actigraphy. This device can retrospectively collect and visualise sleep data during hospitalisation and show the patient’s current sleep state via a personal computer in the nurses’ station connected to a local area network using a function called Real-time monitor. However, little attention has been paid to how psychiatrists and psychiatric nurses utilise this technology. The current study aimed to clarify the level of interest in visualised sleep data among healthcare staff, and to explore the ways in which these data are used in a psychiatric unit. The setting of this survey was a 50-bed psychiatric unit in a general hospital with approximately 1000 beds in a major city in western Japan. This psychiatric unit contains an open ward and a closed ward. Nemuri Scan was introduced in all patients’ beds of the open ward and all private patients’ beds of the closed ward. The staff comprised 52 doctors and 25 nurses. The unit has a 10:1 nursing care system and double shifts, with three nurses working the night shift. In this investigation, a questionnaire was distributed three times: first, when the scan was introduced; second, after 3 months; and third, after 9 months. The items in the questionnaire included participants’ basic demographic information (age, gender, and clinical ladder level for nurses only), whether they believed that the data obtained from Nemuri Scan were useful, their motivations
睡眠障碍是许多精神疾病的常见因素,客观观察和评估睡眠状态很重要。然而,在精神科病房观察住院患者的睡眠是复杂的。多导睡眠图(PSG)是客观睡眠观察的金标准,由于传感器连接在身体上,对患者来说是侵入性的和不舒服的。此外,观察者通常很难理解PSG系统的正确使用。腕关节活动描记术是一种比PSG更简单、侵入性更小的有效工具。然而,在精神科病房使用腕关节活动描记术也存在一些独特的问题。对于患有精神疾病的患者来说,可能会出现各种问题,例如幻觉或认知能力下降导致的意外行为,这些行为可能导致患者无法正确佩戴设备,或缺乏合作。因此,在精神科病房的观察通常仅限于护士的视觉检查,这被认为有效性低,可能会干扰患者的睡眠。Nemuri Scan(派拉蒙床,日本东京)是一种不可穿戴的活动描记系统,旨在避免其中的一些困难。由于Nemuri扫描系统的厚度只有1.5厘米,并且它被放置在床垫下,用户很难检测到床垫下的设备。因此,Nemuri扫描允许对其活动进行持续监控。Nemuri扫描对PSG的敏感性、特异性和一致性与可穿戴活动描记术相当。该设备可以回顾性地收集和可视化住院期间的睡眠数据,并通过护士站的个人计算机显示患者当前的睡眠状态,该计算机使用一种名为实时监视器的功能连接到局域网。然而,很少有人关注精神科医生和精神科护士如何利用这项技术。目前的研究旨在阐明医护人员对可视化睡眠数据的兴趣程度,并探索在精神科使用这些数据的方式。这项调查的背景是日本西部一个大城市的一家综合医院的一个有50张床位的精神科病房,大约有1000张床位。这个精神科病房包括一个开放式病房和一个封闭式病房。Nemuri扫描被引入开放病房的所有患者床位和封闭病房的所有私人患者床位。工作人员包括52名医生和25名护士。该单位实行10:1的护理制度,两班倒,有三名护士上夜班。在这项调查中,问卷被分发了三次:第一,当扫描被引入时;第二,3个月后;第三,9个月后。问卷中的项目包括参与者的基本人口统计信息(仅限护士的年龄、性别和临床阶梯水平),他们是否认为从Nemuri Scan获得的数据有用,他们访问设备及其数据的动机,以及他们用来观察患者睡眠状态的日常信息资源。问卷是用放置在精神科病房的平板电脑完成的,病房的医生和护士被要求对问卷做出回应。将回答分为两组(医生和护士),并在表格中按时间进行总结。表1显示了问卷调查结果。在第一次调查中,85%的护士在纸上看到了可视化的数据,35%的护士表示这些数据没有用处。尽管只有30%的医生看到了这些数据,但他们都表示这些信息是值得的。在
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引用次数: 0
Diversity of dopamine transporter images in frontotemporal lobar degeneration‐motor neuron disease 额颞叶变性-运动神经元疾病中多巴胺转运体图像的多样性
IF 2 4区 医学 Q3 GERIATRICS & GERONTOLOGY Pub Date : 2022-06-05 DOI: 10.1111/psyg.12860
R. Kobayashi, S. Kawakatsu, D. Morioka, Akihito Suzuki
