摘要
目的 评价基于“治未病”理念的肌力激活与减压运动训练模式对老年居家患者生活和心态的干预效果。方法 80例老年居家患者为研究对象,遵照随机数表法分为对照组及观察组,每组40例。对照组采用常规居家健康指导,观察组实施基于“治未病”理念的肌力激活与减压运动训练模式干预。对比两组肌力指标(握力、膝关节伸肌肌力)、平衡能力[Berg平衡量表(BBS)评分]、心理压力[汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)评分]及生活质量。结果 干预后,观察组的握力(26.94±4.52)kg、膝关节伸肌肌力(18.75±3.36)N·m、BBS评分(53.85±4.77)分均高于对照组的(23.66±3.25)kg、(16.87±2.55)N·m、(49.97±3.44)分,差异有意义(P<0.05)。干预后,两组HAMA、HAMD评分相比本组干预前均降低,且观察组HAMA评分(8.04±1.02)分、HAMD评分(8.11±1.16)分均比对照组的(10.95±1.85)、(11.44±1.91)分更低,差异有意义(P<0.05)。干预后,观察组患者的生理功能、躯体疼痛、情感职能、精神健康评分分别为(90.86±6.13)、(90.55±6.22)、(90.77±6.46)、(90.38±6.17)分,均高于对照组的(80.79±5.34)、(80.99±5.88)、(80.63±5.39)、(80.44±5.22)分,差异有意义(P<0.05)。结论 基于“治未病”理念的肌力激活与减压运动训练模式可有效改善老年居家患者肌力与平衡能力,缓解心理压力,提升生活质量,为老年居家患者的健康管理提供可行方案,值得临床采纳。
Objective To evaluate the intervention effect of muscle strength activation and decompression exercise training mode based on the concept of"preventive treatment of disease"on improving the life and mental state of elderly home-based patients.Methods A total of 80 eligible elderly home-based patients were selected as research subjects and divided into the control group and the observation group using a random number table method,each with 40 patients.The control group received routine home health guidance,while the observation group implemented a muscle strength activation and decompression exercise training mode based on the concept of"preventive treatment of disease".Comparison was made on muscle strength index(grip strength,knee extensor muscle strength),balance ability[Berg balance scale(BBS)score],psychological stress[Hamilton Anxiety Scale(HAMA)and Hamilton Depression Scale(HAMD)scores],and quality of life between the two groups.Results After intervention,the grip strength of the observation group was(26.94±4.52)kg,the knee extensor muscle strength was(18.75±3.36)N·m,and BBS score was(53.85±4.77)points,which were significantly higher than those of the control group[(23.66±3.25)kg,(16.87±2.55)N·m,and(49.97±3.44)points](P<0.05).After intervention,both groups demonstrated reduced HAMA and HAMD scores compared to pre-intervention levels.Notably,the observation group exhibited significantly lower HAMA scores(8.04±1.02)points and HAMD scores(8.11±1.16)points compared to those in the control group[(10.95±1.85)and(11.44±1.91)points],representing statistically significant differences(P<0.05).After the intervention,the scores of physiological function,physical pain,emotional function and mental health of the patients in the observation group were(90.86±6.13),(90.55±6.22),(90.77±6.46),and(90.38±6.17)points,which were higher than those in the control group[(80.79±5.34),(80.99±5.88),(80.63±5.39),and(80.44±5.22)points],representing statistically significant differences(P<0.05).Conclusion The muscle strength activation and decompression exercise training mode based on the concept of"preventive treatment of disease"can effectively improve muscle strength and balance ability,relieve psychological stress,and enhance quality of life in elderly home-based patients.It provides a feasible scheme for health management of elderly home-based patients,and is worthy of clinical adoption.
作者
卓文珠
ZHUO Wen-zhu(Guanqian Town Health Center,Youxi County,Sanming 365116,China)
出处
《中国现代药物应用》
2026年第4期174-177,共4页
Chinese Journal of Modern Drug Application
关键词
“治未病”理念
老年居家患者
肌力激活
减压运动训练模式
Concept of"preventive treatment of disease"
Elderly home-based patients
Muscle strength activation
Decompression exercise training mode
