巩应军,王艳妮,陈阳,等.基于倾向性评分匹配法分析康复综合干预对老年衰弱患者躯体功能的影响[J].中华物理医学与康复杂志,2024,46(10):935-940
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| 基于倾向性评分匹配法分析康复综合干预对老年衰弱患者躯体功能的影响 |
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| DOI：10.3760/cma.j.issn.0254-1424.2024.10.013 |
| 中文关键词: 老年人 衰弱 康复综合干预 躯体功能 倾向性评分匹配法 |
| 英文关键词: Elderly Frailty Comprehensive rehabilitation Physical functioning Propensity score matching |
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| 中文摘要: |
| 目的 基于倾向性评分匹配法分析康复综合干预对老年衰弱患者躯体功能的影响。 方法 选取老年衰弱患者318例，按照干预方法的不同将其分为对照组（164例）和观察组（154例）。为使组间基线信息均衡，采用倾向性评分匹配法对2组患者进行1∶1匹配，共200例匹配成功，对照组和观察组各100例。2组患者均接受药物治疗及常规护理，观察组在此基础上增加康复综合干预。治疗前及治疗4周后（治疗后），比较2组患者视觉模拟评分法(VAS)评分、手握力、步速、6 min步行距离（6 MWD）、5次起坐时间、计时起立行走测试（TUGT）的区别。 结果 治疗前，2组患者的VAS、手握力、步速、6 MWD、5次起坐时间、TUGT比较，差异无统计学意义（P＞0.05）。治疗后，观察组的VAS评分［（1.0±0.6）分］、手握力［（23.7±4.5）kg］、6MWD［（267.8±47.7）m］、5次起坐时间［14.0（12.8，15.8）s］和TUGT［9.8（8.1，13.3）s］均较对照组改善优异（P＜0.05）。 结论 康复综合干预可减轻老年衰弱患者的疼痛程度，改善步速，增强手握力和运动耐力。 |
| 英文摘要: |
| Objective To analyze the effect of comprehensive rehabilitation intervention on the physical functioning of frail elderly persons. Methods A total of 318 frail elderly persons were randomly divided into a control group (n=164) and an observation group (n=154) to test different interventions. Propensity score matching was used to balance the baseline information between the two groups 1∶1. A total of 200 cases were successfully matched, with 100 cases in each group. Both groups received drug treatment and routine nursing, while the observation group was additionally provided with comprehensive rehabilitation. Before and after 4 weeks of the treatment, both groups were evaluated using visual analogue scale (VAS) scoring for their perception of pain intensity, hand grip strength, gait speed, 6-minute walking distance (6MWD), 5 sit-up time, and the timed up and go test (TUGT). Results There were no significant differences between the groups in any of the measurements before the experiment. Afterward, all of the outcome measures except gait speed were significantly better among the experimental group than among the controls, on average. Conclusions Comprehensive rehabilitation can relieve pain, improve the walking, handgrip strength and exercise endurance of the frail elderly. |
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