蒸汽足浴对认知障碍老年住院患者的影响：一项初步研究。
Effect of a steam foot spa on geriatric inpatients with cognitive impairment: a pilot study.
机构信息
Department of Occupational Therapy, Prefectural University of Hiroshima, Mihara, Japan.
出版信息
Clin Interv Aging. 2013;8:543-8. doi: 10.2147/CIA.S44005. Epub 2013 May 16.
PURPOSE
To investigate whether a steam foot spa improves cognitive impairment in geriatric inpatients.
METHODS
Geriatric inpatients with cognitive impairment were given a steam foot spa treatment at 42°C for 20 minutes for 2 weeks (5 days/week). Physiological indicators such as blood pressure, percutaneous oxygen saturation, pulse, tympanic temperature, and sleep time and efficiency were assessed. Cognitive function and behavioral and psychological symptoms of dementia were assessed using the Mini-Mental State Examination, Dementia Mood Assessment Scale, and Dementia Behavior Disturbance scale.
RESULTS
Significant decreases in systolic (P < 0.01) and diastolic blood pressure (P < 0.05) along with a significant increase in tympanic temperature (P < 0.01) were observed after the steam foot spas. A significant improvement was seen in the Mini-Mental State Examination score (P < 0.01) and the overall dementia severity items in Dementia Mood Assessment Scale (P < 0.05).
LIMITATIONS
Japanese people are very fond of foot baths. However, it is difficult to understand why inpatients cannot receive steam foot baths. In this study, a control group was not used. Raters and enforcers were not blinded.
CONCLUSION
The results of this pilot study suggest that steam foot spas mitigate cognitive impairment in geriatric inpatients.
目的
研究蒸汽足浴是否能改善老年住院患者的认知障碍。
方法
对认知障碍的老年住院患者进行 42°C 的蒸汽足浴治疗，每次 20 分钟，共 2 周（每周 5 天）。评估生理指标，如血压、经皮血氧饱和度、脉搏、鼓膜温度和睡眠时间及效率。采用简易精神状态检查表、痴呆情绪评估量表和痴呆行为障碍量表评估认知功能和痴呆的行为和心理症状。
结果
蒸汽足浴后，收缩压（P < 0.01）和舒张压（P < 0.05）显著下降，鼓膜温度显著升高（P < 0.01）。简易精神状态检查表评分（P < 0.01）和痴呆情绪评估量表中痴呆严重程度的总体项目（P < 0.05）显著改善。
局限性
日本人非常喜欢足浴。然而，很难理解为什么住院患者不能接受蒸汽足浴。本研究未设对照组，评定者和执行者未设盲法。
结论
这项初步研究的结果表明，蒸汽足浴可减轻老年住院患者的认知障碍。
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