坐式八段锦联合足三里穴位按压对社区高龄衰弱患者效果分析

摘要 目的：探讨坐式八段锦联合足三里穴位按压对社区高龄衰弱患者效果分析。方法：前瞻性纳入2021年3月至2022年3月南京某社区50例高龄衰弱患者为研究对象，分为两组，对照组进行常规治疗及健康指导，观察组以对照组为基础，进行为期12周的坐式八段锦锻炼及足三里穴位按压，应用简化营养食欲问卷（SNAQ）、匹兹堡睡眠质量指数表（PSQI）、Tilburg衰弱量表、汉密尔顿焦虑量表（HAMA）和抑郁量表（HAMD）和SF-36生活质量评定量表评估干预前后两组患者的食欲、睡眠、衰弱、焦虑情绪、抑郁情绪和生活质量状况。结果：干预前，两组患者HAMA、HAMD评分、躯体衰弱维度、心理衰弱维度、社会衰弱维度、总分评分、食欲、睡眠、握力和各维度生活质量评分比较无差异（P＞0.05）；干预后，两组HAMA和HAMD评分均降低，且观察组较对照组低（P<0.05）；干预后，两组躯体衰弱维度、心理衰弱维度、社会衰弱维度、总分评分均降低，且观察组较对照组低（P<0.05）；干预后，两组食欲、睡眠均降低，而握力升高，且观察组食欲、睡眠均低于对照组，而握力高于对照组（P<0.05）；干预后，两组各维度生活质量评分均升高，且观察组较对照组高（P<0.05）。结论：社区高龄衰弱患者采用坐式八段锦联合足三里穴位按压干预，可有效改善食欲促进睡眠质量升高和促进衰弱病情转归，进而有利于调节患者负性情绪和促进预后生活质量改善。

Effect Analysis of Sitting Baduanjin combined with Zusanli Acupressure on Elderly Patients with Asthenia in Community

ABSTRACT Objective: To explore the effect analysis of sitting Baduanjin combined with Zusanli acupressure on elderly patients with asthenia in community. Methods: 50 patients with senile asthenia in a community in Nanjing from March 2021 to March 2022 were prospectively included as research objects. The matched group was given routine treatment and health guidance, and the observation group received 12 weeks of sitting Baduanjin exercise and Zusanli acupressure on the basis of the matched group. The simplified Nutritional appetite Questionnaire (SNAQ), PSQI, the Hamilton Anxiety Scale (HAMA) and the Depression Scale (HAMD), and the SF-36 Quality of Life rating Scale were used to evaluate the appetite, sleep, frailty, anxiety and depression of the two groups before and after the intervention Quality of life status. Results: Before the intervention, there were no differences in HAMA, HAMD scores, somatic frailty dimension, psychological frailty dimension, social frailty dimension, total score scores, appetite, sleep, grip strength, and quality of life scores in each dimensions(P>0.05). After the intervention, HAMA and HAMD scores decreased in both groups, and the observation group was lower than the matched group (P<0.05); After the intervention, the somatic frailty dimension, psychological frailty dimension, social frailty dimension, and total score were reduced in both groups, and the observation group was lower than the matched group (P<0.05); After the intervention, the appetite and sleep were reduced in both groups, while the grip strength was higher, and the observation group were lower than the matched group, while the grip strength was higher than the matched group (P<0.05). After the intervention, the QOL scores in each dimension were increased in both groups, and the observation group was higher than the matched group (P<0.05). Conclusion: The intervention of sitting Baduanjin combined with Zusanli acupoint pressure in elderly patients with asthenia in community can effectively improve appetite, improve sleep quality and promote the outcome of asthenia, which is conducive to regulating patients'' negative emotions and promoting the improvement of prognostic quality of life.