综合康复方案联合心理干预对老年肌少-骨质疏松症患者的影响

摘要 目的：探讨综合康复方案联合心理干预对老年肌少-骨质疏松症（SOP）患者的影响，以期为SOP患者的康复提供合理方案。方法：前瞻性选取徐州医科大学附属医院2021年3至2021年8月收治的64例老年SOP患者为研究对象，按照随机数字表法将所有的患者分为观察组和对照组，每组32例。对照组予以常规干预，观察组在对照组的基础上予以综合康复方案联合心理干预。观察两组患者骨骼肌肉恢复情况、机体功能、骨密度以及心理状况。结果：干预6个月后两组患者外周骨骼肌质量（ASM）、外周骨骼肌指数（SMI）以及握力均较干预前以及干预3个月后上升，且观察组高于对照组（P<0.05）。干预6个月后两组患者平衡测试、4 m步速测试、5次椅上坐-站测试评分均较干预前以及干预3个月后上升，且观察组高于对照组（P<0.05）。干预6个月后两组患者骨密度较干预前以及干预3个月后上升，且观察组高于对照组（P<0.05）。干预3个月后以及干预6个月后两组患者心理痛苦与管理筛查工具量表（DMSM）、汉密尔顿焦虑量表（HAMA）、汉密尔顿抑郁量表（HAMD）评分均较干预前下降，且观察组低于对照组（P<0.05）。结论：综合康复方案联合心理干预可促进老年SOP患者骨骼肌肉恢复，提升机体功能，改善骨密度及心理状况，是老年SOP患者的理想康复方案，值得临床借鉴应用。

Effect of Comprehensive Rehabilitation Program Combined with Psychological Intervention on Elderly Patients with Sarcopenia-Osteoporosis

ABSTRACT Objective: To explore the effect of comprehensive rehabilitation program combined with psychological intervention on elderly patients with sarcopenia-osteoporosis (SOP), so as to provide a reasonable plan for the rehabilitation of SOP patients. Methods: A total of 64 elderly patients with SOP admitted to the Affiliated Hospital of Xuzhou Medical University from March 2021 to August 2021 were prospectively selected as the study subjects. All patients were divided into observation group and control group according to the random number table method, with 32 cases in each group. The control group was given routine intervention,and the observation group was given comprehensive rehabilitation program combined with psychological intervention on the basis of the control group. The recovery of skeletal muscle, body function, bone mineral density and psychological status of the two groups were observed. Results: 6 months after intervention, the allskeletalextremities muscle mass(ASM), skeletal mass index(SMI) and holding power of the two groups were higher than those before intervention and 3 months after intervention, and the observation group were higher than the control group (P<0.05). 6 months after intervention, the scores of balance test, 4 m pace test and 5 chair sit-to-stand test in the two groups were higher than those before intervention and 3 months after intervention, and the observation group was higher than the control group (P<0.05). 6 months after intervention,the bone mineral density of the two groups was higher than that before intervention and 3 months after intervention, and the observation group was higher than the control group(P<0.05). 3 months after intervention and 6 months after intervention, the scores of distress management screening measure(DMSM), Hamilton Anxiety Scale(HAMA) and Hamilton Depression Scale(HAMD) in the two groups were lower than those before intervention, and the observation group were lower than the control group(P<0.05). Conclusion: Comprehensive rehabilitation program combined with psychological intervention can promote skeletal muscle recovery, improve body function, improve bone mineral density and psychological status in elderly SOP patients.It is an ideal rehabilitation program for elderly SOP patients and worthy of clinical reference and application.