Dear Editor, We read with great interest Arafuka et al.’s case report on frontotemporal lobar degeneration (FTLD) with trans-activation response DNA protein 43 (TDP43) type B published in this journal. Their patient exhibited a mildly decreased dopamine transporter (DAT) availability on DAT imaging 1.5 years before the onset of dysphagia. In contrast, severely decreased DAT availability was observed in a patient with a similar disease course, based on our previously reported case without confirmatory autopsy results. The authors associated the discrepancy in the severity of the DAT findings between their patient and ours with the differences in disease stage. Our recent report discussed the reduced striatal DAT availability in six patients with FTLD with motor neuron disease (MND). It included three cases of pathologically confirmed FTLD with TDP-43 type B. Moderate to severe reduction in DAT availability was observed among patients with FTLD-MND. On pathological examination, the degeneration of the substantia nigra was apparent. Meanwhile, the pathological findings for the caudate and putamen varied among patients. The patient in Arafuka et al.’s report had mild degeneration of the substantia nigra and caudate, but there was no apparent putamen damage. The mild DAT reduction in their case was likely due to the mild or minimal degeneration of the substantia nigra, caudate, and putamen, which influenced the DAT imaging results. Based on the findings of our cases and Arafuka et al.’s case, the striatal DAT imaging findings of FTLD with TDP-43 type B varies, depending on the degree of degeneration in the substantia nigra, caudate, and putamen. Another remarkable finding in the case report by Arafuka et al. was the DAT reduction, observed prior to the onset of MND symptoms in their patient. This was consistent with the clinical course of the previously reported patients. Therefore, the development of MND should be considered in FTLD patients with abnormal findings on DAT imaging. More studies on the application of DAT imaging in patients with FTLD are needed.
尊敬的编辑,我们饶有兴趣地阅读了Arafuka等人在本杂志上发表的关于B型反式激活反应DNA蛋白43(TDP43)额颞叶变性(FTLD)的病例报告。他们的患者在吞咽困难发作前1.5年的DAT成像中表现出多巴胺转运体(DAT)的可用性轻度降低。相反,根据我们之前报道的没有证实尸检结果的病例,在一名病程相似的患者中观察到DAT的可用性严重降低。作者将他们的患者和我们的患者之间DAT发现的严重程度差异与疾病分期的差异联系起来。我们最近的报告讨论了6名患有运动神经元疾病(MND)的FTLD患者的纹状体DAT可用性降低。其中包括3例经病理证实的TDP-43 B型FTLD。在FTLD-MND患者中观察到DAT可用性中度至重度降低。经病理检查,黑质变性明显。同时,尾状核和壳核的病理学表现因患者而异。Arafuka等人的报告中的患者黑质和尾状核轻度变性,但没有明显的壳核损伤。在他们的病例中,DAT的轻度降低可能是由于黑质、尾状核和壳核的轻度或轻微变性,这影响了DAT成像结果。根据我们的病例和Arafuka等人的病例,TDP-43 B型FTLD的纹状体DAT成像结果各不相同,这取决于黑质、尾状核和壳核的变性程度。Arafuka等人的病例报告中的另一个显著发现是在患者出现MND症状之前观察到的DAT降低。这与先前报道的患者的临床病程一致。因此,DAT成像异常的FTLD患者应考虑MND的发展。需要对DAT成像在FTLD患者中的应用进行更多的研究。
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引用次数: 0
Elderly abuse, affecting factors and evaluation of life satisfaction: a cross‐sectional study 老年人虐待、影响因素和生活满意度评估:一项横断面研究
IF 2 4区 医学 Q3 GERIATRICS & GERONTOLOGY Pub Date : 2022-06-05 DOI: 10.1111/psyg.12862
Muammer Yılmaz, A. Durmaz, Inci Arikan
The aim of this study was to evaluate the frequency of abuse and its effect on life satisfaction in older adults living in our region.
