| Objectives To explore effective ways to improve the housebound status of the elderly, to provide effective methods and basis for the intervention of community housebound status in the future.Methods Using convenience sampling method, to respectively selected a community from Baoding 159 community and Tangshan 363 community, that is, the Baoding Dajijia community and Tangshan Diaoyutai community from July to October in 2014. To screen housebound for all 1359 elderly people of the two communities, screening out of a total of 120 elderly housebound. Taking the 120 housebound elderly people as the research object, including 66 people in Tangshan City and 54 people in Baoding City. And using the method of drawing lots were divided into three groups, namely cognitive-behavioral therapy groups, joint intervention group, Ba Duan jin group, 40 people in each group in November 2014. Respectively, they were given cognitive behavioral therapy intervention, cognitive behavioral therapy combined with Ba Duan jin intervention, Ba Duan jin intervention three kinds of interventions. Intervention 1 times a week for a period of 6 months, each time 1 ~ 1.5 hours. Housebound status, physical, psychological and social support status of the three groups were evaluated before and after three months and six months intervention respectively. The housebound evaluated by Chinese version housebound table; health evaluation using the SF-36 health self rating scale, ADL scale and pulmonary function instrument; psychological status was evaluated by health self evaluation, loneliness and the GDS-15 scale; social support status evaluation using SSRS and social support scale. And using SPSS17.0 for data analysis.Results Before the intervention, there were no significant differences in housebound, physical, psychological and social support between the three groups(P>0.05). After intervention 1 Comparison of housebound scores in three groups of elderly people: After three months and six months intervention, the scores of the joint intervention group were significantly lower than those in the other two groups, the difference was statistically significant(P<0.05). 2 Comparison of physical condition scores for the elderly in the three groups:After intervention, the improvement of quality of life scores and lung function(FVC, MVV) in the joint intervention group were better than those in the cognitive behavioral therapy group and the Ba Duan jin group. The ADL status of the elderly in the joint intervention group and the cognitive-behavior group was improved, but the difference was not statistically significant(P>0.05). 3 Comparison of psychological status scores for the elderly in the three groups: After three months and six months, the health self evaluation and loneliness of the joint intervention group were better than the other two groups, the difference was statistically significant(P<0.05). Depression, three kinds of intervention methods have reduced the incidence of depression, which shows that the three intervention methods have a certain improvement in the situation of depression, but the difference is not statistically significant(P>0.05). 4 Comparison of social support status scores for the elderly in the three groups:After six months intervention, the intervention effect of the joint intervention in all dimensions of social support were better than the other two groups, the difference was statistically significant(P<0.05).Conclusions 1 Cognitive behavioral therapy combined with Ba Duan jin exercise on elderly housebound in the housebound status, physical and psychological and social support status were significantly improved, the intervention effect is better than pure cognitive-behavioral therapy and simple Ba Duan jin training. 2 Cognitive-behavioral therapy combined with Ba Duan jin training can effectively improve elderly housebound, reduce the incidence rate of housebound status. |
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