老年抚触保健操在认知症老年人睡眠障碍中的应用研究
发布时间：2018-10-19 10:19
【摘要】：目的:开发一套针对中国认知症老年人睡眠障碍的老年抚触保健操,评价该老年抚触保健操在改善认知症老年人睡眠障碍中的效果。方法:1老年抚触保健操的开发:借鉴瑞典触摸技术(Tactile Massage)和日本抚触照护技术(Tactile care),结合我国认知症老年人睡眠障碍护理现状、老年人身体状况,充分阅读文献,在神经内科专家、康复医学专家、老年医学专家、老年护理专家指导下,历时10个月,开发了一套针对中国认知症老年人睡眠障碍的老年抚触保健操。本老年抚触保健操包括背部、手部两部分,累计15节。2老年抚触保健操的实施:采用便利抽样法,于2016年2月至9月,选取河北省石家庄市某养老机构为研究基地,抽取该养老机构中符合纳入、排除标准的38名认知症伴睡眠障碍老年人为干预对象。老年人在常规照护基础上,由经过专业培训的研究者为老人提供每周3次、每次约30分钟、累计8周的老年抚触保健操。采用便携式睡眠记录仪(ACT)、匹兹堡睡眠质量指数量表(PSOI)、Epworth嗜睡量表(ESS)、唾液α淀粉酶活性(sAA)、睡眠日志(SD)评估老年抚触保健操干预前、干预4周、干预8周老年人的睡眠状况,评价该老年抚触保健操对认知症老年人睡眠障碍的效果。使用Epidata3.1建库、录入数据,SPSS21.0进行统计学分析。计量资料做正态性检验,满足正态分布的结果用x±s表示,不满足正态分布的结果用中位数、四分位间距表示,采用秩和检验;使用重复测量方差分析各测量指标的时间效应,不满足球对称检验时使用多元分析;使用配对t检验或方差分析比较抚触前后唾液淀粉酶活性变化。P0.05表示差异有统计学意义。结果:本研究共纳入38位老人,4位老人脱落,最终34位老年人完成老年抚触保健操的干预和资料收集。研究结果显示:1经过8周老年抚触保健操的干预,老年人PSOI评分由(14.15±2.96)分降至(6.24±1.52)分;ACT总睡眠时间由(294.48±28.00)分钟增至(351.63±28.17)分钟、入睡时间由(83.74±30.83)分钟减少到(27.70±10.22)分钟、睡眠效率由(63.46±7.88)%提高到(84.18±3.96)%;SD总睡眠时间由(265.03±28.34)分钟增至(357.03±15.71)分钟、入睡时间由(100.22±33.36)分钟减少到(33.57±11.21)分钟、睡眠效率由(55.58±6.76)%提高到(80.61±3.95)%,老年人睡眠障碍状况等到明显改善(P0.01)。2经过8周老年抚触保健操的干预,老年人ESS评分由(6.74±3.47)分降至(5.26±1.7)分;PSOI评分由(2.26±0.84)分降至(0.82±0.63)分;老年人日间功能障碍状况得到一定改善(P0.05)。3老年抚触保健操第4周、第8周,抚触前后唾液淀粉酶活性分别由(10.0,8.0)降至(12.0,5.0),老年人焦虑情绪得到有效改善(P0.01)。结论:老年抚触保健操可有效改善认知症伴睡眠障碍老年人睡眠障碍、提高老年人睡眠质量,一定程度上缓解其日间功能障碍、降低焦虑情绪,是一项值得在我国认知症伴睡眠障碍老年人群体中推广的措施。
[Abstract]:Aim: to develop a set of senile touch exercises for the elderly with cognitive disorders in China and to evaluate the effect of the exercise in improving sleep disorders in the elderly with cognitive disorders. Methods: 1 the development of the elderly touch exercises: using the Swedish touch technique (Tactile Massage) and Japanese touch care technology (Tactile care), for reference, combining with the nursing status of the elderly with cognitive disorders in China, the health status of the elderly, fully reading the literature, and the experts in the neurology department. Under the guidance of rehabilitation medical experts and geriatric nursing specialists, a set of geriatric touch exercises was developed for the elderly with cognitive disorders in China. The geriatric touch exercise consists of two parts of the back and the hand, and accumulates 15 sections. 2 the implementation of the geriatric touch exercise: from February to September 2016, a pension institution in Shijiazhuang City, Hebei Province, was selected as the research base by using the convenient sampling method. Thirty-eight elderly patients with cognitive disorder with sleep disorder were selected as intervention objects. On the basis of routine care, the elderly were provided with three times a week, each time for 30 minutes, for 8 weeks. (ESS), saliva 伪 amylase activity (sAA), sleep log (SD) was used to evaluate the sleep status of the elderly before, 4 weeks and 8 weeks of intervention with the portable sleep recorder (ACT), Pittsburgh Sleep quality Index scale (PSOI), Epworth) and (ESS), saliva 伪 amylase activity (sAA), sleep log (SD). To evaluate the effect of this exercise on sleep disorders in the elderly with cognitive disorder. Use Epidata3.1 to build database, input data, SPSS21.0 for statistical analysis. The results of normal distribution are expressed by x 卤s, the results of non-normal distribution are expressed by median, quartile spacing and rank sum test, and the time effect of each measurement index is analyzed by repeated measurement variance. Multivariate analysis was used when dissatisfied with soccer symmetry test; paired t test or variance analysis was used to compare saliva amylase activity before and after touching. P0.05 indicated that the difference was statistically significant. Results: a total of 38 elderly people were included in the study, 4 of them dropped off, and 34 of them completed the intervention and data collection of touching exercises for the elderly. The results showed that: 1After 8 weeks of intervention, the PSOI score of the elderly decreased from (14.15 卤2.96) to (6.24 卤1.52), the total ACT sleep time increased from (294.48 卤28.00) minutes to (351.63 卤28.17) minutes, and the sleep time decreased from (83.74 卤30.83) minutes to (27.70 卤10.22) minutes. The sleep efficiency increased from (63.46 卤7.88)% to (84.18 卤3.96)%, the total sleep time of SD increased from (265.03 卤28.34) minutes to (357.03 卤15.71) minutes, and the sleep time decreased from (100.22 卤33.36) minutes to (33.57 卤11.21) minutes. The sleep efficiency increased from (55.58 卤6.76)% to (80.61 卤3.95)%, and the condition of the elderly sleep disorder improved significantly (P0.01). 2 after 8 weeks of intervention, the ESS score of the elderly decreased from (6.74 卤3.47) to (5.26 卤1.7), the PSOI score from (2.26 卤0.84) to (0.82 卤0.63). 3 the activity of saliva amylase decreased from (10.0 ~ 8.0) to (12.0 ~ 5.0) before and after touching (P0.05). The anxiety of the elderly was improved effectively (P0.01). Conclusion: touch exercise can effectively improve sleep disorder, improve sleep quality, relieve daytime dysfunction and reduce anxiety in the elderly with cognitive disorder and sleep disorder. It is a measure worth popularizing in the elderly with cognitive disorder and sleep disorder in our country.
