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综合保健计划对独居老年人血压、血糖、身体成分和抑郁的影响:一项准实验前后测试研究。

Effect of a Comprehensive Health Care Program on Blood Pressure, Blood Glucose, Body Composition, and Depression in Older Adults Living Alone: A Quasi-Experimental Pretest-Posttest Study.

机构信息

Department of Nursing, Sehan University, Jeollanam-do 58447, Korea.

Red Cross College of Nursing, Chung-Ang University, Seoul 06974, Korea.

出版信息

Int J Environ Res Public Health. 2019 Dec 27;17(1):220. doi: 10.3390/ijerph17010220.

Abstract

This study explored the effects of a comprehensive health-care program (CHCP) on blood pressure, blood glucose, body composition, and depression in older adults living alone. We used a quasi-experimental, two-group, pretest-posttest design. The CHCP consisted of open lectures, health counseling, exercise classes, nutrition counseling, and self-help group meetings at a local senior welfare center. Fifty-eight subjects participated in this study, with thirty subjects in the experimental group and twenty-eight subjects in the control group. Data were analyzed by using the descriptive statistics, -test, and -test. Comparisons of the pretest and posttest systolic blood pressure ( = -2.530, < 0.016) and blood glucose ( = 3.089, < 0.004) between the experimental and control groups showed significant differences. In both the experimental ( = 3.949, < 0.001) and control groups ( = 3.816, < 0.002), depression symptoms showed a significant decrease posttest, compared with pretest. Our findings infer that older adults require physical and psychosocial health care and that more efforts must be made to improve the general health and well-being of this population group.

摘要

本研究旨在探讨综合保健计划(CHCP)对独居老年人的血压、血糖、身体成分和抑郁的影响。我们采用了准实验、两组、前后测设计。CHCP 包括在当地的高级福利中心举办公开讲座、健康咨询、运动课程、营养咨询和自助小组会议。共有 58 名受试者参加了这项研究,其中 30 名受试者在实验组,28 名在对照组。采用描述性统计、t 检验和 t 检验进行数据分析。实验组和对照组的收缩压(= -2.530,<0.016)和血糖(= 3.089,<0.004)前后测比较差异有统计学意义。实验组(= 3.949,<0.001)和对照组(= 3.816,<0.002)的抑郁症状在测试后均较测试前显著下降。我们的研究结果表明,老年人需要身体和社会心理保健,必须更加努力提高这一人群的整体健康和幸福感。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f062/6982085/69c5aa38ea4d/ijerph-17-00220-g001.jpg

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