首页|手指操联合早期康复训练对老年痴呆患者认知、肢体功能及生活质量的影响

手指操联合早期康复训练对老年痴呆患者认知、肢体功能及生活质量的影响

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目的 探讨手指操联合早期康复训练对老年痴呆患者认知、肢体功能及生活质量的影响,以期为临床护理决策的制定提供参考.方法 采用方便抽样法,选取2021年5月—2023年5月在渭南市某医院确诊的80例老年痴呆患者作为研究对象,随机分为手指操联合干预组和传统干预组,每组40例.传统干预组患者采用传统康复干预,手指操联合干预组患者采用手指操联合早期康复训练干预,均持续干预3个月.于护理前后记录2组患者的认知功能[采用简易智力状态检查量表(MMSE)评估]、精神症状[采用神经精神症状问卷(NPI)评估]、肢体功能[采用Fugl-Meyer运动功能评分(FMAS)评估]、日常生活能力[采用日常生活能力量表(ADL)评估]和生活质量[采用生活质量综合评定问卷(GQOILI-74)评估],并进行比较.结果 护理前,2组患者的MMSE各维度得分、NPI得分、FMAS评分、ADL得分及GQOILI-74各维度得分比较,差异均无统计学意义(P>0.05).护理后,2组患者的MMSE各维度得分均有所升高,且手指操联合干预组高于传统干预组,差异均有统计学意义(P<0.05);2组患者的NPI得分均有所降低,且手指操联合干预组低于传统干预组,差异均有统计学意义(P<0.05);2组患者FMAS评分和ADL得分均有所升高,且手指操联合干预组高于传统干预组,差异均有统计学意义(P<0.05);2组患者GQOILI-74各维度得分均有所升高,且手指操联合干预组高于传统干预组,差异均有统计学意义(P<0.05).结论 手指操联合早期康复训练可以帮助改善老年痴呆患者的认知功能、精神症状和肢体功能,提高患者生活质量,值得临床推广使用.
Impact of finger exercises combined with early rehabilitation training on cognitive function,physical function,and quality of life in patients with dementia
Objective To explore the impact of finger exercises combined with early rehabilitation training on cognitive func-tion,physical function,and quality of life in patients with dementia,aiming to provide a reference for clinical nursing deci-sion-making.Methods Using convenient sampling,80 patients with dementia diagnosed at a hospital in Weinan City from May 2021 to May 2023 were selected as the study participants and randomly assigned to a finger exercise intervention group and a traditional intervention group,with 40 cases in each group.The traditional intervention group received traditional re-habilitation intervention,while the finger exercise intervention group received finger exercises combined with early rehabili-tation training intervention,both lasting for 3 months.The cognitive function of the two groups of patients was recorded be-fore and after nursing using the Mini-Mental State Examination(MMSE),neuropsychiatric symptoms using the Neuropsy-chiatric Inventory(NPI),physical function using the Fugl-Meyer Assessment Scale(FMAS),daily living ability using the Activities of Daily Living(ADL)scale,and quality of life using the Generic Quality of Life Inventory-74(GQOLI-74)and compared.Results Before nursing,no significant difference was observed in the subscale scores of MMSE,NPI,FMAS,ADL scale,and GQOLI-74 between the two groups(P>0.05).After nursing,the subscale scores of MMSE in both groups increased significantly,with the finger exercise intervention group scoring significantly higher than the traditional in-tervention group(P<0.05).The NPI scores in both groups decreased significantly,with the finger exercise intervention group scoring significantly lower than the traditional intervention group(P<0.05).The FMAS and ADL scale scores in both groups increased significantly,with the finger exercise intervention group scoring significantly higher than the tradition-al intervention group(P<0.05).The subscale scores of GQOLI-74 in both groups increased significantly,with the finger exercise intervention group scoring significantly higher than the traditional intervention group(P<0.05).Conclusion Fin-ger exercises combined with early rehabilitation training can promote cognitive function,neuropsychiatric symptoms,and physical function in patients with dementia,and increase the quality of life,which is worth promoting in clinical practice.

Rehabilitation trainingDementiaCognitive functionPhysical functionQuality of life

孙会娟、肖茜、杨元烨、黄秀娟

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渭南职业技术学院护理学院,陕西渭南 714000

陕西省渭南市杜桥医养中心院办公室,陕西渭南 714000

西安交通大学第三附属医院康复科,西安 710068

陕西省渭南市临渭区老年公寓院办公室,陕西渭南 714000

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康复训练 老年痴呆 认知功能 肢体功能 生活质量

2024

保健医学研究与实践
西南大学

保健医学研究与实践

CSTPCD
影响因子:0.512
ISSN:1673-873X
年,卷(期):2024.21(8)