基于神经可塑性原理探究广场舞对老年主观认知下降患者的影响  

The influence of square dancing on elderly patients with subjective cognitive decline based on the principle of neuroplasticity

作　　者：江庆庆 沈小芳[1] 李平平 胡恩慧 徐妍妍[1] Jiang Qingqing;Shen Xiaofang;Li Pingping;Hu Enhui;Xu Yanyan(Department of Neurology,Gulou Nanjing Drum Tower Hospital,Affiliated Hospital of Medical School,Nanjing University,Nanjing 210008,China;Department of Maternal and Child Health,Liuhe District Health Commission,Nanjing 211500,China)

机构地区：[1]南京大学医学院附属鼓楼医院神经内科,南京210008 [2]南京市六合区卫生健康委员会基层卫生妇幼健康科,南京211500

出　　处：《中国实用护理杂志》2023年第32期2541-2547,共7页Chinese Journal of Practical Nursing

基　　金：南京市卫生科技发展重点项目(ZKX18017)。

摘　　要：目的基于神经可塑性原理,探究广场舞对老年主观认知下降(SCD)患者的影响。方法采取类实验研究,于2022年3—9月选取南京市主城区的SCD患者,根据受试者是否愿意参与广场舞运动干预分为试验组和对照组,每组30例。试验组进行为期6个月的广场舞运动干预,对照组接受常规护理。比较2组的认知、记忆、语言、执行能力、日常生活能力和焦虑抑郁情绪的差异。结果最终试验组27例,对照组28例完成干预。干预后,试验组的蒙特利尔认知评估量表中文版、简版老年抑郁量表、汉密尔顿焦虑量表的评分及连线测试B分别为27.0(26.0,28.0)、2.0(1.0,4.0)、(4.30±2.04)分和(112.48±25.42)s,与同期对照组的26.0(24.0,27.0)、4.0(2.0,5.8)、(5.89±1.45)分和(133.21±32.39)s比较,差异均有统计学意义(Z=-2.24、-2.72,t=-2.05、-2.64,均P<0.05)。结论广场舞能改善老年SCD患者的认知功能,促进老年SCD患者记忆、语言、执行功能、日常生活能力的提高,并有效缓解其焦虑、抑郁症状。Objective Based on the principle of neuroplasticity,to explore the effect of square dancing on elderly patients with subjective cognitive decline(SCD).Methods SCD patients in the main urban area of Nanjing were selected in this quasi experimental research from March to September 2022 and divided into experimental group and control group according to whether the subjects were willing to participate in square dance intervention,with 30 cases in each group.The experimental group received 6 months of square dancing intervention,and the control group received routine nursing.The differences of cognition,memory,language,executive ability,daily living ability and anxiety and depression were compared between the two groups.Results Twenty-seven cases in the experimental group and 28 cases in the control group completed the intervention.After intervention,the scores of Montreal Cognitive Assessment Scale-15,the Geriatric Depression Scale,Hamilton Anxiety Scale and Trail Making Test B were 27.0(26.0,28.0),2.0(1.0,4.0),(4.30±2.04)points and(112.48±25.42)seconds,respectively.Compared with the control group of 26.0(24.0,27.0),4.0(2.0,5.8),(5.89±1.45)points and(133.21±32.39)seconds,the differences were statistically significant(Z=-2.24,-2.72,t=-2.05,-2.64,all P<0.05).Conclusions Square dancing can improve the cognitive function of elderly patients with SCD,promote the improvement of memory,language,executive function and daily living ability,and effectively relieve anxiety and depression symptoms.

关 键 词：广场舞 主观认知下降 认知功能 

分 类 号：R473.74[医药卫生—护理学]