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Mild Cognitive Impairment and Driving Habits

机译:轻度认知障碍和驾驶习惯

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Introduction: In everyday clinical practice physicians, psychologists and occupational therapists often discuss with patients with Mild Cognitive Impairment (MCI) about safe driving. They try also to determine the ability of a person with Cognitive Impairment to drive. The aim of this study was to examine the behaviour of elder drivers with MCI compared with healthy elderly and define their differences in driving habits. Methods: We identified consecutive 60 participants, 44 patients with MCI and 16 Healthy Controls. All the participants were assessed with a neuropsychological battery: Mini Mental State Examination-MMSE, Clock-drawing Test, Functional Rating Scale of Symptoms of Dementia (FRSSD) scores and Geriatric Depression Scale (GDS) and a driving questionnaire containing 33 questions with 52 sub-questions. Results: The 92.3% of patients with MCI renewed their driving licence compared to 60% of normal subjects (χ~(2)(1)=4.403, p=0.036). Considering only those participants who still drive, normal subjects drive more kilometres per month than patients with MCI (χ~(2)(5)=12.767, (p=0.026). Conclusions: Patients with Mild Cognitive Impairment realize their difficulty in driving and drive fewer miles, however, they renew their license for fear of losing this ability.
机译:简介:在日常临床实践中,医师,心理学家和职业治疗师经常与轻度认知障碍(MCI)患者讨论安全驾驶的问题。他们还尝试确定认知障碍者的驾驶能力。这项研究的目的是检查与健康老年人相比,患有MCI的老年驾驶员的行为,并确定他们在驾驶习惯上的差异。方法:我们确定了连续的60名参与者,44名MCI患者和16名健康对照。所有参与者均接受了神经心理学的评估:迷你精神状态检查(MMSE),时钟图测验,痴呆症状功能评分量表(FRSSD)评分和老年抑郁量表(GDS)以及驾驶问卷,其中包含33个问题,包括52个亚项问题。结果:92.3%的MCI患者更新了驾驶执照,而正常人则为60%(χ〜(2)(1)= 4.403,p = 0.036)。仅考虑那些仍在行驶的参与者,正常受试者每月行驶的距离比MCI患者更长(χ〜(2)(5)= 12.767,(p = 0.026)。结论:轻度认知障碍患者意识到自己的驾驶困难和行驶更少的距离,但是,由于担心失去这种能力,他们续签了执照。

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