Division of Rehabilitation, Kagoshima University Hospital, Kagoshima, Japan.
Course of Physical Therapy, School of Health Sciences, Faculty of Medicine, Kagoshima University, Kagoshima, Japan.
Geriatr Gerontol Int. 2018 Sep;18(9):1313-1317. doi: 10.1111/ggi.13459. Epub 2018 Jul 9.
To promote preventive care among older individuals dwelling on an isolated, doctor-less island, we investigated the feasibility and the efficacy of a home-based exercise program, depending on their functional status and health-related quality of life.
A total of 23 older (mean age 72.6 years) participants were assigned to a home-based exercise program (intervention group), and 34 older (mean age 74.2 years) participants were assigned to a group without any intervention (control group). The participants of the intervention group attended the exercise program three times a week for 3 months. The exercise program consisted of various exercises involving stretching, muscle strengthening, balance retraining and walking. The physical performance, Functional Independence Measure and Short-Form 36-item health survey were used to assess the physical and the mental wellbeing of the participants.
There was no significant difference between the changes in physical performance at baseline and post 3 months in both groups. However, the motor and the cognitive Functional Independence Measure scores significantly improved in the intervention group post 3 months. The domains of the Short-Form 36-item health survey improved post 3 months; particularly, significant improvement was observed in the physical functions, general health, vitality, mental health and mental component summary.
Although an isolated island has several problems to support preventive care services, such as a lack of medical resources and availability of only a few healthcare workers, the present study provides evidence on the feasibility and efficacy of nurse-led home-based exercise programs for improving the physical and mental health of the older people dwelling on an isolated, doctor-less island. Geriatr Gerontol Int 2018; 18: 1313-1317.
为了在一个孤立、无医生的岛屿上促进老年人的预防保健，我们调查了一种基于家庭的运动计划的可行性和效果，该计划取决于他们的功能状态和与健康相关的生活质量。
共有 23 名（平均年龄 72.6 岁）老年人被分配到家庭运动计划（干预组），34 名（平均年龄 74.2 岁）老年人被分配到没有任何干预的组（对照组）。干预组的参与者每周参加三次运动计划，为期 3 个月。运动计划包括各种锻炼，包括伸展、肌肉强化、平衡再训练和散步。使用身体表现、功能独立性测量和简短 36 项健康调查来评估参与者的身体和心理健康。
两组在基线和 3 个月后的身体表现变化之间没有显著差异。然而，干预组在 3 个月后的运动和认知功能独立性测量评分显著提高。简短 36 项健康调查的各个领域在 3 个月后都有所改善；特别是在身体功能、一般健康、活力、心理健康和心理成分综合方面观察到显著改善。
尽管一个孤立的岛屿在支持预防保健服务方面存在几个问题，例如缺乏医疗资源和只有少数卫生保健工作者可用，但本研究提供了证据，证明护士主导的基于家庭的运动计划在改善孤立、无医生岛屿上老年人的身心健康方面是可行和有效的。老年医学与老年病学国际 2018；18：1313-1317。
