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基于禅修的华人身心干预改善社区居住老年人的心理健康和身体健康:一项初步研究。

A Chinese Chan-based mind-body intervention improves psychological well-being and physical health of community-dwelling elderly: a pilot study.

机构信息

Department of Medicine and Therapeutics, The Chinese University of Hong Kong, New Territories, Hong Kong.

Department of Psychology, The Chinese University of Hong Kong, New Territories, Hong Kong ; Chanwuyi Research Center for Neuropsychological Well-Being, The Chinese University of Hong Kong, New Territories, Hong Kong ; Henan Songshan Research Institute for Chanwuyi, Henan, People's Republic of China.

出版信息

Clin Interv Aging. 2014 Apr 23;9:727-36. doi: 10.2147/CIA.S59985. eCollection 2014.

Abstract

BACKGROUND

The aim of this study was to explore the potential benefits of the Dejian mind-body intervention (DMBI) for psychological and physical health in older Chinese adults.

METHODS

After confirmation of eligibility, the subjects were invited to receive DMBI once a week for 12 weeks. The intervention involved components of learning self-awareness and self-control, practicing mind-body exercises, and adopting a special vegetarian diet. Intervention-related changes were measured using the Perceived Stress Scale, Geriatric Depression Scale, Pittsburgh Sleep Quality Index, Chinese Constipation Questionnaire, and self-report ratings of health. Indicators of metabolic syndrome and walking speed were also measured.

RESULTS

Of the 44 subjects recruited, 42 (54.8% men) completed the study, giving an adherence rate of 95%. There was a significant reduction in perceived stress (P<0.05). A significant improvement was also found in systolic blood pressure among those who had abnormally high blood pressure at baseline (P<0.05). Physical fitness as reflected by walking speed was also significantly increased after the intervention (P<0.05). Sleep disturbances were reduced (P<0.01). Self-rated health was significantly enhanced, with the percentage rating very good health increasing from 14.3% at baseline to 42.8% after the intervention (P<0.001). No intervention effect was found for waist circumference, lipids and fasting blood glucose levels, Pittsburgh Sleep Quality Index global score, and constipation measures.

CONCLUSION

The DMBI was feasible and acceptable, and subjects showed some improvements in psychological and physical health. A larger controlled trial is needed to confirm these promising preliminary results.

摘要

背景

本研究旨在探讨德建身心干预(DMBI)对中国老年人群体心理健康和身体健康的潜在益处。

方法

在确认符合条件后,邀请受试者每周接受一次 DMBI,共 12 周。干预措施包括学习自我意识和自我控制、练习身心锻炼以及采用特殊的素食饮食。使用感知压力量表、老年抑郁量表、匹兹堡睡眠质量指数、中国便秘问卷和健康自评量表来测量与干预相关的变化。还测量了代谢综合征和行走速度的指标。

结果

在招募的 44 名受试者中,有 42 名(54.8%为男性)完成了研究,依从率为 95%。感知压力显著降低(P<0.05)。在基线时血压异常高的人群中,收缩压也显著改善(P<0.05)。干预后,反映身体状况的行走速度也显著提高(P<0.05)。睡眠障碍减少(P<0.01)。自我评定的健康状况显著改善,非常健康的比例从基线时的 14.3%增加到干预后的 42.8%(P<0.001)。腰围、血脂和空腹血糖水平、匹兹堡睡眠质量指数总分和便秘测量值均未发现干预效果。

结论

DMBI 是可行且可接受的,并且受试者在心理健康和身体健康方面显示出一些改善。需要更大规模的对照试验来证实这些有希望的初步结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed4d/4003151/1284f8b8e137/cia-9-727Fig1.jpg

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