RESUMO
ObjectiveTo explore the clinical efficacy of five elements health exercise on improving the ability of daily living and cognitive function in elderly inpatients with schizophrenia. MethodsA total of 80 elderly patients with schizophrenia who were hospitalized in Xiamen Xianyue Hospital from May 2016 to May 2017 and met the diagnostic criteria of International Classification of Diseases， tenth edition （ICD-10） were enrolled in this study， and were randomly divided into the study group and the control group， with 40 cases in each group. Both groups received routine drug treatment， psychiatric nursing care and rehabilitation treatment， and the study group received five elements health exercise on this basis. The ability of daily living and cognitive function of patients were assessed using Barthel Index （BI） and Mini-Mental State Examination （MMSE） before intervention， 6 months and 1 year after intervention. Additionally， the Nurses' Observation Scale for Inpatient Evaluation （NOSIE） was adopted to evaluate the changes of patients' behavior and condition before and after 1-year intervention. ResultsAt 6 months and 1 year of intervention， study group scored higher on BI （F=2.876， 3.240， P<0.05 or 0.01） and MMSE （F=4.742， 7.902， P<0.01） than control group， with statistically significant differences. After 1 year of intervention， the scores of each factor and total score of NOSIE in the study group were higher than those in the control group， and the differences were statistically significant （t=0.173~2.463， P<0.05）. ConclusionOn the basis of routine drug therapy and routine nursing care， the implementation of five elements health exercise may improve the ability of daily living and cognitive function of elderly inpatients with schizophrenia.