Rogers Carol E, Keller Colleen, Larkey Linda K, Ainsworth Barbara E
Arizona State University, Phoenix, AZ, USA.
Res Gerontol Nurs. 2012 Apr;5(2):101-13. doi: 10.3928/19404921-20110706-01. Epub 2011 Jul 15.
Sedentary older adults are at risk of decreased physical function that may lead to loss of independence. In addition, low spirituality is associated with all-cause mortality for older adults. Published research studies have not evaluated the effects of spirituality following a meditative movement intervention such as Sign Chi Do (SCD). The Roy Adaptation Model guided the design of a 12-week intervention that tested the effects of SCD compared with a minimal education control group on physiological and self-concept adaptation. Sixty-seven sedentary, community-dwelling older adults were randomized to the SCD or control group. Final analysis included 49 participants after adjusting for dropouts and incomplete data. Measurement of physiological (Timed Up & Go [TUG], 6-minute walk [6-MW], and metabolic equivalent [MET]-minute/week) and self-concept (Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being-12 and Exercise Self-Efficacy) adaptation were completed at baseline (Time 1), 6 (Time 2), and 12 (Time 3) weeks. TUG and MET-minute/week scores improved significantly from Time 1 to Time 3 for the intervention group, and 6-MW at Time 3 showed a significant between-group difference of 271.36 feet. Self-concept measures did not yield significant results. These results indicate that the theoretical factor of Roy's physiological adaptation (balance and physical function) improved in response to the SCD intervention among sedentary older adults.
久坐不动的老年人存在身体机能下降的风险，这可能导致失去独立生活能力。此外，精神层面的匮乏与老年人的全因死亡率相关。已发表的研究尚未评估诸如太极导引（SCD）这种冥想运动干预后的精神层面影响。罗伊适应模式指导了一项为期12周的干预措施设计，该措施测试了SCD相较于最低限度教育对照组对生理和自我概念适应的影响。67名久坐不动、居住在社区的老年人被随机分配到SCD组或对照组。在对退出者和不完整数据进行调整后，最终分析纳入了49名参与者。在基线期（时间1）、6周（时间2）和12周（时间3）完成了生理指标（计时起立行走测试[TUG]、6分钟步行测试[6-MW]以及代谢当量[MET]-分钟/周）和自我概念（慢性病治疗功能评估-精神幸福感-12以及运动自我效能）适应情况的测量。干预组从时间1到时间3，TUG和MET-分钟/周得分显著改善，时间3时的6-MW显示出组间显著差异，为271.36英尺。自我概念测量未得出显著结果。这些结果表明，罗伊生理适应理论因素（平衡和身体机能）在久坐不动的老年人中因SCD干预而得到改善。