【学位授予单位】：河北医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R473.74
[Abstract]:Aim: to develop a set of senile touch exercises for the elderly with cognitive disorders in China and to evaluate the effect of the exercise in improving sleep disorders in the elderly with cognitive disorders. Methods: 1 the development of the elderly touch exercises: using the Swedish touch technique (Tactile Massage) and Japanese touch care technology (Tactile care), for reference, combining with the nursing status of the elderly with cognitive disorders in China, the health status of the elderly, fully reading the literature, and the experts in the neurology department. Under the guidance of rehabilitation medical experts and geriatric nursing specialists, a set of geriatric touch exercises was developed for the elderly with cognitive disorders in China. The geriatric touch exercise consists of two parts of the back and the hand, and accumulates 15 sections. 2 the implementation of the geriatric touch exercise: from February to September 2016, a pension institution in Shijiazhuang City, Hebei Province, was selected as the research base by using the convenient sampling method. Thirty-eight elderly patients with cognitive disorder with sleep disorder were selected as intervention objects. On the basis of routine care, the elderly were provided with three times a week, each time for 30 minutes, for 8 weeks. (ESS), saliva 伪 amylase activity (sAA), sleep log (SD) was used to evaluate the sleep status of the elderly before, 4 weeks and 8 weeks of intervention with the portable sleep recorder (ACT), Pittsburgh Sleep quality Index scale (PSOI), Epworth) and (ESS), saliva 伪 amylase activity (sAA), sleep log (SD). To evaluate the effect of this exercise on sleep disorders in the elderly with cognitive disorder. Use Epidata3.1 to build database, input data, SPSS21.0 for statistical analysis. The results of normal distribution are expressed by x 卤s, the results of non-normal distribution are expressed by median, quartile spacing and rank sum test, and the time effect of each measurement index is analyzed by repeated measurement variance. Multivariate analysis was used when dissatisfied with soccer symmetry test; paired t test or variance analysis was used to compare saliva amylase activity before and after touching. P0.05 indicated that the difference was statistically significant. Results: a total of 38 elderly people were included in the study, 4 of them dropped off, and 34 of them completed the intervention and data collection of touching exercises for the elderly. The results showed that: 1After 8 weeks of intervention, the PSOI score of the elderly decreased from (14.15 卤2.96) to (6.24 卤1.52), the total ACT sleep time increased from (294.48 卤28.00) minutes to (351.63 卤28.17) minutes, and the sleep time decreased from (83.74 卤30.83) minutes to (27.70 卤10.22) minutes. The sleep efficiency increased from (63.46 卤7.88)% to (84.18 卤3.96)%, the total sleep time of SD increased from (265.03 卤28.34) minutes to (357.03 卤15.71) minutes, and the sleep time decreased from (100.22 卤33.36) minutes to (33.57 卤11.21) minutes. The sleep efficiency increased from (55.58 卤6.76)% to (80.61 卤3.95)%, and the condition of the elderly sleep disorder improved significantly (P0.01). 2 after 8 weeks of intervention, the ESS score of the elderly decreased from (6.74 卤3.47) to (5.26 卤1.7), the PSOI score from (2.26 卤0.84) to (0.82 卤0.63). 3 the activity of saliva amylase decreased from (10.0 ~ 8.0) to (12.0 ~ 5.0) before and after touching (P0.05). The anxiety of the elderly was improved effectively (P0.01). Conclusion: touch exercise can effectively improve sleep disorder, improve sleep quality, relieve daytime dysfunction and reduce anxiety in the elderly with cognitive disorder and sleep disorder. It is a measure worth popularizing in the elderly with cognitive disorder and sleep disorder in our country.
【学位授予单位】：河北医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R473.74
【参考文献】
相关期刊论文 前10条
1 郭明贤;富爽;李英;;养老护理人员合理化配置需求的调查与分析[J];中华现代护理杂志;2016年34期
2 刘雪琴;万爱兰;;老年患者睡眠状况及其影响因素[J];中国老年学杂志;2016年17期
3 董倩楠;宋志雪;陈长香;;骨质疏松疾病状况对老年患者睡眠质量的影响[J];中国骨质疏松杂志;2016年07期
4 王e，
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