Comprehensive rehabilitation for the frail elderly
10.3760/cma.j.issn.0254-1424.2024.10.013
- VernacularTitle: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
- Author:
Yingjun GONG
1
;
Yanni WANG
;
Yang CHEN
;
Yajun HAN
;
Xiaoxuan NING
;
Xiaoming WANG
;
Zhiping WANG
Author Information
1. 空军军医大学第一附属医院老年医学科,西安 710032
- Keywords:
Elderly;
Frailty;
Comprehensive rehabilitation;
Physical functioning;
Propensity score matching
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2024;46(10):935-940
- CountryChina
- Language:Chinese
-
Abstract:
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.