认知行为疗法配合八段锦对老年housebound及日常生活能力量表的干预效果

发布时间：2018-01-21 23:59

本文关键词： housebound 认知行为疗法八段锦　出处：《中国老年学杂志》2017年03期 　论文类型：期刊论文

【摘要】：目的探讨认知行为疗法及八段锦训练干预对改善老年housebound及日常生活能力量表(ADL)的效果。方法于2013年7~9月采用多阶段分层随机整群抽样。第一阶段;将河北省11个市编号,抽签抽取2个市(保定市、唐山市);第二阶段,从保定市159个社区、唐山市363个社区按上述抽签方法分别抽取1个社区。对这两个社区里的1 359名老年人进行housebound筛查,共筛查出housebound老年人120人,其中唐山市66人,保定市54人。于2014年11月采用抽签的方法将其随机分为认知行为疗法组、联合干预组、八段锦组,每组40人。分别给予认知行为疗法、认知行为疗法配合八段锦训练、八段锦干预三种干预方法。干预1次/w,为期6个月。分别在干预前及干预3、6个月后对三组患者的housebound及ADL状况进行评价。结果干预后三组housebound、ADL状况比较差异显著(P0.05)。结论认知行为疗法配合八段锦训练能够改善老年人的housebound及ADL情况,干预效果优于单纯认知行为疗法和单纯八段锦训练。
[Abstract]:Objective to explore the effect of cognitive behavioral therapy and Baduanjin training intervention on the improvement of housebound and ADL in elderly patients. Methods Multi-stage stratified random cluster sampling was used from 2013 to September. Number of 11 cities in Hebei Province, draw lots for 2 cities (Baoding City, Tangshan City); The second phase, from 159 communities in Baoding City. One community was selected from 363 communities in Tangshan City according to the above drawing method. 1 359 elderly people in these two communities were screened for housebound. A total of 120 housebound aged people were screened out, including 66 in Tangshan City and 54 in Baoding City. In November 2014, they were randomly divided into cognitive behavioral therapy group by drawing lots. The combined intervention group, the eight Duan Jin group, each group of 40 people. Respectively, cognitive behavior therapy, cognitive behavior therapy combined with Bazuanjin training, Bazuanjin intervention three kinds of intervention methods, intervention once per week. The housebound and ADL status of the three groups were evaluated before and after the intervention for 6 months. Results the housebound of the three groups were evaluated after intervention. Conclusion Cognitive behavior therapy combined with Bazuanjin training can improve the housebound and ADL of the elderly. The effect of intervention was superior to that of cognitive behavioral therapy alone and the training of Bazuanjin alone.
【作者单位】：华北理工大学护理与康复学院;
【基金】：国家社科基金项目(13BRK005) 唐山市科技局项目(13130209b)
【分类号】：R247.3
【正文快照】： 处于housebound状态的老年人,日常生活活动范围极度缩小,不仅会导致肢体活动能力下降、心肺活动功能降低,甚至会导致身体残疾以及废用综合征发生〔1〕。伴随着老年人口的增多,老年病、慢性病、卧床及老年痴呆的患病人数将不断增加,这不仅威胁着老年人的自身健康,而且也将给家

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