| Objective:This paper aims to study the effect of Health Qigong·Wuqinxi on the cognitive function of the elderly.To explore the influencing factors of the effect of Wu Qin Xi exercise on the cognitive function intervention of the elderly.Methods:The study recruited elderly people who volunteered to participate in the study in four different communities in Yangpu District,Shanghai.The elderly who met the inclusion criteria were randomly divided into experimental group and control group according to the block.The experimental group was given 1 time a week,1hour each time,a total of 40 times of Health Qigong·Wu Qin Xi exercise intervention,the control group did not do any intervention,to maintain normal living conditions.Cognitive function was performed on all subjects before and after the experiment(RBANS,MoCA,ANT,Stroop and n-back)And baseline health status(GAD-7,PHQ-9,PHQ-15,SF-36 and disease history)data collection.The data was statistically analyzed using spss22.0 software.Results:(1)Recruitment results:In this study,202 elderly people were recruited and screened from August 2017 to October 2017,enrolled in 100 patients,44 in the experimental group,and 56 in the control group.The excision rate of the experimental group and the control group were 13.6%and 35.7%,and the remaining 38 in the experimental group and 36 in the control group.The chi-square test compared the loss rate between the two groups(Pearson's X~2=6.242,P=0.012).There was a statistically significant difference between the two groups.(2)Two groups of baseline MoCA total score,RBANS total score,immediate memory,spatial structure,speech function,attention,delayed memory,n-back red:ACC,anxiety score,depression score,somatic symptom score,SF-36-MH,SF-36-The difference of RP,SF-36-VT and SF-36-PF was statistically significant(P<0.05).There were no statistically significant differences in other cognitive functions and health status.(3)Comparison between the two groups before and after the intervention effect group:In the experimental group,MoCA-total score,RBANS total score,RBANS immediate memory,RBANS spatial structure,RBANS speech function,RBANS attention,RBANS delayed memory,and ANT:ACC were significantly higher than baseline data and the data were statistically significant(P<0.05).In the control group,the RBANS attention and Stroop meanings of the post-test data:RT(time increase)was significantly lower than the baseline data and the difference was statistically significant(P<0.05).The RBANS spatial structure was higher than the baseline data.The difference was statistically significant(P<0.05),but the increase was smaller than the experimental group.The experimental group's?MoCA-total score,?RBANS total score,?RBANS immediate memory,?RBANS spatial structure,?RBANS speech function,?RBANS attention and?RBANS delayed memory had more obvious intervention effects than the control group,and the difference was Statistical significance(P<0.05).(4)Controlling other influencing factors The partial correlation between the single factor and the intervention effect of the baseline and the experimental group was found to be:The years of education and MoCA total score,RBANS total score,RBANS immediate memory,RBANS spatial structure,RBANS speech function,RBANS attention,RBANS delayed memory,ANT:ACC and Stroop meaning:ACC showed positive correlation(P<0.05).Years of education and ANT:RT,Stroop meaning:RT,Stroop color:RT and n-back red:RT showed a negative correlation and the correlation was statistically significant(P<0.05).The remaining indicators were not statistically significant(P>0.05).The number of interventions was positively correlated with?MoCA-total score,?RBANS total score,?RBANS spatial structure,?RBANS delayed memory and?STR meaning:RT and the correlation was statistically significant(P<0.05).The number of interventions was not statistically significant in relation to other indicators.Conclusions:Health Qigong·wuqinxi exercise has improved effects on the elderly's instant memory,spatial structure,speech function,attention,time-delay memory and executive control functions,among which speech function and attention are most significant;The longer the exercise time of Wuqinxi,the more obvious the improvement of spatial structure and time-delay memory;Wuqinxi exercise can delay the decline in the speed of conflict processing in the elderly. |
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