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| 五行健康操对老年精神分裂症住院患者日常生活能力和认知功能临床效果 |
| Clinical effect of five element health exercises on daily living ability and cognitive function of elderly inpatients with schizophrenia |
| 投稿时间：2021-10-22 修订日期：2022-08-26 |
| DOI： |
| 中文关键词: 精神分裂症 五行健康操 日常生活能力 认知功能 |
| 英文关键词:Schizophrenia Five elements of health exercise Daily life ability Cognitive function |
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| 中文摘要: |
| 【摘要】 目的 探讨五行健康操对改善住院老年精神分裂症患者日常生活能力和认知功能临床效果。方法 纳入2016年5月-2017年5月在厦门市仙岳医院住院治疗、符合《国际疾病分类（第10版）》（ICD-10）诊断标准的老年精神分裂症患者为研究对象，共80例，采用随机数字表法分为研究组和对照组各40例。两组均接受常规药物治疗、精神科护理及康复治疗，研究组在此基础上进行五行健康操。于干预前、干预6个月和1年后，采用Barthel指数评定量表（BI）评定患者日常生活能力，采用简易精神状态评价量表（MMSE）评定患者的认知功能。于干预前和干预1年后，采用护士用住院患者观察量表（NOSIE）评定患者行为及病情变化。结果 干预后6个月和干预后1年，研究组BI（F=2.876、3.240，P<0.05或0.01）和MMSE评分（F=4.742、7.902，P<均0.01）均高于对照组，差异均有统计学意义。研究组NOSIE [（151.58±27.26），t=1.082，P<0.05]总评分以及各维度评分均高于对照组，差异均有统计学意义（P均<0.05）。结论 在常规药物治疗及常规护理基础上同时实施五行健康操，有助于改善精神分裂症患者日常生活能力、认知功能。 |
| 英文摘要: |
| 【Abstract】 Objective To explore the clinical effect of five element health exercises on improving the ability of daily living and cognitive function of hospitalized elderly patients with schizophrenia. Methods 80 patients aged ≥ 60 years who were hospitalized for more than 3 months were randomly divided into control group and study group, with 40 cases in each group. Both groups received routine drug treatment, the control group received routine psychiatric nursing and rehabilitation intervention, and the study group implemented group five element health exercises on the basis of the control group. The activities of daily living, cognitive function, behavioral changes and disease evolution of the two groups before, 6 months and 1 year after the intervention were compared. The basic activities of life scale（the）was used Barthe lindex of ADL （Barthel index rating scale）was used to assess patients' ability of daily living, Mini Mental State Examination （MMSE）was used to assess patients' cognitive function, and nurse observation scale for inpatient evaluation （NOSIE）was used to assess patients' behavior changes and disease evolution. Results one year after the intervention MMSE [(28.41±1.51) points vs. (25.98±1.65) points，F=7.902, P<0.05]，N0SIE[（151.58±27.26）points vs.（147.26±30.33）points，t=1.082，P<0.05] and dimension scores in the study group were significantly higher than those in the control group（P<0.05）. Conclusion On the basis of routine drug treatment and routine nursing, the implementation of five element health exercises at the same time is helpful to improve the daily living ability and cognitive function of schizophrenic patients. |
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