手機認知訓練應用程式對改善高齡者認知及執行功能之成效探討

The Effect of Smartphone-based Cognitive Training on Improving Cognitive Function and Executive Function of Older Adults

10.6540/NTJN.202309_25(2).0002

郭書容(Shu-Rong Kuo)；陳姿穎(Tzu-Ying Chen)；邱惠鈴(Huei-Ling Chiu)

認知促進 ； 手機應用程式 ； 認知功能 ； 執行功能 ； cognitive promotion ； smartphone application ； cognitive function ； executive function

新臺北護理期刊

25卷2期（2023 / 09 / 01）

8 - 20

繁體中文;英文

隨著科技日新月異，網際網路普及，高齡者已開始透過手機、平板電腦等智慧型產品與子女或是親友聯繫。過去的文獻證實認知訓練對認知功能有正向成效，然而團體性的認知促進活動較難配合時間、而個人化電腦軟體則價格昂貴難以取得，執行上有較多的限制。因此，本研究目的為運用手機認知訓練應用程式探討其對高齡者之認知功能及執行功能的成效。本研究採類實驗性研究，以方便取樣方式納入52位高齡者，實驗組每日使用認知促進手機應用程式30分鐘，一週五天，共八週，而控制組則維持原來日常生活作息。研究指標包含客觀認知功能、主觀認知功能及執行功能，評估工具分別為簡短智能測驗、主觀認知功能退化問卷評估及電腦版威斯康辛卡片分類測驗。研究結果顯示，實驗組的組內前後測比較結果，主觀認知功能及執行功能顯著提升（p<.05），實驗組與控制組的後測組間分析則是客觀認知功能有顯著提升（p<.05）。透過本研究發現，長者對於以手機為媒介的認知訓練方式的接受度高，且能有效的提升客觀認知功能，有望達到預防認知衰退。

With the rapid advancement of technology and the popularization of the Internet, older adults have begun to communicate with their children, relatives, and friends through intelligent products such as smartphones and tablet computers. Previous research has confirmed that cognitive training has positive effects on cognitive function. However, the group-based cognitive training or intervention is challenging to coordinate with time. On the other hand, individualized cognitive training by computer software is expensive and difficult to obtain, resulting in more restrictions on implementation. Therefore, this study aimed to use smartphone-based cognitive training to explore its effect on older adults' cognitive and executive function. This experimental study with convenience sampling included 52 older adults for analysis. The experimental group used smartphone-based cognitive training for 30 minutes every day, five days a week, for eight weeks, while the control group maintained the original daily routine (usual care). The research outcomes included objective and subjective cognitive function and executive function. The assessment tools were the Mini-Mental State Examination (MMSE), the Cognitive Failures Questionnaire (CFQ), and the computer version of the Wisconsin Card Sorting Test (WCST). The results of the study showed that the intra-group pre- and post-test comparison of the experimental group showed a significant improvement in subjective cognitive function and executive function (p<.05), and the post-test between the experimental group and the control group showed a significant improvement in objective cognitive function (p<.05). This study found that smartphone-based cognitive training is highly acceptable to Taiwanese older adults and can effectively improve objective cognitive function, which is expected to prevent cognitive decline.

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