工作记忆训练在慢性病管理中的应用进展

doi:10.3761/j.issn.0254-1769.2024.12.017

摘要/Abstract

摘要：

工作记忆训练作为一种低成本、高效率的计算机化认知训练，可改善慢性病患者的认知功能和行为决策，增强其自我管理意识及管理能力，在慢性病管理中展现出良好的应用前景。该文综述了工作记忆训练的起源与发展、在慢性病管理中的应用、效果评价、应用困境及建议，为提高护理人员的慢性病管理质量提供参考。

关键词: 工作记忆训练, 慢性病, 认知功能, 自我管理, 护理, 综述

Abstract:

Working memory training，as a low-cost and efficient computerized cognitive training，can improve the cognitive function and behavioral decision-making of chronic disease patients，enhance their self-management awareness and ability，and demonstrate good application prospects in chronic disease management. This article reviewed the origin and development of working memory training，its application in chronic disease management，effectiveness evaluation，application challenges，and suggestions，providing references for improving the quality of chronic disease management.

Key words: Working Memory Training, Chronic Disease, Cognitive Function, Self-Management, Nursing Care, Review

陈慈爱, 丁珊妮, 茹一帆, 王佳楠, 张笑笑, 潘红英. 工作记忆训练在慢性病管理中的应用进展[J]. 中华护理杂志, 2024, 59(12): 1520-1524.

CHEN Ciai, DING Shanni, RU Yifan, WANG Jianan, ZHANG Xiaoxiao, PAN Hongying. Progress in the application of working memory training in chronic disease management[J]. Chinese Journal of Nursing, 2024, 59(12): 1520-1524.

