团体认知康复训练对精神分裂症康复期骨质疏松患者跌倒认知及运动依从性的影响  

Effects of group cognitive rehabilitation training on fall cognition and exercise compliance in patients with osteoporosis during rehabilitation period of schizophrenia

作　　者：夏丽萍[1] 季彩芳 唐晓芳 Xia Liping;Ji Caifang;Tang Xiaofang(Department of Psychiatry,Suzhou Guangji Hospital,215137,China;Department of Nursing,Suzhou Guangji Hospital,215137,China;Psychiatric Rehabilitation,Suzhou Guangji Hospital,215137,China)

机构地区：[1]苏州市广济医院精神科,215137 [2]苏州市广济医院护理部,215137 [3]苏州市广济医院精神康复科,215137

出　　处：《国际护理学杂志》2022年第16期2976-2979,共4页international journal of nursing

基　　金：苏州市2019年度科技发展计划(民生科技-医疗卫生应用基础研究)项目(SYSD2019147)。

摘　　要：目的探讨团体认知康复训练对精神分裂症康复期骨质疏松患者跌倒认知及运动依从性的影响。方法选取2018年1月至2020年6月入住苏州市广济医院的精神分裂症康复期骨质疏松患者126例,采用随机数字表法分为对照组及观察组,各63例。对照组采用常规护理,观察组在对照组基础上进行团体认知康复训练,比较两组患者跌倒认知及运动依从性的变化。结果两组患者的跌倒效能量表(MFES)评分在干预后6个月与干预前相比均有所升高,且观察组升高更为显著,差异有统计学意义(P<0.05);两组患者的跌倒认知程度在干预后6个月与干预前相比均有所升高,且观察组升高更为显著,差异有统计学意义(P<0.05);干预后6个月观察组患者运动依从性显著高于对照组,且跌倒发生率显著低于对照组,差异有统计学意义(P<0.05)。结论团体认知康复训练对精神分裂症康复期骨质疏松患者,能够有效提升患者跌倒认知程度及运动依从性,降低跌倒发生风险,有利于提高精神分裂症康复期患者生活质量。Objective To explore the effect of group cognitive rehabilitation training on fall cognition and movement compliance in patients with osteoporosis in schizophrenia.Methods A total of 126 patients with osteoporosis from schizophrenia from January 2018 to June 2020,using randomized digital table method into control group and observation group,63 each.The control group received routine nursing,and the observation group received group cognitive rehabilitation training on the basis of the control group.The changes of fall cognition and exercise compliance were compared between the two groups.Results The modified falls efficacy scale(MFES)score increased in both groups at 6 months after intervention compared with pre-intervention and showed a more significant increase in the observed group,and the differences were statistically significant(P<0.05).The recognition of the fall was increased in both groups at 6 months after the intervention and more significantly in the observation group,and the differences were statistically significant(P<0.05).The exercise compliance in the observation group was significantly higher than in the control group,and the incidence of falls was significantly lower than in the control group,and the differences were statistically significant(P<0.05).Conclusions Group cognitive rehabilitation training can effectively improve patients with awareness of patients and exercise compliance of falls,reduce the risk of falls,and is conducive to the recovery of patients.

关 键 词：团体认知康复训练 精神分裂症 骨质疏松 跌倒 

分 类 号：R473.74[医药卫生—护理学]