本研究的目的是评估虐待频率及其对生活在我们地区的老年人生活满意度的影响。
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引用次数: 2
Which reduces the risk of cognitive impairment: physical activity or daytime nap? 哪一种能降低认知障碍的风险:体育活动还是白天小睡?
IF 2 4区 医学 Q3 GERIATRICS & GERONTOLOGY Pub Date : 2022-06-05 DOI: 10.1111/psyg.12864
T. Kawada
Dear Editor, Qian et al. conducted a cross-sectional study to investigate the association between three lifestyles and cognitive impairment (COI) in adults aged 60 years or older. The adjusted odds ratios (ORs) (95% confidence intervals (CIs)) of tea consumption, physical activity for COI were 0.66 (0.48–0.90) and 0.79 (0.65–0.96), respectively. In addition, the adjusted OR (95% CI) of physical activity plus siesta for COI was 0.44 (0.31–0.64). Although almost all combinations of lifestyle factors had a significant negative association with COI, the adjusted OR of tea consumption plus siesta for COI did not reach the level of significance. Tea consumption and siesta are lifestyles without body movement, and physical activity may be indispensable to avoid COI. I present some information regarding siesta and cognition. Duan et al. conducted a prospective study to examine the association between sleep characteristics and mild cognitive impairment (MCI) incidence with special reference to apolipoprotein E polymorphism ε4 (APOEε4). The adjusted hazard ratios (HRs) (95% CIs) of taking a nap at noon for MCI were 0.723 (0.592– 0.883) and 0.719 (0.576–0.897) in all participants and in APOEε4 non-carriers, respectively. They concluded that MCI was protected by nap regardless of APOEε4. Palpatzis et al. reported that the adjusted HR (95% CI) of daytime napping in middle-aged adults for dementia incidence was 1.67 (1.37–2.03). They also observed that the elevated dementia risk was observed regardless of genetic risk by APOE genotype. On this point, the effect of APOE on the association between sleep and incident dementia may differ in middle-aged people and older adults, because the effects of APOEε4 can vary with age and other factors. Furthermore, Riaz et al. reported that APOEε4 presented different risks of cognitive decline and dementia. Anyway, clinical outcome and age should be treated with caution, when APOEε4 is included for the analysis. Finally, Li et al. reported the association between daytime napping and subsequent risk of Alzheimer’s dementia. Longer and more frequent daytime naps were significantly associated with higher risk of Alzheimer’s dementia. In addition, there were bidirectional dose–response relationships between longer and/or more frequent daytime napping and worse levels of cognition. Causal association should be specified by further studies.
尊敬的编辑,钱等人进行了一项横断面研究,调查了60岁及以上成年人的三种生活方式与认知障碍(COI)之间的关系。茶消费量和COI体力活动的校正比值比(OR)(95%置信区间(CI))分别为0.66(0.48-0.90)和0.79(0.65-0.96)。此外,体育活动加午休对COI的校正OR(95%CI)为0.44(0.31–0.64)。尽管几乎所有生活方式因素的组合都与COI呈显著负相关,但喝茶加午休的校正OR对COI没有达到显著水平。喝茶和午休是没有身体运动的生活方式,为了避免COI,体育活动可能是必不可少的。我提供一些关于午睡和认知的信息。段等人进行了一项前瞻性研究,以检查睡眠特征与轻度认知障碍(MCI)发病率之间的关系,特别是参考载脂蛋白E多态性ε4(APOEε4)。所有参与者和APOEε4非携带者中午小睡MCI的调整后危险比(HR)(95%CI)分别为0.723(0.592–0.883)和0.719(0.576–0.897)。他们得出结论,无论APOEε4如何,MCI都受到nap的保护。Palpatzis等人报道,中年人白天打盹对痴呆症发病率的调整HR(95%CI)为1.67(1.37-2.03)。他们还观察到,无论APOE基因型的遗传风险如何,痴呆症风险都会升高。在这一点上,在中年人和老年人中,APOE对睡眠和痴呆事件之间关系的影响可能不同,因为APOEε4的影响可能随年龄和其他因素而变化。此外,Riaz等人报道,APOEε4表现出不同的认知能力下降和痴呆风险。无论如何,当APOEε4被纳入分析时,临床结果和年龄应谨慎对待。最后,李等人报道了日间小睡与阿尔茨海默痴呆症风险之间的关系。白天小睡时间越长、频率越高,患阿尔茨海默氏症的风险越高。此外,白天小睡时间更长和/或更频繁与认知水平较差之间存在双向剂量-反应关系。因果关系应通过进一步研究加以明确。
