章妙玉 高燕飞 钟玲玲

[摘要] 目的 探討被动康复训练对高龄衰弱患者疲乏、衰弱以及认知功能的影响。 方法 选择2019年3月至2020年8月在我院住院的老年患者60例为研究对象，随机分为干预组与对照组各30例。对照组采用常规干预，干预组给予被动康复训练。比较干预后两组疲乏评分、衰弱评分，认知功能评分以及生活质量。 结果 干预后，干预组疲乏评分为（32.6±6.6）分，对照组为（40.8±7.4）分，均显著低于干预前，且干预组疲乏评分显著低于对照组，差异有统计学意义（P<0.05）;干预后，干预组Til bury衰弱量表（TFI）总分为（7.7±1.0）分，对照组为（9.2±1.1）分，两组均显著低于干预前，且干预组TFI评分显著低于对照组，差异有统计学意义（P<0.05）;干预后两组简易智力状态检查量表（MMSE）评分分别为（26.8±2.1）分、（24.2±2.3）分，均显著高于干预前，且干预组MMSE评分显著高于对照组，差异有统计学意义（P<0.05）;干预后，干预组与对照组躯体功能、角色功能、情感功能、认知功能、社会功能以及生活质量总分均显著高于干预前，差异有统计学意义（P<0.05），干预组躯体功能、角色功能、情感功能、认知功能、社会功能以及生活质量总分高于对照组，差异有统计学意义（P<0.05）。 结论 被动康复训练可显著改善高龄衰弱患者的疲乏、衰弱以及认知功能，进而改善患者的生存质量。

[关键词] 被动康复训练;高龄;衰弱;疲乏;认知功能

[中图分类号] R473          [文献标识码] B          [文章编号] 1673-9701（2021）35-0175-04

The effect of passive rehabilitation training on fatigue， frailty， and cognitive function of elderly frail patients

ZHANG Miaoyu   GAO Yanfei   ZHONG Lingling

Department of Cadre Health Care， Tongde Hospital of Zhejiang Province， Hangzhou   310012， China

[Abstract] Objective To explore the effect of passive rehabilitation training on fatigue， frailty， and cognitive function of elderly frail patients. Methods Sixty elderly patients admitted to our hospital from March 2019 to August 2020 were selected as the research objects. They were randomly divided into the intervention group and the control group， with 30 cases in each group. The control group received the conventional intervention， and the intervention group received passive rehabilitation training. The fatigue score， frailty score， cognitive function score， and quality of life were compared between the two groups after the intervention. Results After the intervention， the fatigue score of the intervention group was （32.6±6.6） points， and the control group was （40.8±7.4） points， which were significantly lower than those before the intervention， and the fatigue score of the intervention group was significantly lower than that of the control group， and the difference was statistically significant（P<0.05）; After the intervention， the total TFI score of the intervention group was （7.7±1.0） points and that of the control group was （9.2±1.1） points. Both groups were significantly lower than before the intervention， and the TFI score of the intervention group was significantly lower than that of the control group. The difference was statistically significant （P<0.05）; after the intervention， the MMSE scores of the two groups were （26.8±2.1） points and （24.2±2.3） points， which were significantly higher than those before the intervention， and the MMSE scores of the intervention group were significantly higher than those of the control group， The difference was statistically significant （P<0.05）; after the intervention， the total scores of physical function， role function， emotional function， cognitive function， social function， and quality of life between the intervention group and the control group were significantly higher than those before the intervention， and the difference was statistically significant The total scores of physical function， role function， emotional function， cognitive function， social function and quality of life of the intervention group were higher than those of the control group（P<0.05）， and the difference was statistically significant（P<0.05）. Conclusion Passive rehabilitation training can significantly improve the fatigue， frailty， and cognitive function of elderly frail patients， thereby improving the quality of life of patients.

[Key words] Passive rehabilitation training; Advanced age; Frailty; Fatigue; Cognitive function

衰弱的意思是生机不旺盛，软弱无力。随着社会老龄化进程的加快，“老年衰弱”已经越来越受到社会的重视，成为影响老年人整体健康状况的热点问题[1，2]。……