参考文献 31

[1]	雷党党, 杨华, 井明霞. 基于全球疾病负担视角下慢性非传染性疾病范围界定[J]. 中国卫生经济, 2014, 33(7):21-23.
	Lei DD, Yang H, Jing MX. Defining the scope of chronic non-communicable diseases under the perspective of the global disease burden[J]. Chin Health Econ, 2014, 33(7):21-23.
[2]	高原, 王珊, 寇现娟. 美国老年慢性病防治的社区健康管理经验及启示[J]. 卫生经济研究, 2023, 40(9):65-68.
	Gao Y, Wang S, Kou XJ. The experience and enlightenment of community health management in the prevention and treatment of the elderly chronic diseases in the United States[J]. Health Econ Res, 2023, 40(9):65-68.
[3]	朱璇, 陈爱云. 国外经典慢性病管理模式对我国慢性病管理的启示[J]. 中国全科医学, 2023, 26(1):21-26.
	Zhu X, Chen AY. Enlightenment of foreign classical chronic disease management modes on the management of chronic diseases in China[J]. Chin Gen Pract, 2023, 26(1):21-26.
[4]	王晓迪, 罗晓斌, 郭清. 数字疗法在慢性病健康管理中的应用及发展趋势[J]. 中华健康管理学杂志, 2022, 16(1):51-54.
	Wang XD, Luo XB, Guo Q. Analysis on the application and development trend of digital therapeutics in the health management of chronic diseases[J]. Chin J Health Manag, 2022, 16(1):51-54.
[5]	付笛语, 隋蕾. 老年慢性病与认知功能障碍的关系及防控策略优化的研究进展[J]. 老年医学与保健, 2022, 28(6):1388-1392.
	Fu DY, Sui L. Research progress on the relationship between chronic diseases and cognitive dysfunction in the elderly and optimization of prevention and control strategies[J]. Geriatr Health Care, 2022, 28(6):1388-1392.
[6]	潘晶雪, 陈利群, 王敬丽, 等. 社区老年慢性病患者认知功能的现状调查[J]. 中华护理杂志, 2021, 56(1):109-115. DOI URL
	Pan JX, Chen LQ, Wang JL, et al. Study on the status of cognitive function in community elderly adults with chronic diseases[J]. Chin J Nurs, 2021, 56(1):109-115. DOI URL
[7]	刘羡, 董铭琦, 朱淑婷, 等. 行为经济学理论在慢性病管理中的应用进展[J]. 中华护理杂志, 2023, 58(18):2299-2304. DOI URL
	Liu X, Dong MQ, Zhu ST, et al. Research progress on the application of behavioral economics theory for the health ma-nagement of chronic diseases[J]. Chin J Nurs, 2023, 58(18):2299-2304.
[8]	Baddeley A. Working memory:looking back and looking forward[J]. Nat Rev Neurosci, 2003, 4(10):829-839. DOI PMID
[9]	Bickel WK, Yi R, Landes RD, et al. Remember the future:working memory training decreases delay discounting among stimulant addicts[J]. Biol Psychiatry, 2011, 69(3):260-265.
[10]	Miller GA, Galanter E, Pribram KH. Plans and the structure of behavior[M]. Nueva York: Holt,Rine Hart & Winston, 1960.
[11]	Baddeley AD. Is working memory still working?[J]. Am Psychol, 2001, 56(11):851-864. DOI PMID
[12]	Houben K, Wiers RW, Jansen A. Getting a grip on drinking behavior:training working memory to reduce alcohol abuse[J]. Psychol Sci, 2011, 22(7):968-975.
[13]	Collado A, Felton J, Grunevski S, et al. Working memory train-ing reduces cigarette smoking among low-income individuals with elevated delay discounting[J]. Nicotine Tob Res, 2022, 24(6):890-896. DOI PMID
[14]	Dassen FCM, Houben K, Van Breukelen GJP, et al. Gamified working memory training in overweight individuals reduces food intake but not body weight[J]. Appetite, 2018, 124:89-98. DOI PMID
[15]	Felton JW, Collado A, Ingram KM, et al. Improvement of work-ing memory is a mechanism for reductions in delay discoun-ting among mid-age individuals in an urban medically under-served area[J]. Ann Behav Med, 2019, 53(11):988-998. DOI PMID
[16]	李晨曦, 尚云峰, 王丽云, 等. 计算机认知训练对轻度认知障碍老年人认知功能的影响研究[J]. 中华护理杂志, 2021, 56(5):667-673. DOI URL
	Li CX, Shang YF, Wang LY, et al. Research on the influence of computer cognitive training on the cognitive function of the elderly with mild cognitive impairment[J]. Chin J Nurs, 2021, 56(5):667-673. DOI URL
[17]	Snider SE, Deshpande HU, Lisinski JM, et al. Working memory training improves alcohol users’ episodic future thinking:a rate-dependent analysis[J]. Biol Psychiatry Cogn Neurosci Neu-roimaging, 2018, 3(2):160-167.
[18]	Whitelock V, Nouwen A, Houben K, et al. Does working me-mory training improve dietary self-care in type 2 diabetes mellitus? Results of a double blind randomised controlled trial[J]. Diabetes Res Clin Pract, 2018, 143:204-214.
[19]	Houben K, Dassen FCM, Jansen A. Taking control:working memory training in overweight individuals increases self-regulation of food intake[J]. Appetite, 2016, 105:567-574.
[20]	倪喆, 孙国庆, 姜美兰. 多感官刺激联合早期认知康复训练对阿尔茨海默病患者认知能力和精神状况的影响[J]. 浙江医学, 2023, 45(4):404-407,415.
	Ni Z, Sun GQ, Jiang ML. Effects of multisensory stimulation combined with early cognitive rehabilitation training on cog-nitive ability and mental status in patients with Alzheimer’s disease[J]. Zhejiang Med J, 2023, 45(4):404-407,415.
[21]	赵鑫, 李红利. 工作记忆训练:研究现状和趋势[J]. 西北师大学报(社会科学版), 2022, 59(6):173-184.
	Zhao X, Li HL. Working memory training:current status and trends in research[J]. J Northwest Norm Univ Soc Sci, 2022, 59(6):173-184.
[22]	Roche JD, Johnson BD. Cogmed working memory training pro-duct review[J]. J Atten Disord, 2014, 18(4):379-384.
[23]	Zhu YW, Jiang HF, Su H, et al. A newly designed mobile-based computerized cognitive addiction therapy app for the improvement of cognition impairments and risk decision mak-ing in methamphetamine use disorder:randomized controlled trial[J]. JMIR Mhealth Uhealth, 2018, 6(6):e10292.
[24]	王真, 孙婧, 张悠扬, 等. 老年患者慢性病负担对焦虑和抑郁的影响研究[J]. 中国全科医学, 2020, 23(23):2923-2926,2932. DOI
	Wang Z, Sun J, Zhang YY, et al. Effects of chronic disease burden on anxiety and depression in elderly patients[J]. Chin Gen Pract, 2020, 23(23):2923-2926,2932.
[25]	许雪莲, 赵琦, 曾聪, 等. 基于刷新任务的工作记忆训练对改善情绪调节能力的效果及机制[J]. 神经疾病与精神卫生, 2021, 21(10):756-760.
	Xu XL, Zhao Q, Zeng C, et al. Effect and mechanism of working memory training based on updating task on improv-ing emotion regulation ability[J]. J Neurosci Ment Health, 2021, 21(10):756-760.
[26]	Brooks SJ, Wiemerslage L, Burch KH, et al. The impact of co-gnitive training in substance use disorder:the effect of work ing memory training on impulse control in methamphetamine users[J]. Psychopharmacology, 2017, 234(12):1911-1921.
[27]	Wanmaker S, Geraerts E, Franken IH. A working memory train-ing to decrease rumination in depressed and anxious indivi-duals:a double-blind randomized controlled trial[J]. J Affect Disord, 2015, 175:310-319.
[28]	Wanmaker S, Leijdesdorff SMJ, Geraerts E, et al. The efficacy of a working memory training in substance use patients:a randomized double-blind placebo-controlled clinical trial[J]. J Clin Exp Neuropsychol, 2018, 40(5):473-486. DOI PMID
[29]	Otto MW, Rosenfield D, Gorlin EI, et al. Targeting cognitive and emotional regulatory skills for smoking prevention in low-SES youth:a randomized trial of mindfulness and working memory interventions[J]. Addict Behav, 2020, 104:106262.
[30]	Rosenbaum GM, Botdorf MA, Patrianakos JL, et al. Working me-mory training in adolescents decreases laboratory risk taking in the presence of peers[J]. J Cogn Enhanc, 2017, 1(4):513-525.
[31]	Rass O, Schacht RL, Buckheit K, et al. A randomized control-led trial of the effects of working memory training in metha-done maintenance patients[J]. Drug Alcohol Depend, 2015, 156:38-46.