抗阻运动联合帕金森康复操在帕金森伴睡眠障碍患者中的应用效果  

Effects of resistance exercise combined with Parkinson rehabilitation exercise on patients with Parkinson disease accompanied by sleep disorder

作　　者：李虹 霍玉萌 李鑫[1] Li Hong;Huo Yumeng;Li Xin(International Department,Beijing Tiantan Hospital,Capital Medical University,Beijing 100070,China)

机构地区：[1]首都医科大学附属北京天坛医院国际部,100070

出　　处：《中华现代护理杂志》2020年第21期2894-2898,共5页Chinese Journal of Modern Nursing

基　　金：北京天坛医院院内科研基金项目(2017-YQN-22)。

摘　　要：目的探讨在中老年帕金森伴睡眠障碍患者中实施抗阻力运动联合帕金森康复操干预的效果。方法采用便利抽样法,选取2017年8月—2018年8月首都医科大学附属北京天坛医院住院的100例帕金森伴睡眠障碍患者为研究对象。将入住神经内科的50例患者作为对照组,采用常规护理方法;同期入住国际部神经内科的50例患者作为观察组,在对照组的基础上采用抗阻力运动联合帕金森康复操进行干预护理。干预前、干预4周后采用匹兹堡睡眠质量指数量表(PSQI)、帕金森病生活质量问卷(PDQ-39)对两组患者的睡眠质量和生活质量进行评价。结果干预后观察组患者的PSQI总分为(20.76±7.71)分,主观睡眠质量维度得分为(1.24±0.80)分,入睡时间维度得分为(2.55±1.50)分,睡眠时间维度得分为(1.31±1.08)分,睡眠效率维度得分为(1.56±1.29)分,睡眠障碍维度得分为(6.07±4.38)分,催眠药物维度得分为(1.20±1.18)分,日间功能障碍维度得分为(2.78±1.83)分,均较对照组低,在PSQI总分和睡眠障碍、日间功能障碍2个维度得分差异有统计学意义(P<0.05)。干预后观察组生活质量得分为(120.86±21.98)分,低于对照组,且观察组干预后的生活质量评分低于干预前,差异均具有统计学意义(P<0.05)。结论抗阻力运动联合帕金森康复操对改善帕金森睡眠障碍患者的睡眠质量及生活质量具有一定效果,且操作方法简单、安全,值得临床推广应用。Objective To explore effects of implementing resistance exercise combined with Parkinson rehabilitation exercise in middle-aged and elderly patients with Parkinson disease accompanied by sleep disorder.Methods By the convenient sampling method,100 patients with Parkinson disease accompanied by sleep disorder who were hospitalized in Beijing Tiantan Hospital of Capital Medical University from August 2017 to August 2018 were selected as research objects.A total of 50 patients who were admitted to department of neurology were set as the control group and they were given conventional nursing.During the same period,a total of 50 patients who were admitted to department of neurology of the International Department were set as the observation group.On the basis of the control group,the observation group used resistance exercise combined with Parkinson rehabilitation exercises for intervention nursing.Pittsburgh Sleep Quality Index(PSQI)and Parkinson's Disease Quality of Life Questionnaire(PDQ-39)were used to evaluate the sleep quality and quality of life of patients in the two groups before intervention and 4 weeks after the intervention.Results After intervention,the total PSQI score of the observation group was(20.76±7.71),the subjective sleep quality dimension score was(1.24±0.80),the time for falling asleep dimension score was(2.55±1.50),the sleep time dimension score was(1.31±1.08),the sleep efficiency dimension score was(1.56±1.29),the sleep disorder dimension score was(6.07±4.38),the hypnotic drug dimension score was(1.20±1.18)and the daytime dysfunction dimension score was(2.78±1.83),which were lower than those of the control group.There were statistically significant differences in the total score of PSQI,sleep disorder dimension and daytime dysfunction dimension(P<0.05).The quality of life score of the observation group after intervention was(120.86±21.98),lower than that of the control group before the intervention,the differences were statistically significant(P<0.05).Conclusions Resistance exercise

关 键 词：帕金森病 康复护理 生活质量 睡眠障碍 抗阻力运动 

分 类 号：R473.74[医药卫生—护理学]