|
|
Nursing Science 2023
中医情志护理联合易筋经对中老年骨性关节炎合并肌少症患者生存质量的影响研究
|
Abstract:
目的：探讨中医情志护理联合易筋经对老年骨性关节炎合并肌少症患者的影响。方法：选取2022年3月~2023年8月医院收治的90例老年骨性关节炎合并肌少症患者为研究对象，根据随机数字表分为研究组和对照组各45例。对照组给予常规治疗和护理，研究组在对照组的基础上采用中医情志护理联合易筋经经功法。比较两组患者干预前、干预3个月后的焦虑、抑郁和生活质量。结果：干预3个月后，两组患者焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分和简明健康调查量表(SF-36)评分均较干预前提高(P < 0.01)，且干预组评分高于对照组，差异有统计学意义(P < 0. 01)。结论：中医情志护理联合易筋经功法安全有效，能够改善老年骨性关节炎合并肌少症患者的心理健康状态，提高患者的生活质量。
Objective: To explore the influence of traditional Chinese medicine emotional nursing combined with Yi Jin Jing on elderly patients with osteoarthritis complicated with sarcopenia. Methods: 90 elderly patients with osteoarthritis combined with sarcopenia admitted to hospital from March 2022 to August 2023 were selected as the study objects, and were divided into study group and control group with 45 cases respectively according to random number table. The control group was given conventional treatment and nursing, and the research group was given traditional Chinese emotional nursing combined with Yi Jin Jing exercise on the basis of control group. Anxiety, depression and quality of life were compared between the two groups before intervention and 3 months after intervention. Results: After 3 months of intervention, the scores of self-rating Anxiety Scale (SAS), Self-rating Depression Scale (SDS) and The MOS 36-Item Short-Form Health Survey，(SF-36) in both groups were improved compared with those before intervention (P < 0.01). And the scores in the intervention group were higher than those in the control group, the difference was statistically significant (P < 0.01). Conclusion: TCM emotional nursing combined with Yi Jin Jing exercise is safe and effective, and can improve the mental health status and quality of life of elderly patients with osteoarthritis combined with sarcopenia.
| [1] | 徐浩, 肖涟波, 翟伟韬. 膝骨关节炎中西医结合诊疗专家共识[J]. 世界中医药, 2023, 18(7): 929-935. |
| [2] | 肖剑伟. 骨关节炎中西医结合诊疗指南[J]. 风湿病与关节炎, 2023, 12(6): 70-80. |
| [3] | 戴朦, 胡世莲, 王静, 等. 肌少症的诊疗与防治进展[J]. 中国临床保健杂志, 2022, 25(5): 577-582. |
| [4] | Lee, S.Y., Ro, H.J., Chung, S.G., et al. (2016) Low Skeletal Muscle Mass in the Lower Limbs Is Independently Asso-ciated to Knee Osteoarthritis. PLOS ONE, 11, e166385. https://doi.org/10.1371/journal.pone.0166385 |
| [5] | 段玉梅. 中老年膝骨性关节炎患者肌少症现状及其对生活质量的影响[D]: [硕士学位论文]. 遵义: 遵义医科大学, 2021. |
| [6] | 吕勤霞. 中医辨证护理对膝关节骨性关节炎患者关节功能及生活质量的影响[J]. 慢性病学杂志, 2023, 24(1): 59-61. |
| [7] | 李桂花. 中医特色序贯通痹护理联合情志护理在膝骨关节炎患者中的应用效果[J]. 中国民康医学, 2022, 34(16): 183-186. |
| [8] | 刘玉超, 严隽陶, 王振裕, 等. 易筋经对老年骨骼肌减少症骨骼肌收缩功能的影响[J]. 上海中医药大学学报, 2016, 30(5): 42-45. |
| [9] | 朱高峰, 罗开涛, 沈志方, 等. 导引功法易筋经对老年骨骼肌减少症平衡功能的影响[J]. 浙江中医杂志, 2018, 53(5): 351-352. |
| [10] | 陈卫衡. 膝骨关节炎中医诊疗指南(2020年版) [J]. 中医正骨, 2020, 32(10): 1-14. |
| [11] | 姜珊, 康琳, 刘晓红. 2019亚洲肌少症诊断及治疗共识解读[J]. 中华老年医学杂志, 2020, 39(4): 373-376. |
| [12] | 马淑媛, 王雪梅. 老年年龄阶段的划分和护理要点[J]. 实用医技杂志, 2008(30): 4311-4312. |
| [13] | Zung, W.W. (1965) A Self-Rating Depression Scale. Archives of General Psychiatry, 12, 63-70.
https://doi.org/10.1001/archpsyc.1965.01720310065008 |
| [14] | 田银娣, 王怡恺, 李静, 等. 焦虑和抑郁量表在肝硬化患者临床应用中的信效度评价[J]. 实用肝脏病杂志, 2019, 22(1): 105-108. |
| [15] | 叶超群, 孙天胜, 李放, 等. SF-36简明健康问卷在几种骨关节疾病患者中的应用研究[J]. 中国康复医学杂志, 2012, 27(12): 1111-1115. |
| [16] | 陆艳红, 石晓兵. 膝骨关节炎国内外流行病学研究现状及进展[J]. 中国中医骨伤科杂志, 2012, 20(6): 81-84. |
| [17] | Shorter, E., Sannicandro, A.J., Poulet, B., et al. (2019) Skeletal Muscle Wasting and Its Relationship with Osteoarthritis: A Mini-Review of Mechanisms and Current Interventions. Current Rheumatology Reports, 21, Article No. 40.
https://doi.org/10.1007/s11926-019-0839-4 |
| [18] | 马龙, 崔香玉, 董雪梅, 等. 中医情志护理在老年慢病患者中的应用进展[J]. 中国中医药现代远程教育, 2023, 21(19): 140-142. |
| [19] | 刘媛婷, 傅媛. 精细化护理联合中医情志护理在全膝关节置换手术中的应用效果分析[J]. 基层中医药, 2023, 2(6): 100-106. |
| [20] | 段甜甜. 中医情志护理对重型肝炎患者焦虑抑郁的影响研究[D]: [硕士学位论文]. 南昌: 南昌大学, 2023. |
| [21] | 仲卫红, 洪昆达, 李天骄, 等. 经筋推拿配合易筋经训练治疗膝骨性关节炎的临床研究[J]. 中华中医药杂志, 2019, 34(8): 3861-3863. |
| [22] | 叶银燕, 牛晓敏, 邱志伟, 等. 易筋经功法训练对膝骨关节炎患者膝关节功能的影响[J]. 风湿病与关节炎, 2019, 8(10): 19-23. |
