五禽戏之猿戏对轻度认知障碍患者焦虑、抑郁及睡眠质量的影响

Effects of the monkey exercise in Wuqinxi on anxiety,depression and quality of sleep in patients with mild cognitive impairment

目的 探讨练习五禽戏之猿戏对轻度认知障碍(MCI)患者焦虑、抑郁情绪及睡眠质量的影响。方法 选取2020年5月至2021年5月该院老年科收治的住院患者采用蒙特利尔认知评估量表、汉密尔顿焦虑量表(HAMA)及汉密尔顿抑郁量表(HAMD)进行筛查和医学诊断,将80例确诊为MCI合并焦虑、抑郁心理伴不同程度睡眠障碍的患者采用随机数字表法分为观察组和对照组,每组40例。2组患者住院期间均接受常规治疗及心理护理,出院后加入延续护理群,观察组进行猿戏锻炼,对照组进行日常锻炼。使用HAMA、HAMD、匹兹堡睡眠质量指数(PSQI)评价2组患者干预前及干预4、12周后焦虑、抑郁及睡眠改善情况;使用老年痴呆患者生活质量量表(QOL-AD)评价2组患者生活质量。结果 观察组患者干预4周后PSQI评分,以及干预12周后HAMA、HAMD、PSQI评分均明显低于对照组,干预4、12周后QOL-AD评分均明显高于对照组,差异有统计学意义(P<0.05)。结论 五禽戏之猿戏锻炼有助于提高MCI患者睡眠质量,改善其焦虑、抑郁情绪,提高患者生活质量。

Objective To explore the effects of practicing the monkey exercise in Wuqinxi on anxiety,depression and sleep quality of patients with mild cognitive impairment(MCI).Methods The inpatients admitted to the geriatric unit of this hospital from May 2020 to May 2021 were selected and screened and medically diagnosed using the Montreal Cognitive Assessment Scale,Hamilton Anxiety Scale(HAMA)and Hamilton Depression Scale(HAMD).A total of 80 patients diagnosed with MCI combined with anxiety and depression with varying degrees of sleep disorders were divided into the observation group and the control group using the random number table method,with 40 cases in each group.The patients in both groups received conventional treatment and psychological care during hospitalization,then joined the continuation of care group after discharge.The observation group performed the monkey exercise,and the control group performed daily exercise.Anxiety,depression and sleep improvement were evaluated using HAMA,HAMD,and Pittsburgh Sleep Quality Index(PSQI)before and after 4 and 12 weeks of intervention in the two groups;the quality of life was evaluated using the Quality of Life in Alzheimer′s Disease Scale(QOL-AD)in the two groups.Results The PSQI score after 4 weeks of intervention and the HAMA,HAMD and PSQI scores after 12 weeks of intervention were significantly lower in the observation group than in the control group,and the QOL-AD scores after 4 and 12 weeks of intervention were significantly higher than in the control group,and the differences were statistically significant(P<0.05).Conclusion Keep doing the therapy of the monkey exercise in Wuqinxi on patients with MCI can effectively improve the patients′sleep quality,improve the patients′emotion of anxiety and depression,and improve their quality of life.