Effect of sensorimotor training in elderly patients with schizophrenia

doi:10.3761/j.issn.0254-1769.2022.02.004

Abstract

Abstract:

Objective To explore the intervention effect of sensorimotor training on self-efficacy and activity of daily living（ADL） of elderly patients with schizophrenia. Methods 60 patients were divided into 2 groups according to their admission number. Patients whose last admission number was even number were assigned to the experimental group（n=30）,and the patients with odd number were assigned to the control group（n=30）. The experimental group received 10-week and 30-time sensorimotor training including 4 training modules based on the routine training and health education,whereas the control group received routine training and health education. Mini-mental State Examination（MMSE） was used to assess cognitive level of patients;the self-efficacy of patients was evaluated by General Self-efficacy Scale（GSES）;Nurses’ Observation Scale for Inpatient Evaluation（NOSIE） was adopted to evaluate the condition and behavioral disorder of patients;Modified Barthel Index（MBI） was used to assess the ability of daily living of patients. Those scales were all used before and after the intervention. Results 10 weeks after the intervention,the scores of GSES in the experimental group were higher than those in the control group,among which the scores of orientation,memory,attention and calculation were significantly higher than those before the intervention. The factor scores of social ability,social interest and personal tidiness in NOSIE were significantly higher than those in the control group,while the factor scores of irritability,psychotic manifestations,withdrawal and depression in NOSIE were significantly lower than those in the control group. Scores of MBI were significantly higher than those in the control group except for defecation factor（P<0.05）. Conclusion The sensorimotor training can improve the level of self-efficacy and the ability of ADL in elderly patients with schizophrenia.

Key words: Sensorimotor Training, Rehabilitation Nursing, Schizophrenia, Self-Efficacy, Activity of Daily Living

摘要：

目的探讨感觉运动训练对老年精神分裂症患者认知水平、自我效能和日常生活能力的干预效果。方法选择2020年1月—12月在无锡市某精神卫生中心老年精神科住院的患者作为研究对象,将60例患者以住院号尾号分组,双号为试验组（30例）,单号为对照组（30例）,两组住院期间均予以常规训练和健康教育,试验组在对照组基础上进行感觉运动训练,共4个训练模块,训练10周、共30次。采用中文版简易智能状态检查表评定患者认知水平,采用自我效能量表评定患者自我效能水平,采用护士用住院患者观察量表评定患者病情和行为障碍,采用改良Barthel指数评定患者日常生活活动能力。结果干预后10周,试验组中文版简易智能状态检查表总分高于对照组,其中定向力、记忆力、注意力和计算力评分明显高于干预前,自我效能水平高于对照组,护士用住院患者观察量表因子分社会能力、社会兴趣、个人整洁高于对照组,而护士用住院患者观察量表因子分激惹、精神病性表现、退缩和抑郁低于对照组,改良Barthel指数评分除大便评分无明显改变,其余评分均高于对照组,两组比较差异均具有统计学意义（P<0.05）。结论感觉运动训练能提高老年精神分裂症患者认知水平、自我效能和日常生活能力。

关键词: 感觉运动训练, 康复护理, 精神分裂症, 自我效能, 日常生活能力

JIANG Jufang, LU Jiangbo, PEI Jianqin, QIAN Wei, GUO Linping, TANG Qunhua. Effect of sensorimotor training in elderly patients with schizophrenia[J]. Chinese Journal of Nursing, 2022, 57(2): 151-157.

蒋菊芳, 陆江波, 裴建琴, 钱维, 郭琳萍, 唐群华. 感觉运动训练在老年精神分裂症患者中的应用效果[J]. 中华护理杂志, 2022, 57(2): 151-157.

Figures/Tables 5

Table 1 Comparison of general data between the two roups

Table 2 Comparison of self-efficacy scores between two groups before and after interventio（score,$\bar{x}\pm s$）

Table 3 Comparison of Mini-mental State Examination scores between two groups before and after intervention（score,$\bar{x}\pm s$）

Table 4 Comparison of Nurses, Observation Scael for Inpatient Evaluation factor scores between two groups before and after intervention（score,$\bar{x}\pm s$）

Table 5 Comparison of modified Barthel index scores between two groups before and after intervention（score,$\bar{x}\pm s$）

