目的 制订适合高龄老年卧床患者的低负荷小强度抗阻运动方案,评价其对患者肌力和心肺功能的影响.方法 便利选取北京市某三级甲等医院老年病房2020年3月—4月收治的80岁及以上疾病稳定期患者64例,随机分为试验组和对照组.试验组在常规治疗和护理的基础上,给予6个月的低负荷小强度抗阻训练,对照组给予常规治疗和护理,比较两组的肌力和心肺功能.结果 共有59例患者完成研究,试验组29例,对照组30例.试验组握力在3个月和6个月时高于对照组(P<0.05),仰卧举腿和30 s反复坐起次数在6个月时多于对照组(P<0.05).肺活量在6个月时高于对照组(P<0.05),两组血压、心率、左心室射血分数等比较,差异均无统计学意义(P>0.05).结论 低负荷小强度抗阻运动不仅能提高高龄卧床老年患者的肌力,还能有效改善患者的肺功能,但对改善心功能的效果不明显.

目的 探讨坐式八段锦对高龄衰弱老年患者疲乏程度和衰弱状态的影响.方法 选择2017年10月—2018年6月我科收治的高龄衰弱老年患者35名为研究对象,在规范临床治疗及护理的基础上,进行为期5个月的坐式八段锦锻炼,应用修订版Piper疲乏量表和Tilburg衰弱量表评价干预效果.结果 干预后高龄衰弱老年患者的疲乏量表等级和衰弱量表得分(包括心理衰弱维度、社会衰弱维度及总分)较干预前明显降低(P<0.05),而衰弱量表的躯体衰弱维度得分较干预前有所下降,但差异无统计学意义(P>0.05).结论 5个月的坐式八段锦锻炼可改善高龄衰弱老年患者整体衰弱状态,尤其是心理衰弱、社会衰弱2方面;不能有效改善其躯体衰弱状态,但可有效缓解其疲乏程度,值得广泛推广至社区.

Objective To explore the effect of Otago exercise program on mobility and fall efficacy for the homebound elderly.Methods Totally 36 homebound elderly received 6 months individualized Otago exercise in the form of home visits and telephone follow-up.Results A total of 30 homebound elderly completed the exercise program.During the program,3 elderly (5 case execution times)fell.After the program,the time of timed "up & go" of the homebound elderly was significantly shorter than that before the program,and the score of balance ability and fall efficacy were significantly higher than those before the program (P＜0.01 for all).Conclusion Otago exercise can improve the mobility ability and fall efficacy for the homebound elderly,and plays a certain role on prevention of elderly fall.

Objective To investigate the effect of mindfulness-based cognitive therapy on negative emotion of nurses working in senior cadre ward for aged patients. Methods Fifteen nurses from senior cadre ward for elderly patients voluntarily received mindfulness-based cognitive therapy for eight weeks. The level of negative emotion was assessed before the treatment , 4 weeks and 8 weeks after the treatment respectively by the Self-rating Depression Scale (SDS), self-Rating Anxiety scale (SAS)and Five Facet Mindfulness Questionnaire (FFMQ). Results After the intervention, the scores of SDS and SAS decreased while FFMQ score increased(P<0.05). Conclusion Mindfulness-based cognitive therapy can improve the negative emotion of nurses effectively.