Application of a multicomponent exercise and cognitive stimulation program in elderly patients with mental disorders and sarcopenia
Objective To explore the effect of a multicomponent exercise and cognitive stimulation program in elderly patients with mental disorders and sarcopenia，so as to provide references for reducing the risk of falls，preventing and improving sarcopenia，and enhancing cognitive function in patients. Methods The multi-component exercise and cognitive stimulation program was formulated through literature review and expert meeting. In this quasi-experimental study，76 elderly patients with mental disorders and sarcopenia who were hospitalized in a tertiary mental health center in Shanghai from January 2023 to February 2024 were selected as research subjects. They were randomly divided into an experimental group and a control group according to their hospitalization building number（38 cases in each group）. The experimental group was treated with multicomponent exercise combined with cognitive stimulation program based on routine nursing，and the control group was treated with routine nursing. The risk of falls，skeletal muscle mass，muscle strength，physical function，cognitive function，and incidence of adverse events were compared between 2 groups after 12 weeks of intervention. Results A total of 75 patients with 37 in the control group and 38 in the experimental group completed the study. The TUG time，6M walking speed and the score of Short Physical Performance Bettery of the experimental group were all lower than those of the control group（P<0.05），and the scores of skeletal muscle mass，muscle strength，calf circumference，physical function and cognitive function of the experimental group were all higher than those of the control group（P<0.05）. Neither group experienced any adverse events. Conclusion The application of this multicomponent exercise combined cognitive stimulation program developed for elderly patients with mental disorders and sarcopenia can effectively reduce the risk of falls，enhance the skeletal muscle mass and muscle strength and improve the cognitive function in elderly patients with mental disorders and sarcopenia.
Key words： Aged; Mental Disorders; Sarcopenia; Falls; Multicomponent Exercise; Cognitive Stimulation; Nursing Care
JIN Xiaochao , SHI Zhongying , ZHOU Yingfeng , HUANG Xiaoyan , HUANG Chuxian , GU Yanhong , SU Ya , LI Li . Application of a multicomponent exercise and cognitive stimulation program in elderly patients with mental disorders and sarcopenia[J]. Chinese Journal of Nursing, 2025 , 60(3) : 266 -273 . DOI: 10.3761/j.issn.0254-1769.2025.03.002
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