References 15

[1]	王华丽. 从临床研究看老年精神医学范畴[J]. 中华精神科杂志, 2017, 50(5):323-324.
	Wang HL. View the category of geriatric psychiatry from the perspective of clinical research[J]. Chin J Psychiatry, 2017, 50(5):323-324.
[2]	阙建宇, 师乐, 刘佳佳, 等. 2002-2016年我国精神专科医院发展状况分析[J]. 中华精神科杂志, 2019, 52(2):139-144.
	Que JY, Shi L, Liu JJ, et al. Analysis on the development of Chinese specialized psychiatric hospitals from 2002 to 2016[J]. Chin J Psychiatry, 2019, 52(2):139-144.
[3]	陈美玲, 郑玉娥, 黄婉玲, 等. 基于健康教育的生活技能训练对老年精神分裂症的康复效果分析[J]. 临床医学工程, 2019, 26(5):689-690.
	Chen ML, Zheng YE, Huang WL, et al. Analysis on rehabilitation effect of life skill training based on health education for elderly patients with schizophrenia[J]. J Clin Med Engin, 2019, 26(5):689-690.
[4]	磨丽莉, 潘巧淑, 周芳珍, 等. 运动治疗联合心理护理对慢性精神分裂症病人康复和生活质量的影响[J]. 护理研究, 2019, 33(17):3067-3070.
	Mo LL, Pan QS, Zhou FZ, et al. Effect of exercise therapy combined with psychological nursing on rehabilitation and quality of life of patients with chronic schizophrenia[J]. Chin Nurs Res, 2019, 33(17):3067-3070.
[5]	陶宁蔚, 邓传秀. 多感官刺激训练对老年精神分裂症患者自我效能和自知力治疗态度的影响[J]. 中国校医, 2020, 34(10):735-737.
	Tao NW, Deng CX. Effect of multi-sensory stimulation training on self-efficacy,insight and treatment attitude of elderly schizophrenics[J]. Chin J School Doctor, 2020, 34(10):735-737.
[6]	李奎, 郑海清, 李鑫, 等. 感觉运动训练对脑卒中患者家庭康复平衡和日常生活活动的影响[J]. 康复学报, 2016, 26(4):11-16.
	Li K, Zheng HQ, Li X, et al. Effect of sensorimotor training on balance and activity of daily living of home-based rehabilitation in patients with stroke[J]. Rehabil Med, 2016, 26(4):11-16. DOI URL
[7]	范肖冬. ICD-10精神与行为障碍分类[M]. 北京: 人民卫生出版社, 1993:72-89.
	Fan XD. ICD-10 classification of mental and behavioral disorders[M]. Beijing: People’s Medical Publishing House, 1993:72-89.
[8]	宋岳涛. CGA老年综合评估[M]. 2版. 北京: 中国协和医科大学出版社, 2019,227-229.
	Song YT. CGA comprehensive geriatric assessment[M]. 2nd ed. Beijing: Peking Union Medical College Press, 2019,227-229.
[9]	王才康, 胡中锋, 刘勇. 一般自我效能感量表的信度和效度研究[J]. 应用心理学, 2001, 7(1):37-41.
	Wang CK, Hu ZF, Liu Y. Evidences for reliability and validity of the Chinese version of General Self Efficacy Scale[J]. Chin J App Psycho, 2001, 7(1):37-41.
[10]	张明园. 精神科量表评定手册[M]. 2版. 长沙: 湖南科学技术出版社, 1998:215-217.
	Zhang MY. Manual of psychiatric rating scales[M]. 2nd ed. Changsha: Hunan Science and Technology Press, 1998:215-217.
[11]	谭晓林, 文丽, 杨冰香, 等. 团体自我肯定训练对精神分裂症患者病耻感的干预效果研究[J]. 中华护理杂志, 2018, 53(10):1168-1173.
	Tan XL, Wen L, Yang BX, et al. Effects of a group self-assertiveness training intervention on stigma of patients with schizophrenia[J]. Chin J Nurs, 2018, 53(10)1168-1173.
[12]	赵莹, 田丽, 王晓萍, 等. 感觉统合训练对卒中后轻度认知障碍患者认知功能及生活自理能力的影响[J]. 中国实用护理杂志, 2020, 36(34):2655-2659.
	Zhao Y, Tian L, Wang XP, et al. Effects of sensory integration therapy on cognitive function and self-care ability in patients with mild cognitive impairment after stroke[J]. Chin J Prac Nurs, 2020, 36(34):2655-2659.
[13]	葛高琪, 王晶晶, 齐冲, 等. 多感官刺激疗法的临床研究进展[J]. 解放军护理杂志, 2018, 35(6):51-55.
	Ge GQ, Wang JJ, Qi C, et al. Clinical research progress of snoezelen[J]. Nurs J Chin PLA, 2018, 35(6):51-55.
[14]	Martorell AJ, Paulson AL, Suk HJ, et al. Multi-sensory gamma stimulation ameliorates Alzheimer’s-associated pathology and improves cognition[J]. Cell, 2019, 177(2):256-271. DOI PMID
[15]	赵海容. 本体感觉康复训练在脑卒中后下肢Brunnstrom Ⅳ期膝骨性关节炎病人中的应用[J]. 护理研究, 2016, 30(2):758-759.
	Zhao HR. Application of proprioceptive rehabilitation training in patients with Brunnstro Ⅳstage knee osteoarthritis after stroke[J]. Chin Nurs Res, 2016, 30(2):758-759.