奥塔戈运动在老年类风湿关节炎病人居家康复中的应用研究

闫亮亮; 郝敏; 余明月; 张标新; 徐胜前

奥塔戈运动在老年类风湿关节炎病人居家康复中的应用研究

Research on the application value of Otago exercise in home-based rehabilitation for elderly patients with rheumatoid arthritis

摘要

摘要:
目的： 探讨奥塔戈运动在老年类风湿关节炎（RA）病人居家康复中的应用效果。
方法： 选取109例老年RA病人，随机分为对照组（n = 55）和观察组（n = 54）；对照组采用常规护理，观察组在常规护理基础上进行为期12周的奥塔戈运动。比较2组Berg平衡量表（BBS）、简明国际跌倒效能量表（Short FES–I）、及生活质量量表（SF–36）评分。
结果： 研究过程中，观察组4例病人脱落，对照组5例病人脱落。干预后观察组BBS评分高于对照组，跌倒效能总分低于对照组（P ＜ 0.01）；干预后观察组SF–36得分均优于对照组（P ＜ 0.05 ~ P ＜ 0.01）。
结论： 奥塔戈运动能有效提高老年RA病人的平衡能力，降低跌倒恐惧，改善生活质量。

Abstract:
Objective To explore the application effects of Otago exercise in home-based rehabilitation for elderly patients with rheumatoid arthritis (RA). The observation group underwent a 12-week Otago exercise on the basis of routine care. The scores of the Berg Balance Scale (BBS), Short International Fall Efficacy Scale (SHORT FES-I) and Quality of Life Scale (SF-36) were compared between two groups.
Results During the study, 4 patients in the observation group and 5 patients in the control group dropped out. After intervention, the BBS scores in the observation group were higher than those in the control group, and the total fall efficacy scores were lower than those in the control group (P ＜ 0.01); the SF-36 scores in the observation group were superior to those in the control group after intervention (P ＜ 0.05 to P ＜ 0.01).
Conclusions Otago exercise can effectively improve the balance ability of elderly patients with RA, reduce fall fear, and enhance their quality of life.

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