认知-运动双任务训练对老年糖尿病患者认知衰弱的影响
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ffect of cognitive-motor dual-task training on cognitive frailty in elderly patients with diabetes
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    探讨认知-运动双任务训练对老年糖尿病患者认知衰弱的影响。方法 将72例老年糖尿病认知衰弱患者按住院时间分为对照组和干预组各36例。对照组采用常规护理干预,干预组在常规护理的基础上进行认知-运动双任务训练,均干预8周。比较两组干预前后简易智能精神状态量表评分、衰弱表型量表评分和30 s坐站测试结果的差异。结果 共71例患者(对照组36例,干预组35例)完成研究。广义估计方程结果显示,两组认知功能和身体衰弱评分比较,交互效应差异有统计学意义(均P<0.05);干预8周后,干预组认知功能评分显著高于对照组,衰弱评分显著低于对照组(均P<0.05);两组下肢肌力比较,交互效应无统计学差异(P>0.05),时间效应差异有统计学意义(P<0.05)。结论 认知-运动双任务训练能够改善老年糖尿病认知衰弱患者的认知功能与身体衰弱状况。

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    Objective To explore the effect of cognitive-motor dual-task training on cognitive frailty in elderly patients with diabetes. Methods A total of 72 elderly cognitive frailty patients with diabetes were divided into a control group (n=36) and an intervention group (n=36) chronologically. The control group received routine nursing care, while the intervention group additionally received cognitive-motor dual-task training for 8 weeks. The scores of the Mini-mental State Examination (MMSE), the Frailty Phenotype (FP) and the 30 s Chair Stand Test (30 s CST) were compared between the two groups before and after the intervention. Results A total of 71 patients (36 cases in the control group, 35 cases in the intervention group) completed the study. The results of Gene-ralized Estimating Equation indicated that, the group-by-time interaction effect was statistically significant in the score of MMSE and FP between the two groups (both P<0.05);after 8 weeks of the intervention, the MMSE score in the intervention group was significantly higher than that in the control group, and its FP score was significantly lower than that in the control group (both P<0.05); there was no significant difference in the group-by-time interaction effect of muscle strength of the lower extremity of the 2 groups (P>0.05), while the difference in time effect was statistically significant (P<0.05). Conclusion The cognitive-motor dual-task training can improve the cognitive function of elderly cognitive frailty patients with diabetes, and alleviate their frailty.

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刘亚楠,赵颖,王楠,孙玉倩,魏建芬,王婉婷.认知-运动双任务训练对老年糖尿病患者认知衰弱的影响[J].护理学杂志,2024,39(14):6-10

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  • 收稿日期:2024-01-25
  • 最后修改日期:2024-03-20
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  • 在线发布日期: 2024-08-28