[1]裴建琴,张艳,陆江波,等.团体感觉运动训练对老年精神分裂症患者认知功能、阴性症状的干预效果研究[J].军事护理,2022,39(09):13-16.[doi:10.3969/j.issn.1008-9993.2022.09.004]
 PEI Jianqin,ZHANG Yan,LU Jiangbo,et al.Effect of Group Sensorimotor Training on Cognitive Function and Negative Symptoms in Elderly Patients with Schizophrenia[J].Nursing Journal Of Chinese People's Laberation Army,2022,39(09):13-16.[doi:10.3969/j.issn.1008-9993.2022.09.004]
点击复制

团体感觉运动训练对老年精神分裂症患者认知功能、阴性症状的干预效果研究
分享到:

《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
39
期数:
2022年09期
页码:
13-16
栏目:
精神卫生专栏
出版日期:
2022-09-15

文章信息/Info

Title:
Effect of Group Sensorimotor Training on Cognitive Function and Negative Symptoms in Elderly Patients with Schizophrenia
文章编号:
1008-9993(2022)09-0013-04
作者:
裴建琴1张艳1陆江波2张洁3姚梦洁3代金枝3钱维2
(1.无锡市精神卫生中心 护理部,江苏 无锡214151; 2.无锡市精神卫生中心 精神康复科; 3.无锡市精神卫生中心 老年精神科)
Author(s):
PEI Jianqin1ZHANG Yan1LU Jiangbo2ZHANG Jie3YAO Mengjie3DEI Jinzhi3QIAN Wei2
(1.Department of Nursing,Wuxi Mental Health Center,Wuxi 214151,Jiangsu Province,China; 2.Department of Psychiatric Rehabilitation,Wuxi Mental Health Center; 3.Department of Geriatric Psychiatry,Wuxi Mental Health Center)
关键词:
感觉运动训练 康复护理 精神分裂症 干预性研究
Keywords:
sensorimotor training rehabilitation nursing schizophrenia intervention study
分类号:
R473.74
DOI:
10.3969/j.issn.1008-9993.2022.09.004
文献标志码:
A
摘要:
目的 探讨团体感觉运动训练对老年精神分裂症患者认知功能、阴性症状干预效果。方法 选取63例老年精神科患者,用随机数字表法分为干预组(32例)和对照组(31例),干预组在精神科常规护理基础上进行团体感觉运动训练,每周3次,共24次,两组干预前后采用简易智能状态检查表(mini-mental state examination,MMSE)、阴性症状量表(scale for the assessment of negative symptoms,SANS)和改良Barthel指数(modified Barthelindex,MBI)评定干预效果,随访6个月比较患者复发率。结果 干预8周后,干预组MMSE、MBI总分高于对照组,干预组SANS总分低于对照组,差异均有统计学意义(均P<0.05); 干预组MMSE、MBI总分高于干预前,SANS总分低于干预前,差异均有统计学意义(均P<0.05); 对照组MMSE、MBI、SANS总分干预前后差异均无统计学意义(均P>0.05); 干预组复发率低于对照组(P<0.05)。结论 团体感觉运动训练能改善老年精神分裂症患者认知功能和阴性症状,提高日常生活能力,降低复发率。
Abstract:
Objective To explore the intervention effect of group sensorimotor training on cognitive function and negative symptoms in elderly patients with schizophrenia.Methods Totally,63 geriatric psychiatric patients were selected and randomly divided into intervention group(32 cases)and control group(31 cases)according to the random number table method.The intervention group received group sensory motor training on the basis of the control group,three times a week,a total of 24 times. Mini Mental State Examination(MMSE), scale for the assessment of negative symptoms(SANS)and modified barthelindex(MBI)were used to evaluate the intervention effect before and after the intervention in the two groups. The recurrence rate of patients was compared after 6 months of follow-up. Results After 8 weeks of intervention, the total scores of MMSE and MBI in the intervention group were higher than those in the control group, and the total scores of sans in the intervention group were lower than those in the control group. The differences were statistically significant(P<0.05). The total scores of MMSE and MBI in the intervention group were higher than those before the intervention, and the total scores of SANS were lower than those before the intervention. The difference was statistically significant(P>0.05). The total scores of MMSE, MBI and SANS in the control group had no statistical significance before and after the intervention(P<0.05); The recurrence rate of the intervention group was lower than that of the control group(P<0.05).Conclusions Group sensorimotor training can improve the cognitive function,negative symptoms and activities of daily living and reduce the rate of disease recurrence in elderly patients with schizophrenia.

参考文献/References:

[1] 曹晓浪,周郁秋,张春宇,等.共享决策在精神分裂症中的研究现状及进展[J].解放军护理杂志,2022,39(2):64-67.
[2] 莫祥德,尹年英.老年精神分裂症患者认知行为和社会功能影响的研究[J].临床医药文献电子杂志,2018,5(17):84-85.
[3] 杨富菊.奥氮平与齐拉西酮对精神分裂症患者阳性与阴性症状量表、副反应量表评分及疗效的影响比较[J].实用临床医药杂志,2017,21(1):156-158.
[4] 王永平,章秋萍,何香娟,等.社会认知交互训练对精神分裂症患者阴性症状及康复疗效的影响[J].护理与康复,2019,18(2):24-28.
[5] 王萍,许梅,屠爱芳.小组社交技能训练应用于慢性精神分裂症患者中的效果[J].临床与病理杂志,2022,42(4):866-871.
[6] 路毅,邓文冲.不同运动方式对大脑结构及认知功能的调节作用及差异[J].中国组织工程研究,2021,25(20):3252-3258.
[7] 陆如平,高慧,蒋琳娜,等.精神运动康复对稳定期精神分裂症患者阴性症状及认知功能的影响[J].上海交通大学学报:医学版,2022,42(1):77-81.
[8] HELENO L R,DA SILVA R A,SHIGAKI L,et al.Five-week sensory motor training program improves functional performance and postural control in young male soccer players-a blind randomized clinical trial[J].Phys Ther Sport,2016(22):74-80.
[9] KIM S.Exploring the field application of combined cognitive- motor program with mild cognitive impairment elderly patients[J].J Exerc Rehabil,2018,14(5):817-820.
[10]胡晔,刘丽君,苏珍辉,等.中医手法按摩结合口腔感觉运动训练在儿童吞咽障碍中的应用[J].护理实践与研究,2020,17(7):108-109.
[11]范肖冬.ICD-10精神与行为障碍分类[M].北京:人民卫生出版社,1993:72-89.
[12]宋岳涛.CGA老年综合评估[M].2版.北京:中国协和医科大学出版社,2019:227-229.
[13]KAY S R,FISZBEIN A,OPLER L A.The positive and neative syndrome scale(PANSS)for Schizophrenia[J].Schizophr Bull,1987,13(2):261-276.
[14]Mahoney F I,Barthel D W.Functional evaluation:the barthel index[J].Md State Med J,1965(14):61-65.
[15]谭晓林,文丽,杨冰香,等.团体自我肯定训练对精神分裂症患者病耻感的干预效果研究[J].中华护理杂志,2018,53(10):1168-1173
[16]程诚,王毅.精神分裂症社会功能的非药物干预方式[J].中国健康心理学杂志,2020,28(2):312-316.
[17]葛高琪,王晶晶,齐冲,等.多感官刺激疗法的临床研究进展[J].解放军护理杂志,2018,35(6):51-55.
[18]赵海容.本体感觉康复训练在脑卒中后下肢Brunnstrom Ⅳ期膝骨性关节炎病人中的应用[J].护理研究,2016,30(6):758-759.

相似文献/References:

[1]李玉,陈可英,周黎辉.基于时机理论的步行运动法在老年慢性心力衰竭患者中的应用[J].军事护理,2021,38(06):72.[doi:10.3969/j.issn.1008-9993.2021.06.019]
 LI Yu,CHEN Keying,ZHOU Lihui.Application of Walking Exercise Method Based on Timing Theory in Elderly Patients with Chronic Heart Failure[J].Nursing Journal Of Chinese People's Laberation Army,2021,38(09):72.[doi:10.3969/j.issn.1008-9993.2021.06.019]
[2]王楠,高岩,任丽杰,等.虚拟现实技术在痉挛型脑瘫患儿康复护理中的应用进展[J].军事护理,2021,38(09):64.[doi:10.3969/j.issn.1008-9993.2021.09.016]
[3]杨莉,孙倩倩,戴薇,等.悬吊训练对脑卒中患者功能影响的系统评价[J].军事护理,2022,39(07):74.[doi:10.3969/j.issn.2097-1826.2022.07.019]
 YANG Li,SUN Qianqian,DAI Wei,et al.Effects of Sling Exercise Therapy on the Function of Stroke Patients: A Systematic Review[J].Nursing Journal Of Chinese People's Laberation Army,2022,39(09):74.[doi:10.3969/j.issn.2097-1826.2022.07.019]
[4]田静,宋明阳,汪秋伊,等.基于循证的康复护理干预对住院颅脑创伤患者自理能力的改善效果[J].军事护理,2023,40(05):70.[doi:10.3969/j.issn.2097-1826.2023.05.017]
 TIAN Jing,SONG Mingyang,WANG Qiuyi,et al.Effectiveness of An Evidence-Based Rehabilitation Nursing Care Program on Self-Care Ability among Inpatients with Traumatic Brain Injury[J].Nursing Journal Of Chinese People's Laberation Army,2023,40(09):70.[doi:10.3969/j.issn.2097-1826.2023.05.017]
[5]罗听薇,张娜,唐倩,等.虚拟现实技术对脑瘫患儿运动功能影响的Meta分析[J].军事护理,2023,40(07):5.[doi:10.3969/j.issn.2097-1826.2023.07.002]
 LUO Tingwei,ZHANG Na,TANG Qian,et al.Effects of Virtual Reality Technology on Motor Function of Children with Cerebral Palsy:A Meta-Analysis[J].Nursing Journal Of Chinese People's Laberation Army,2023,40(09):5.[doi:10.3969/j.issn.2097-1826.2023.07.002]
[6]余琪,陈香萍,张立秀,等.作业治疗在重症监护室患者康复中的应用进展[J].军事护理,2023,40(11):23.[doi:10.3969/j.issn.2097-1826.2023.11.006]

备注/Memo

备注/Memo:
【 收稿日期 】 2022-03-17 【 修回日期 】 2022-07-11
【 基金项目 】 无锡市科技发展医疗卫生科研项目(NZ2019021)
【 作者简介 】 裴建琴,本科,主任护师,从事心理与精神卫生管理研究
【 通信作者 】 张艳,电话:0510-83012238
更新日期/Last Update: 2022-09-15