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引用次数: 0
Effectiveness of a cognitive behavioural therapy app developed for care workers involved in elderly care 一款认知行为治疗应用程序的有效性,该应用程序是为参与老年人护理的护理人员开发的
IF 2 4区 医学 Q3 GERIATRICS & GERONTOLOGY Pub Date : 2022-06-03 DOI: 10.1111/psyg.12856
S. Takeda, T. Fukuzaki, S. Nakayama
With the global spread of COVID-19 since 2020, care workers have been subject to serious psychological distress. Older adults are more likely to get severely ill from COVID-19. Therefore, care workers involved in elderly care are required to take strict infection control measures, leading to restrictions and other stressors in their daily lives. Cognitive behavioural therapy (CBT) has gained attention in recent years as a method for managing stress. With the current spread of COVID-19, online CBT interventions targeting healthcare workers are becoming increasingly common. However, these programs require many sessions implemented over a long period of time and may not be suitable for busy and tired care workers. Therefore, this study seeks to create and examine the effectiveness of a cognitive behavioural therapy-based app that care workers can quickly and easily use at home on a tablet device. The study participants were six care workers (two men and four women; mean age 50.3 11.4 years) who work for a social welfare corporation and provide homevisit care to elderly people. This study was approved by the Tottori University Ethical Review Board. All participants providedwritten informed consent. The app consisted of five modules. The first module comprised a task to enable participants to gain an understanding of the correspondence between thoughts and moods. The second module comprised a task to enable participants to notice negative moods, in which participants looked back on their day and selected the mood they felt most strongly from among the nine negative moods. The third module comprised a task which enabled participants to notice the thoughts that came into their minds, in which participants were asked to put in those thoughts when they were experiencing a negative mood. The app displayed suggestions for typical examples of thoughts corresponding to each mood. The fourth module comprised a task which enabled participants to find rational ways of thinking, in which participants were asked to think of and put in rational thoughts that were different from negative thoughts by thinking about them from a different perspective. The app displayed suggestions for rational thoughts corresponding to each of the moods. The fifth module comprised a task that enabled participants to think about behaviours that they could implement that would make the next day more pleasant. The app provided suggestions for four different ways of thinking about pleasant activities, such as: simple actions, specific actions, things that you want to do instead of things that you ‘should’ do, and actions that match up with your values. The app was configured to require no more than 10 minutes per session.
