中医康复联合物理康复训练对老年精神病患者生活自理能力和精神状况的影响

Effect of Chinese Medicine Rehabilitation Combined with Physical Rehabilitation Training on Activity of Daily Living and Mental Status of Senile Patients with Mental Illness

目的:观察中医康复联合物理康复训练对老年精神病患者生活自理能力和精神状况的影响。方法:选取87例老年精神病患者,按随机数字表法分为对照组43例与观察组44例。对照组给予物理康复训练干预,观察组在对照组的基础上给予中医康复干预。观察比较2组干预前后的肺功能、运动耐力和跌倒事件发生率情况,以及精神状况、自理能力和生活质量情况。结果:干预前,2组用力肺活量(FVC)、第1秒用力呼气容积(FEV1)、6分钟步行距离(6MWD)和峰值换气比值水平比较,差异无统计学意义(P>0.05)。干预后,观察组FVC、FEV1、6MWD和峰值换气比值水平均较干预前升高(P<0.05),且观察组FVC、FEV1、6MWD和峰值换气比值水平高于对照组(P<0.05)。治疗期间,观察组跌倒事件发生率为9.09%,对照组为41.86%,2组比较,差异有统计学意义(P<0.05)。干预前,2组简易精神状态检查表(MMSE)和简明精神病评定量表(BPRS)评分比较,差异均无统计学意义(P>0.05)。干预后,2组MMSE、BPRS评分均较治疗前降低(P<0.05),且观察组MMSE、BPRS评分均低于对照组(P<0.05)。干预前,2组世界卫生组织生活质量简表(WHOQOL-BREF)中环境因素、社会关系、生理方面和心理方面评分及2组日常生活能力评估量表(ADL)评分比较,差异均无统计学意义(P>0.05);干预后,2组WHOQOL-BREF各项指标评分、ADL评分均较治疗前升高(P<0.05),且观察组上述各项指标评分均高于对照组(P<0.05)。结论:中医康复联合物理康复训练能够有效增强老年精神病患者的肺功能和运动耐力,改善精神状况,提高生活自理能力和生活质量,减少跌倒事件的发生。

Objective: To observe the effect of the therapy of Chinese medicine rehabilitation combined with physical rehabilitation training on the activity of daily living and mental status of senile patients with mental illness. Methods:A total of87 senile patients with mental illness were selected and divided into the control group and the observation group according to random number table,43 and 44 cases in each group. The control group was intervened with physical rehabilitation training,and the observation group was given Chinese medicine rehabilitation based on the treatment of the control group. The lung function, exercise endurance and the incidence of falls, mental status, activity of daily living and quality of life were observed and compared between the two groups before and after intervention. Results:Before intervention,there was no significant difference in forced vital capacity(FVC), forced expiratory volume in the first second(FEV1), 6-minute walking distance(6 MWD) and peak ventilation ratio between the two groups(P>0.05). After intervention,the levels of FVC,FEV1,6 MWD and peak ventilation ratio in the observation group were increased when compared with those before intervention(P<0.05),and the above levels in the observation group were higher than those in the control group(P<0.05). During treatment,the incidence of falls was 9.09% in the observation group and 41.86% in the control group,the difference being significant(P<0.05). Before intervention,there was no significant difference in the scores of Mini-Mental State Examination(MMSE)and Brief Psychiatric Rating Scale(BPRS) between the two groups(P>0.05). After intervention,scores of MMSE and BPRS in both groups were decreased when compared with those before treatment(P<0.05),and the two scores in the observation group were lower than those in the control group(P<0.05). Before intervention,there was no significant difference in the environmental factors,social relations,physiological and psychological scores in World Health Organization Quality of LifeBREF(WHOQOL-BREF) and the scores of Activity of Daily Living(ADL) between the two groups(P>0.05). After intervention,the scores of all indicators in the WHOQOL-BREF and ADL in the two groups were increased when compared with those before treatment(P<0.05),and the scores of the above indicators in the observation group were higher than those in the control group(P<0.05). Conclusion: The therapy of Chinese medicine rehabilitation combined with physical rehabilitation training can effectively enhance the lung function and exercise endurance,improve the mental state and ability of daily living and quality of life,and reduce the incidence of falls in elderly patients with mental illness.