老年风湿病患者康复训练的效果研究

Study on the effect of rehabilitation training for elderly patients with rheumatism

目的探讨老年风湿病患者康复训练的效果。方法选取老年风湿病患者80例,随机分为对照组和实验组,每组40例。对照组采用常规康复训练方案,实验组在对照组的基础上增加认知训练、正念训练、自我管理教育。对比两组患者康复训练前后的疼痛程度、关节功能、生活质量、认知功能及心理状态。结果康复训练后,两组患者视觉模拟评分法(VAS)、健康评估问卷(HAQ)、汉密尔顿抑郁量表(HAMD)和汉密尔顿焦虑量表(HAMA)评分均低于康复训练前,健康调查简表(SF-36)、简易精神状态量表(MMSE)评分均高于康复训练前,且实验组VAS评分(2.69±0.87)分、HAQ评分(0.63±0.15)分、HAMD评分(7.69±2.54)分和HAMA评分(6.94±2.38)分均低于对照组的(3.74±1.01)、(0.87±0.18)、(10.42±2.87)、(9.35±2.61)分,SF-36评分(64.72±6.83)分、MMSE评分(28.31±2.19)分均高于对照组的(58.39±7.21)、(26.48±2.34)分,差异有统计学意义(P<0.05)。结论老年风湿病患者在常规康复训练基础上进行认知训练、正念训练、自我管理教育,可显著改善疼痛程度、关节功能、生活质量、认知功能和心理状态,值得在临床中推广应用。

Objective To explore the effect of rehabilitation training for elderly patients with rheumatism.Methods 80 elderly patients with rheumatism were selected and randomly divided into a control group and an experimental group,with 40 patients in each group.The control group received routine rehabilitation training,while the experimental group added cognitive training,mindfulness training,and self-management education on the basis of the control group.The pain levels,joint function,quality of life,cognitive function and psychological status before and after rehabilitation training were compared between the two groups.Results After rehabilitation training,the Visual Analogue Scale(VAS),Health Assessment Questionnaire(HAQ),Hamilton Depression Scale(HAMD)and Hamilton Anxiety Scale(HAMA)scores in both groups were lower than those before rehabilitation training,while the 36-Item Short-Form Health Survey(SF-36)and Mini-Mental State Examination(MMSE)scores were higher than those before rehabilitation training;the experimental group had VAS score of(2.69±0.87)points,HAQ score of(0.63±0.15)points,HAMD score of(7.69±2.54)points,and HAMA score of(6.94±2.38)points,which were all lower than(3.74±1.01),(0.87±0.18)and(10.42±2.87),and(9.35±2.61)points in the control group;the experimental group had SF-36 score of(64.72±6.83)points and MMSE score of(28.31±2.19)points,which were higher than(58.39±7.21)and(26.48±2.34)points in the control group;the difference was statistically significant(P<0.05).Conclusion Cognitive training,mindfulness training and self-management education on the basis of routine rehabilitation training for elderly patients with rheumatism can significantly improve pain level,joint function,quality of life,cognitive function and psychological state,which is worth promoting and applying in clinical practice.