| 林美容,高瑾.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的效果[J].四川精神卫生杂志,2022,35(5):434-438.Lin Meirong,Gao Jin,Efficacy of five elements health exercise on improving ability of daily living and cognitive function in elderly inpatients with schizophrenia[J].SICHUAN MENTAL HEALTH,2022,35(5):434-438 |
| 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的效果 |
| Efficacy of five elements health exercise on improving ability of daily living and cognitive function in elderly inpatients with schizophrenia |
| 投稿时间：2021-10-22 |
| DOI：10.11886/scjsws20211022001 |
| 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 health exercise Ability of daily life Cognitive function |
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| 中文摘要: |
| 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的效果。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（n=80）为研究对象，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练习。于干预前、干预6个月和干预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6个月和干预1年后，研究组BI评分（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。干预1年后，研究组NOSIE各因子评分及总评分均高于对照组，差异均有统计学意义（t=0.173~2.463，P均<0.05）。结论 在常规药物治疗及常规护理的基础上实施五行健康操，可能有助于改善住院老年精神分裂症患者的日常生活能力和认知功能。 |
| 英文摘要: |
| Objective To explore the clinical efficacy of five elements health exercise on improving the ability of daily living and cognitive function in elderly inpatients with schizophrenia.Methods A total of 80 elderly patients with schizophrenia who were hospitalized in Xiamen Xianyue Hospital from May 2016 to May 2017 and met the diagnostic criteria of International Classification of Diseases， tenth edition （ICD-10） were enrolled in this study， and were randomly divided into the study group and the control group， with 40 cases in each group. Both groups received routine drug treatment， psychiatric nursing care and rehabilitation treatment， and the study group received five elements health exercise on this basis. The ability of daily living and cognitive function of patients were assessed using Barthel Index （BI） and Mini-Mental State Examination （MMSE） before intervention， 6 months and 1 year after intervention. Additionally， the Nurses' Observation Scale for Inpatient Evaluation （NOSIE） was adopted to evaluate the changes of patients' behavior and condition before and after 1-year intervention.Results At 6 months and 1 year of intervention， study group scored higher on BI （F=2.876， 3.240， P<0.05 or 0.01） and MMSE （F=4.742， 7.902， P<0.01） than control group， with statistically significant differences. After 1 year of intervention， the scores of each factor and total score of NOSIE in the study group were higher than those in the control group， and the differences were statistically significant （t=0.173~2.463， P<0.05）.Conclusion On the basis of routine drug therapy and routine nursing care， the implementation of five elements health exercise may improve the ability of daily living and cognitive function of elderly inpatients with schizophrenia. |
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