Chen Kuei-Min, Kuo Chang-Chih, Chang Ya-Hui, Huang Hsin-Ting, Cheng Yin-Yin
College of Nursing, National Kaohsiung First University of Science and Technology, Kaohsiung, Taiwan.
College of Health Sciences, National Kaohsiung First University of Science and Technology, Kaohsiung, Taiwan.
J Am Geriatr Soc. 2017 Feb;65(2):356-363. doi: 10.1111/jgs.14526. Epub 2016 Nov 23.
To test the effects of a 15-month wheelchair-bound resistance band exercise program on depression and behavioral problems of wheelchair-bound older adults with dementia.
Single-blind, cluster-randomized controlled trial with repeated measures.
Eight nursing homes in southern Taiwan.
Wheelchair-bound nursing home older adults with dementia who participated voluntarily (N = 150) were cluster-randomized to two groups (experimental or control group); 127 completed the study (experimental: four nursing homes, n = 65; control: four nursing homes, n = 62).
The resistance band exercises were conducted three times per week in 40-minute sessions in the following two sequences: volunteer-led sessions for the first 6 months (Stage I) followed by DVD-guided sessions for the next 9 months (Stage II).
Depression, as measured using the Cornell Scale for Depression in Dementia, and behavioral problems, as measured using the Clifton Assessment Procedures for the Elderly-Behavior Rating Scale, of participants were observed at six time points at 3-month intervals: pretest, two posttests at Stage I, and three posttests at Stage II.
By the sixth month of the study, experimental group participants were significantly less depressed and had fewer behavioral problems than control group participants (all P < .05). These small but statistically significant differences persisted throughout the 9 months of the DVD-guided sessions (all P < .05).
Volunteer-led sessions followed by DVD-guided sessions of resistance band exercise is effective and practical in institutional settings.
测试一项为期15个月的轮椅束缚弹力带锻炼计划对患有痴呆症的轮椅束缚老年人的抑郁和行为问题的影响。
单盲、整群随机对照试验，采用重复测量。
台湾南部的八家养老院。
自愿参与的患有痴呆症的养老院轮椅束缚老年人（N = 150）被整群随机分为两组（实验组或对照组）；127人完成了研究（实验组：四家养老院，n = 65；对照组：四家养老院，n = 62）。
弹力带锻炼每周进行三次，每次40分钟，按以下两个阶段进行：前6个月由志愿者指导（第一阶段），后9个月由DVD指导（第二阶段）。
使用痴呆症康奈尔抑郁量表测量参与者的抑郁情况，使用老年人克利夫顿评估程序行为评定量表测量行为问题，在3个月间隔的六个时间点进行观察：预测试、第一阶段的两次后测试以及第二阶段的三次后测试。
到研究的第六个月，实验组参与者的抑郁程度明显低于对照组，行为问题也更少（所有P < .05）。这些虽小但具有统计学意义的差异在DVD指导阶段的9个月中一直存在（所有P < .05）。
在机构环境中，先由志愿者指导，后由DVD指导的弹力带锻炼是有效且实用的。
