Izutsu Kazumi, Arima Kazuhiko, Abe Yasuyo, Okabe Takuhiro, Tomita Yoshihito, Mizukami Satoshi, Kanagae Mitsuo, Nishimura Takayuki, Aoyagi Kiyoshi
Department of Public Health, Nagasaki University Graduate School of Biomedical Sciences: 1-12-4 Sakamoto, Nagasaki 852-8523, Japan.
Division of Physical Therapy, Department of Rehabilitation, Faculty of Health Science, Kumamoto Health Science University, Japan.
J Phys Ther Sci. 2017 Dec;29(12):2126-2132. doi: 10.1589/jpts.29.2126. Epub 2017 Dec 7.
[Purpose] This study aimed to evaluate the sustainability and efficacy of exercise intervention, as implemented by professionally trained volunteers, on the health-related quality of life among Japanese community-dwelling older females. [Subjects and Methods] We conducted a non-randomized observational prospective study of a six-month exercise intervention delivered by volunteers or health professionals. Health-related quality of life was scored using the Short Form 36 Health Survey before and after the intervention. Participants were classified into three groups, comprising those with improved health, maintained health, and reduced health. [Results] Among 127 Japanese community-dwelling females aged >65 years, 50 of 62 (80.6%) females involved in the intervention conducted by volunteers, and 55 of 65 (84.6%) females involved in the intervention conducted by health professionals, completed the six-month intervention program. Scoring revealed that interventions by both volunteers and health professionals had a maintaining or improving effect on scores in >70% of participants instead of an expected six-month aging decline. [Conclusion] Exercise intervention by trained volunteers was sustainable and effective for improving the health-related quality of life among Japanese community-dwelling older females. Professionally trained volunteers could benefit communities in helping older persons avoid the need for daily nursing care through promoting health activities.
[目的] 本研究旨在评估由专业训练的志愿者实施的运动干预对日本社区老年女性健康相关生活质量的可持续性和有效性。[对象与方法] 我们对志愿者或健康专业人员进行的为期六个月的运动干预进行了非随机观察性前瞻性研究。在干预前后使用简短健康调查问卷36对健康相关生活质量进行评分。参与者被分为三组,包括健康改善组、健康维持组和健康下降组。[结果] 在127名年龄大于65岁的日本社区女性中,参与志愿者实施干预的62名女性中有50名(80.6%),参与健康专业人员实施干预的65名女性中有55名(84.6%)完成了为期六个月的干预计划。评分显示,志愿者和健康专业人员的干预对超过70%的参与者的评分具有维持或改善作用,而非预期的六个月衰老下降。[结论] 训练有素的志愿者进行的运动干预对于改善日本社区老年女性的健康相关生活质量是可持续且有效的。经过专业训练的志愿者可以通过促进健康活动,帮助老年人避免日常护理需求,从而使社区受益。