运动-认知双重干预模型,用于虚弱综合征的老年患者与并发症:基于电子医疗记录的回顾性病例对照研究
Shiqun Zhou1,2, Ankang Lv1, Lanlan Lou1
1Department of Geriatrics, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Journal of community health nursing
|December 1, 2025
概括
运动和认知干预的结合显著减少了伴随疾病的老年患者的虚弱. 这种方法改善了生活质量,身体功能和认知能力,提供了一种非药物战略,以提高幸福感和减少跌倒风险.
科学领域:
- 老年学是指老年学的学科.
- 神经学 神经学
- 物理疗法物理治疗
背景情况:
- 虚弱综合征是伴随疾病的老年患者的一个重大问题,影响他们的生活质量和增加跌倒风险.
- 目前的干预措施通常集中在健康的单一方面,可能缺少协同效益.
研究的目的:
- 调查双重运动-认知干预模型在改善多病症老年患者的虚弱综合征方面的有效性.
- 分析这种干预对身体功能,认知表现和生活质量的影响.
主要方法:
- 一项回顾性观察性研究,涉及100名脆弱的老年患者 (Fried Frailty Assessment Scale得分≥3).
- 患者被分为对照组 (例行干预) 和观察组 (联合运动-认知干预).
- 评估结果包括脆弱性得分,生活质量 (SF-36),身体功能 (握力,步行速度,平衡,SPPB) 和认知功能 (MoCA) 在1个月和3个月的随访.
主要成果:
- 观察组在三个月后与对照组相比,表现出脆弱性得分的显著降低.
- 在干预组中,生活质量,握力和步行速度都有所改善.
- 在运动认知组中,在平衡评估 (Berg, Morse) 和认知功能 (MoCA) 中观察到更好的表现.
结论:
- 运动-认知双重干预模型在改善多病症的老年患者的虚弱综合征方面是有效的.
- 这种干预可以提高生活质量,认知功能和平衡能力,这是一个有价值的非药物战略.
- 这些发现强调了综合方法在改善老年人的健康和降低跌倒风险方面的临床实用性.
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