自2020年以来,随着COVID-19在全球范围内的传播,护理人员遭受了严重的心理困扰。老年人更有可能因COVID-19而患上重病。因此,参与老年护理的护理人员需要采取严格的感染控制措施,从而导致其日常生活中的限制和其他压力因素。近年来,认知行为疗法(CBT)作为一种管理压力的方法受到了人们的关注。随着当前COVID-19的传播,针对医护人员的在线CBT干预措施正变得越来越普遍。然而,这些计划需要在很长一段时间内实施许多次,可能不适合忙碌和疲惫的护理人员。因此,本研究旨在创建并检查基于认知行为疗法的应用程序的有效性,护理人员可以在家中通过平板设备快速轻松地使用该应用程序。研究参与者是六名护工(两男四女;平均年龄50.3岁(11.4岁),在社会福利法人工作,为老年人提供上门服务。这项研究得到了鸟取大学伦理审查委员会的批准。所有参与者均提供书面知情同意书。该应用程序由五个模块组成。第一个模块包括一个任务,使参与者能够理解思想和情绪之间的对应关系。第二个模块包括一个让参与者注意到消极情绪的任务,在这个任务中,参与者回顾他们的一天,从九种消极情绪中选择他们感觉最强烈的情绪。第三个模块包括一个任务,让参与者注意到他们脑海中出现的想法,在这个任务中,参与者被要求在经历消极情绪时把这些想法放进去。该应用程序显示了与每种情绪相对应的典型想法示例的建议。第四个模块包括一个让参与者找到理性思维方式的任务,在这个任务中,参与者被要求从不同的角度思考不同于消极思维的理性思维。该应用程序显示了与每种情绪相对应的理性思考建议。第五个模块包括一个任务,让参与者思考他们可以实施的行为,这将使第二天更愉快。这款应用提供了四种思考愉快活动的不同方式,比如:简单的行动、具体的行动、你想做而不是“应该”做的事情,以及符合你价值观的行动。该应用程序配置为每次会话所需时间不超过10分钟。
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引用次数: 0
Behavioural and psychological symptoms of early‐onset and late‐onset Alzheimer's disease among Chinese adults 中国成年人早发和晚发阿尔茨海默病的行为和心理症状
IF 2 4区 医学 Q3 GERIATRICS & GERONTOLOGY Pub Date : 2022-06-01 DOI: 10.1111/psyg.12857
K. Kajiwara, J. Kako, Masamitsu Kobayashi, H. Noto, Ayako Ogata
Dear Editor, We read with interest the report by Fang et al. on the comparison of behavioural and psychological symptoms of dementia (BPSD) in Chinese patients with early-onset Alzheimer’s disease (EOAD) and late-onset Alzheimer’s disease (LOAD) and the analysis of the modifiable factors. The authors reported significant differences in BPSD between the EOAD and LOAD groups at baseline. We would like to discuss their result in detail below. Fang et al. reported that worse caregiver attitudes were associated with more severe overall psychobehavioural symptoms in the EOAD group. Additionally, the authors showed that an improvement in BPSD was associated with positive attitudes and fewer expressions of criticism. We agree that positive aspects of caregiving are important. However, previous longitudinal studies have reported that BPSD impacts caregiver burden. We believe that both positive and negative aspects of caregiving are important. We wonder if caregiver burden of negative aspects among caregivers may be considered a confounding factor. Therefore, we are interested in an analysis of the negative aspects with regard to caregivers in this study. Undoubtedly, it is important to focus on BPSD in patients with EOAD and LOAD. Fang et al. provide useful data on the same. We believe that focusing on BPSD may support caregiving at home for Chinese patients with EOAD and LOAD in the future.
尊敬的编辑,我们饶有兴趣地阅读了方等人关于中国早发性阿尔茨海默病(EOAD)和晚发性阿尔茨海默症(LOAD)患者痴呆行为和心理症状的比较以及可改变因素的分析的报告。作者报告了EOAD组和LOAD组在基线时BPSD的显著差异。我们想在下面详细讨论他们的结果。方等人报道,在EOAD组中,较差的照顾者态度与更严重的整体心理行为症状相关。此外,作者还表明,BPSD的改善与积极的态度和更少的批评表达有关。我们同意护理的积极方面很重要。然而,先前的纵向研究报告称,BPSD会影响护理人员的负担。我们认为,照顾的积极和消极方面都很重要。我们想知道照顾者中消极方面的照顾者负担是否可以被认为是一个混淆因素。因此,我们有兴趣在本研究中对照顾者的负面方面进行分析。毫无疑问,关注EOAD和LOAD患者的BPSD是很重要的。方等人对此提供了有用的数据。我们相信,关注BPSD可能会支持未来中国EOAD和LOAD患者的家庭护理。
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引用次数: 0
Effect of simple calculation and reading aloud on cognitive function and depression in postoperative older adults 简单计算和大声朗读对老年人术后认知功能和抑郁的影响
IF 2 4区 医学 Q3 GERIATRICS & GERONTOLOGY Pub Date : 2022-06-01 DOI: 10.1111/psyg.12861
Funda Çetinkaya, M. Diri, M. Gül
This study was conducted to determine the effect of simple calculation and reading aloud on postoperative cognitive function and depression level in older adults.
本研究旨在确定简单计算和大声朗读对老年人术后认知功能和抑郁水平的影响。
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引用次数: 1
期刊
Psychogeriatrics
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