摘要
目的探讨认知-运动双重任务训练对老年人跌倒风险的影响。方法计算机检索PubMed、Cochrane Library、Web of Science、Embase、CINAHL、中国生物医学文献数据库、CNKI、万方、维普等国内外数据库中有关认知-运动双重任务训练应用于老年人的RCT,检索时限为建库至2020年8月。检索到的文献由2名研究人员独立筛选,提取数据信息并进行评价。对符合质量标准的文献采用RevMan 5.3软件进行数据分析。结果本研究共纳入10项RCT,共696例患者。Meta分析结果显示,认知-运动双重任务训练可以降低老年人的跌倒发生率[OR=0.34,95%CI(0.20~0.60),Z=3.75,P<0.001],提高跌倒效能[SMD=-2.24,95%CI(-3.62~-0.86),Z=3.18,P=0.001],改善老年人步速[SMD=0.44,95%CI(0.28~0.60),Z=5.38,P<0.001]、步长[SMD=0.49,95%CI(0.33~0.64),Z=6.10,P<0.001]以及平衡功能[MD=-1.30,95%CI(-1.71~-0.89),Z=6.32,P<0.001]。结论认知-运动双重任务训练可以降低老年人的跌倒发生率,提高跌倒效能,改善老年人步速、步长和平衡功能,但缺少该干预对老年人的长期效果,尚需开展深入研究进行验证。
Objective To explore effects of cognitive-motor dual task training(DTT)on risk of falls in the elderly.Methods RCTS related to cognitive-motor dual task training in the elderly were searched in PubMed,Cochrane Library,Web of Science,Embase,CINAHL,China Biology Medicine disc(CBMdisc),China National Knowledge Infrastructure(CNKI),Wanfang,VIP and other domestic and foreign databases.The retrieval period was from the establishment of databases to August 2020.The retrieved literatures were independently screened by two researchers,and the data information was extracted and evaluated.RevMan 5.3 software was used for data analysis on the liteartures that met the quality standards.Results A total of 10 RCTS were included in this study,involving 696 patients.Meta-analysis results showed that cognitive-motor dual task training could reduce the incidence of falls in the elderly[OR=0.34,95%CI(0.20-0.60),Z=3.75,P<0.001],improve fall efficacy[SMD=-2.24,95%CI(-3.62--0.86),Z=3.18,P=0.001]and improve the pace[SMD=0.44,95%CI(0.28-0.60),Z=5.38,P<0.001],step size[SMD=0.49,95%CI(0.33-0.64),Z=6.10,P<0.001]and balance function[MD=-1.30,95%CI(-1.71--0.89),Z=6.32,P<0.001]of the elderly.Conclusions Cognitive-motor dual task training can reduce the incidence of falls in the elderly,improve fall efficacy and improve the pace,step size and balance function of the elderly.However,the long-term effect of this intervention on the elderly is still lacking and further studies are needed to verify it.
作者
王茜
丰荣
朱玲玲
Wang Qian;Feng Rong;Zhu Lingling(Department of International Medical Services,Peking Union Medical College Hospital,Beijing 100730,China;Department of Nursing,Peking Union Medical College Hospital,Beijing 100730,China)
出处
《中华现代护理杂志》
2021年第30期4095-4101,共7页
Chinese Journal of Modern Nursing
基金
2019年北京协和医院护理部科研项目(XHHLKY201909)。
作者简介
通信作者:丰荣,Email:fengrong119@sina.com。
