弹力带操结合团体心理治疗对轻度失能老人功能性消化不良及日常生活能力的影响研究  

The effect of elastic band exercises combined with group psychotherapy on functional dyspepsia and ability of daily living in the elderly with mild disability

作　　者：刘燕[1] 蒋全菊 杨秋莲 LIU Yan;JIANG Quan-ju;YANG Qiu-lian(The Fifth Department of Geriatric Internal Medicine,Sichuan Academy of Medical Sciences&Sichuan Provincial People’s Hospital,Chengdu 610072,China;The Second Department of Internal Medicine,Yilong People’s Hospital,Yilong 637600,China)

机构地区：[1]四川省医学科学院·四川省人民医院老年内五科,四川成都610072 [2]四川省仪陇县人民医院内二科,四川仪陇637600

出　　处：《实用医院临床杂志》2021年第6期18-21,共4页Practical Journal of Clinical Medicine

基　　金：四川省护理科研课题计划(编号:H20010)。

摘　　要：目的研究弹力带操结合团体心理治疗对轻度失能老人的功能性消化不良(FD)及日常生活活动能力的影响。方法将78例轻度失能老人患者按随机数字表法分为观察组和对照组各39例,对照组采用团体心理治疗法,观察组采用取弹力带结合团体心理治疗法,8周后,评估两组患者干预前后FD的症状总积分、单个症状积分及生活自理能力(Barthel BI)指数。结果治疗后两组FD症状总积分均降低,且观察组优于对照组(P<0.05);FD单项症状积分比较,观察组餐后饱胀不适、早饱评分较治疗前降低(P<0.05);观察组BI评分高于对照组(P<0.05)。结论弹力带操结合团体心理治疗对改善轻度失能老人功能性消化不良有积极的影响;弹力带操训练能够提高老年人日常生活能力,可为轻度失能老人提供一种安全、易学、有效的治疗保健方式。Objective To investigate the effects of elastic band exercises combined with group psychotherapy on functional dyspepsia(FD)and ability of daily living in the elderly with mild disability.Methods Total of 78 elderly FD patients with mild disability was randomly divided into an observation group and a control group,39 in each group.The control group was treated with group psychotherapy,while the observation group was treated with elastic band exercises combined with group psychotherapy.After 8 weeks,the total symptom score,single symptom score of FD and Barthel Bi index before and after treatment were evaluated.Results After treatment,the total score of FD symptoms in both groups was decreased,and the observation group was better than the control group(P<0.05).Compared with the scores of FD single symptom,the scores of postprandial satiety and early satiety in the observation group were lower than those before treatment(P<0.05).The BI score of the observation group was higher than that of the control group(P<0.05).Conclusion Elastic band exercise combined with group psychotherapy has a positive effect on the improvement of FD in the elderly with mild disability.The elastic band exercise per se can improve the ability of daily life for the elderly.It can be used as a safe,easy to learn and effective way of treatment and health care for the elderly with mild disability.

关 键 词：失能老人 弹力带 团体心理治疗 功能性消化不良 

分 类 号：R473.6[医药卫生—护理学]