| Objective:The purpose of this paper is to discuss the intervention effect of Baduanjin exercise combined with cognitive training on cognitive function,frailty state,blood glucose level and quality of life in senile diabetes patients with cognitive frailty,and to provide a new idea and method for clinical intervention strategies for elderly diabetic patients with cognitive frailty.Methods:This is a quasi experimental study.From October 2021 to April 2022,84 elderly diabetic patients with cognitive frailty in the department of endocrinology of a tertiary first-class hospital in Shanxi Province were selected.The patients were randomly divided into the control group(42 cases)and the experimental group(42 cases)according to the random number table method.The control group adopted routine nursing care for diabetes.On this basis,the experimental group implemented the intervention program of Baduanjin exercise combined with cognitive training,3 times a week for 12 weeks.Patients were evaluated before intervention,6 and 12 weeks after intervention.The evaluation tools used were: the Montreal Cognitive Assessment Scale(MoCA),Frailty Phenotype Scale(FP),grip strength,gait speed,glycosylated hemoglobin and Diabetes Specific Quality of Life Scale(DSQL).Descriptive statistics,chi-square test,independent sample t test,repeated measurement analysis of variance,Mann-Whitney U test and generalized estimation equation were used for statistical analysis of the data.Results:During the study period,there were 2 patients lost to follow-up in the experimental group and 3 patients lost in the control group.A total of 79 patients actually completed this study,including 40 patients in the experimental group and 39 patients in the control group.(1)Before intervention,there was no significant difference between the two groups in general information,scores of the Montreal Cognitive Assessment Scale,scores of the Frailty Phenotype Scale,grip strength,gait speed,glycosylated hemoglobin,and scores of the Diabetes Specific Quality of Life Scale(P>0.05).(2)The cognitive scores of patients in the two groups were statistically significant at different time points,groups,and the interaction effects between groups and time(P<0.05).There was no significant difference in cognitive scores between the two groups of patients at 6 weeks after intervention(P>0.05).At 12 weeks after intervention,the cognitive score of the experimental group was higher than that of the control group,and the difference was statistically significant(P<0.001).(3)The frailty scores and gait speed of patients in the two groups were statistically significant at different time points,groups,and the interaction effects between groups and time;There were statistical significance in grip strength at each time point and the interaction effects between groups and time(P<0.05),and the different groups have no statistical significance(P>0.05).At 6 weeks after intervention,the frailty score of the experimental group was lower than that of the control group,with a statistically significant difference(P<0.05);There was no significant difference in gait speed and grip strength between the two groups of patients(P>0.05).At 12 weeks after intervention,the frailty score of the experimental group was lower than that of the control group,gait speed and grip strength were higher than those of the control group,and the difference was statistically significant(P<0.05).(4)At 12 weeks after intervention,the glycosylated hemoglobin of patients in the experimental group was lower than that in the control group,and the difference was statistically significant(P<0.05).(5)The total score of quality of life and the scores of each dimension in the two groups were statistically significant at different time points and the interaction effects between groups and time(P<0.01);In addition to the social relationship and treatment dimension,there were significant differences in the total score of quality of life,physiological dimension and psychological/spiritual dimension between the two groups(P<0.01).At 12 weeks after intervention,the total score of quality of life and all dimension scores of patients in the experimental group were lower than those in the control group,with statistical significance(P<0.01).Conclusion:In this study,Baduanjin combined with cognitive training was used to intervene elderly diabetic patients with cognitive frailty,Baduanjin is an excellent traditional Chinese medicine fitness skill,which requires no instruments,is simple,easy to learn,safe and free from site limitations;Its combination with cognitive training can produce a synergistic effect,which can delay the decline of cognitive function in elderly diabetic patients,improve the debilitation state of the body,reduce the blood glucose level of patients,and improve the quality of life of patients,so it is recommended to vigorously promote in clinical and community. |
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