太极拳对养老院居民的心理社会影响。

The psychosocial effect of Tai Chi on nursing home residents.

机构信息

Nursing Team, School of Science and Technology, The Open University of Hong Kong, Homantin, Kowloon, Hong Kong, China.

出版信息

J Clin Nurs. 2010 Apr;19(7-8):927-38. doi: 10.1111/j.1365-2702.2009.02793.x.

DOI:10.1111/j.1365-2702.2009.02793.x

PMID:20492037

Abstract

AIM

To determine the psychosocial effect of Tai Chi on nursing home residents.

BACKGROUND

Moving into a nursing home usually imposes a certain degree of psychosocial challenge to older people. However, there is limited evidence suggesting a promising intervention that can promote the psychosocial health for this group. Although previous studies suggest that Tai Chi has the potential to enhance psychosocial well-being, existing evidence is deemed scarce and thus imposes a limitation on drawing out conclusions on this matter.

DESIGN

Non-equivalent pretest-posttest control group design.

METHODS

A convenience sample of 139 residents from six nursing homes in Hong Kong was recruited for this study. The experimental group (n = 66) participated in a 26-week Tai Chi programme, while the control group (n = 73) continued its normal daily activities. The outcome measures included state self-esteem, the physical and mental component of health-related quality of life, social support network and social support satisfaction. Resident satisfaction was identified as a covariate because it demonstrated significant correlation with the outcome variables and, likewise, showed significant difference between the two study groups at baseline. Doubly multivariate analysis of covariance was performed to examine the effect of the intervention.

RESULTS

Results indicate significant Group x Time interactions, with the experimental group experiencing significant improvement in the composite outcome of state self-esteem, the physical component of health-related quality of life and the mental component of health-related quality of life across the 26-week study period [F(6, 131) = 2.61, p = 0.02)]. No significant changes were detected regarding the effect of the Tai Chi programme on social support.

CONCLUSION

Tai Chi practice is beneficial for nursing home residents.

RELEVANCE TO CLINICAL PRACTICE

Tai Chi has unique characteristics that are particularly suitable in the practice of health exercise for nursing home residents. The inclusion of Tai Chi in residential care practice for older people is recommended.

摘要

目的

确定太极拳对养老院居民的心理社会影响。

背景

进入养老院通常会给老年人带来一定程度的心理社会挑战。然而，目前有限的证据表明，有一种有希望的干预措施可以促进这一群体的心理社会健康。尽管先前的研究表明太极拳具有增强心理社会幸福感的潜力，但现有证据被认为不足，因此无法得出关于这方面的结论。

设计

非等效前后测对照组设计。

方法

本研究从香港六家养老院中招募了 139 名居民作为方便样本。实验组（n = 66）参加了 26 周的太极拳课程，而对照组（n = 73）继续正常的日常活动。结果测量包括状态自尊、健康相关生活质量的身心成分、社会支持网络和社会支持满意度。居民满意度被确定为协变量，因为它与结果变量显著相关，并且在基线时也表现出两组之间的显著差异。采用双多元协方差分析来检验干预的效果。