Seo Jin Young, Chao Ying-Yu
J Gerontol Nurs. 2018 Mar 1;44(3):31-38. doi: 10.3928/00989134-20171024-01. Epub 2017 Oct 30.
Depression is the most prevalent mental health problem among older adults. Exercise has been found to have a protective and treatable effect on depression in this population. A systematic review of literature published between 2006 and 2015 was performed to examine the influence of exercise interventions in reducing depressive symptoms among community-dwelling older adults in the United States. Ten studies were identified for inclusion. Exercise interventions have positive effects on clinical depression and depressive symptoms among older adults. In addition, exercise interventions alleviated the depressive symptoms among older adults with a diagnosis of chronic disease. Future studies should include a randomized controlled trial with a larger sample, longitudinal design, and culturally sensitive intervention. For long-term benefits, incorporating motivational strategies into community exercise programs and collaborating with community health care providers are recommended to enhance the maintenance of exercise behavior among community-dwelling older adults. [Journal of Gerontological Nursing, 44(3), 31-38.].
抑郁症是老年人中最普遍的心理健康问题。研究发现，运动对这一人群的抑郁症具有预防和治疗作用。我们对2006年至2015年间发表的文献进行了系统回顾，以研究运动干预对美国社区居住老年人抑郁症状减轻的影响。共确定了10项研究纳入分析。运动干预对老年人的临床抑郁症和抑郁症状有积极影响。此外，运动干预减轻了患有慢性病的老年人的抑郁症状。未来的研究应包括更大样本量的随机对照试验、纵向设计以及具有文化敏感性的干预措施。为获得长期益处，建议将激励策略纳入社区运动项目，并与社区医疗服务提供者合作，以加强社区居住老年人运动行为的维持。[《老年护理杂志》，44(3)，31 - 38。]
