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非药物运动认知疗法改善老年人心理健康状况。

Non-pharmacological motor-cognitive treatment to improve the mental health of elderly adults.

作者信息

Ponce Javiera, Latín Claudia, Leiva Víctor, Cortés Guillermo, Rodríguez Fernando, Jiménez Christian E

机构信息

Department of Sports, Universidad Adolfo Ibáñez, Santiago, Chile.

Postgraduate Faculty Universidad Mayor, Santiago, Chile.

出版信息

Rev Assoc Med Bras (1992). 2019 Mar;65(3):394-403. doi: 10.1590/1806-9282.65.3.394. Epub 2019 Apr 11.

DOI:10.1590/1806-9282.65.3.394
PMID:30994839
Abstract

OBJECTIVE

To propose a program of physical-cognitive dual task and to measure its impact in Chilean institutionalized elderly adults.

METHOD

Experimental design study with pre and post-intervention evaluations, measuring the cognitive and depressive levels by means of the Pfeiffer test and the Yesavage scale, respectively. The program was applied for 12 weeks to adults between 68 and 90 years old. The statistical analysis was based on the nonparametric Wilcoxon test for paired samples and was contrasted with its parametric version. The statistical software R was used.

RESULTS

Statistically significant differences were obtained in the cognitive level (p-value < 0.05) and highly significant (p-value < 0.001) in the level of depression with both tests (parametric and nonparametric).

CONCLUSION

Due to the almost null evidence of scientific interventions of programs that integrate physical activity and cognitive tasks together in Chilean elderly adults, a program of physical-cognitive dual task was proposed as a non-pharmacological treatment, easy to apply and of low cost to benefit their integral health, which improves significantly the cognitive and depressive levels of institutionalized elderly adults.

摘要

目的

提出一项身体 - 认知双重任务计划,并评估其对智利机构养老老年人的影响。

方法

采用干预前后评估的实验设计研究,分别通过 Pfeiffer 测试和 Yesavage 量表测量认知水平和抑郁程度。该计划对 68 至 90 岁的成年人实施 12 周。统计分析基于配对样本的非参数 Wilcoxon 检验,并与其参数版本进行对比。使用统计软件 R。

结果

两种测试(参数检验和非参数检验)均显示,认知水平有统计学显著差异(p 值 < 0.05),抑郁程度有高度显著差异(p 值 < 0.001)。

结论

鉴于在智利老年人中,将体育活动和认知任务相结合的科学干预项目的证据几乎为零,因此提出了一项身体 - 认知双重任务计划作为非药物治疗方法,该方法易于实施且成本低廉,有利于老年人的整体健康,能显著提高机构养老老年人的认知水平和改善抑郁状况。

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