摘要
目的观察低负荷抗阻训练对老年衰弱患者躯体功能和抑郁状态的影响。方法选取2021年11月至2022年3月于我院接受治疗的老年衰弱患者46例,采用随机数字表法分为对照组和研究组各23例。两组均接受传统康复训练,研究组在传统康复训练基础上加用帕维尔康复训练系统进行低负荷抗阻训练,连续治疗12周,并在治疗前后采用简易机体功能评估(SPPB)、改良Barthel指数(MBI)、简版老年抑郁量表(GDS-15)评定老年衰弱患者的躯体功能和抑郁状态的变化。结果治疗12周后两组简易机体功能评估(SPPB)、改良Barthel指数(MBI)、简版老年抑郁量表(GDS-15)均较治疗前改善(P<0.05),且而研究组较对照组改善更为明显,变化更为显著(P<0.001),治疗后研究组躯体功能指数(SPPB和MBI)较对照组显著升高,而抑郁指数(GDS-15)显著减少(P<0.05)。结论低负荷抗阻训练能够有效改善老年衰弱患者的躯体功能和抑郁情绪,值得临床推广应用。
Objective To observe the effect of low-load resistance training on physical function and depression state in elderly frail patients.Methods 46 elderly frail patients who received treatment in our hospital from November 2021 to March 2022 were selected and randomly divided into a control group and a study group with 23 cases each using a random number table method.The two groups were given traditional rehabilitation training,while the study group was given low-load resistance training with Power Rehabilitation System on the basis of traditional rehabilitation for 12 weeks.Before and after treatment,the changes in physical function and depression state of elderly frail patients were evaluated using the short physical performance battery(SPPB),modified Barthel index(MBI),and simplified version of the Geriatric Depression Scale(GDS-15).Results After 12 weeks of treatment,the short physical performance battery(SPPB),modified barthel index(MBI),and simplified version of the Geriatric Depression Scale(GDS-15)in both groups improved compared to before treatment(P<0.05),and the study group showed more significant improvement and changes compared to the control group(P<0.001).After treatment,the study group's body function index(SPPB and MBI)significantly increased compared to the control group,while the depression index(GDS-15)significantly decreased(P<0.05).Conclusion Low-load resistance training can effectively improve the physical function and depressive mood of elderly frail patients,and is worthy of clinical promotion and application.
作者
王晓平
孔芳草
肖琴琴
李小通
刘志芳
朱倩
张静怡
WANG Xiaoping;KONG Fangcao;XIAO Qinqin;LI Xiaotong;LIU Zhifang;ZHU Qian;ZHANG Jingyi(Department of Rehabilitation Medicine,Shanghai Jinshan Zhongren Aged Care Hospital,Shanghai 201501,China)
出处
《中国老年保健医学》
2023年第4期130-133,共4页
Chinese Journal of Geriatric Care
基金
上海市金山区科学技术创新资金项目(编号:2021-3-33)。
关键词
低负荷抗阻训练
老年人
衰弱
躯体功能
抑郁状态
low-load resistance training
elderly
frailty
physical function
depression state
