主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
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中国护理管理 ›› 2025, Vol. 25 ›› Issue (8): 1270-1275.doi: 10.3969/j.issn.1672-1756.2025.08.027

• 专科管理 • 上一篇    下一篇

主观认知下降老年人双重任务训练方案的构建

黄颖琪 徐晖 王鹏 张秋实 赵燕利 张伟宏   

  1. 郑州大学护理与健康学院,450001 郑州市
  • 出版日期:2025-08-15 发布日期:2025-08-15
  • 通讯作者: 徐晖,硕士,教授,E-mail:xuhui896@126.com
  • 作者简介:黄颖琪,硕士在读
  • 基金资助:
    国家自然科学基金资助项目(72274180)

Construction of a dual-task training program among older adults with subjective cognitive decline

HUANG Yingqi, XU Hui, WANG Peng, ZHANG Qiushi, ZHAO Yanli, ZHANG Weihong   

  1. School of Nursing and Health, Zhengzhou University, Zhengzhou, 450001, China
  • Online:2025-08-15 Published:2025-08-15
  • Contact: E-mail:xuhui896@126.com

摘要: 目的:构建主观认知下降老年人双重任务训练方案,为改善其认知功能的研究提供参考。方法:基于大脑可塑性理论、认知储备理论、认知-运动互增强理念,采用文献研究形成方案初稿,于2024年3月—5月通过德尔菲法进行2轮专家咨询修订方案。结果:最终纳入专家14名,2轮问卷有效回收率分别为100.0%、93.3%,专家权威系数为0.87。第2轮专家咨询的肯德尔和谐系数为0.295(P<0.001),条目的变异系数为0~0.166。最终构建的方案主要内容包括主观认知下降知识教育、双重任务训练介绍、学习及熟悉训练动作、掌握及练习训练动作、维持训练效果。结论:主观认知下降老年人双重任务训练方案科学、可行,可为临床前期延缓认知下降的相关研究提供参考。

关键词: 主观认知下降;双重任务训练;德尔菲法

Abstract: Objective: To construct a dual-task training program for the elderly with subjective cognitive decline and to provide a reference for the research on improving their cognitive function. Methods: The intervention program was developed based on the brain plasticity theory, cognitive reserve theory, and cognition-exercise mutual enhancement concept. The first draft of intervention program was formed by literature research, and subsequently revised by two rounds of expert consultation from March to May 2024. Results: Totally 14 experts were included. The recovery rates of two rounds of questionnaire were 100.0% and 93.3%, respectively. The expert authority coefficient was 0.87. The Kendall harmony coefficient for the second round were 0.295 (P<0.001), and the variation coefficients of each item ranged from 0 to 0.166. The main contents of the final constructed program include knowledge education on subjective cognitive decline, introduction to dual-task training, learning and familiarity with training movements, mastery and practice of training movements, and maintenance of training effects. Conclusion: The dual-task training program for the elderly with subjective cognitive decline is scientifically feasible and can provide a reference for related research on delaying cognitive decline in the preclinical stage.

Key words: subjective cognitive decline; dual-task training; Delphi method

中图分类号:  R47;R197