护理干预下主动锻炼对高龄衰弱患者的影响

来源:用户上传      作者:章妙玉　　高燕飞　　盛晓丹　　王秋燕　　钟玲玲

　　[摘要] 目的 探护理干预下主动锻炼对高龄衰弱患者的影响。 方法 选择100例2020年1―12月在浙江省立同德医院治疗的高龄衰弱者进行研究，随机分为试验组与对照组，每组各50例。对照组采用常规自主功能锻炼;试验组在护理干预下主动锻炼。比较两组干预前后SPPB简易体能状况评分，Barthel评分，Berg平衡量表评分，MMT肌力量表评分及TFI衰弱评分。 结果 干预后两组SPPBA简易体能状况得分高于干预前，差异有统计学意义（P<0.05）;干预后3、6、12个月，试验组得分较对照组高，差异有统计学意（P<0.05）。 干预后两组Barthel得分高于干预前，差异有统计学意义（P<0.05）;干预后3、6、12个月，试验组得分较对照组高，差异有统计学意义（P<0.05）。 干预后两组Berg平衡量表得分高于干预前，差异有统计学意义（P<0.05）;干预后不同时间点，试验组得分较对照组高，差异有统计学意义（P<0.05）。 干预后两组MMT肌力量表得分高于干预前，差异有统计学意义（P<0.05）;干预后3、6、12个月，试验组得分较对照组高，差异有统计学意义（P<0.05）。干预后两组TFI得分低于干预前，差异有统计学意义（P<0.05）;干预后不同时间点，试验组得分较对照组低，差异有统计学意义（P<0.05）。 结论 护理干预下主动锻炼可显著改善高龄衰弱患者的身体状况，提高生活质量。
　　[关键词] 护理干预;主动锻炼;高龄;衰弱
　　[中图分类号] R473.7 [文献标识码] B [文章编号] 1673-9701（2022）09-0180-04
　　Influence of active exercise under nursing intervention on elderly patients with debilitation
　　ZHANG Miaoyu GAO Yanfei SHENG Xiaodan WANG Qiuyan ZHONG Lingling
　　Department of Cadre Health Care， Tongde Hospital of Zhejiang Province，Hangzhou 310012，China
　　[Abstract] Objective To explore the influence of active exercise under nursing intervention on elderly patients with debilitation. Methods A total of 100 elderly patients with debilitation who were treated in Tongde Hospital of Zhejiang Province from January to December， 2020 were selected and randomly divided into the experimental group and the control group，with 50 cases in each group.The control group was given conventional self-function exercise.The experimental group took active exercise under nursing intervention. The SPPB score， Barthel score，Berg score，MMT score and TFI score were compared between the two groups before and after intervention. Results After intervention， the scores of SPPBA in the two groups were higher than those before intervention， and the difference was statistically significant（P<0.05）.At 3，6 and 12 months after intervention， the scores of the experimental group were higher than those of the control group， and the difference was statistically significant（P<0.05）.Barthel scores of the two groups after intervention were higher than those before intervention， and the difference was statistically significant （P<0.05）.At 3， 6 and 12 months after intervention，the scores of the experimental group were higher than those of the control group，and the difference was statistically significant（P<0.05）. After intervention， the scores of Berg Balance Scale in the two groups were higher than those before intervention， and the difference was statistically significant（P<0.05）.At different time points after intervention，the scores of the experimental group were higher than those of the control group，and the difference was statistically significant（P<0.05）. After intervention，the scores of MMT in the two groups were higher than those before intervention， and the difference was statistically significant（P<0.05）. At 3， 6 and 12 months after intervention， the scores of the experimental group were higher than those of the control group，and the difference was statistically significant（P<0.05）.After intervention， TFI scores of the two groups were lower than those before intervention， and the difference was statistically significant（P<0.05）. At different time points after intervention， the scores of the experimental group were lower than those of the control group， and the difference was statistically significant（P<0.05）. Conclusion Active exercise under nursing intervention can significantly improve the physical condition and quality of life of elderly patients with debilitation.

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