Faculty of Medicine, Kyorin University School of Medicine, Mitaka, Japan.
Tohoku Medical and Pharmaceutical University Hospital, Sendai, Japan.
PLoS One. 2021 Feb 12;16(2):e0245646. doi: 10.1371/journal.pone.0245646. eCollection 2021.
We developed the Adachi Rehabilitation Programme (ARP), a community rehabilitation program. Under the supervision of professional caregivers, older adults cleaned and planted flowers in the park and they walked and shopped in the community. We examined the effects of ARP on individuals receiving small-group multifunctional at-home care at community facilities.
This was a multi-centre controlled trial at thirteen small multifunctional at-home care facilities in Adachi, Tokyo. The primary outcomes of the study were daily step counts and timed up & go (TUG). Secondary outcomes included gait speed, step length, Barthel Index for Activities of Daily Living, Functional Independence Measure, Mini-Mental State Examination (MMSE) and EuroQOL 5 Dimension.
Ninety-six individuals at thirteen small multifunctional at-home care facilities were recruited for participation in December 2017. They were allocated to intervention (38) and control (40) groups. The average daily step count of the control group decreased from 852 to 727, but it increased by approximately 650 steps, from 990 to 1635, for the intervention group. Average TUG decreased from 16.1 s to 14.0 s and MMSE score increased from 15.9 to 16.3 for the intervention group, but a significant interaction was not found. On non-intervention home days, the daily step counts of the intervention group increased significantly from 908 steps to 1485 steps, while those of the control group decreased from 865 steps to 722 steps.
ARP may have effectively increased the physical activity of older adults under long-term care by increasing motivation and changing behaviour.
我们开发了足立康复计划（ARP），这是一个社区康复计划。在专业护理人员的监督下，老年人在公园清洁和种花，并在社区中散步和购物。我们考察了 ARP 对在社区设施接受小组多功能家庭护理的老年人的影响。
这是在东京足立区的 13 个小型多功能家庭护理设施中进行的多中心对照试验。该研究的主要结局是日常步数和计时起立行走测试（TUG）。次要结局包括步速、步长、日常生活活动Barthel 指数、功能独立性测量、简易精神状态检查（MMSE）和欧洲五维健康量表（EQ-5D）。
2017 年 12 月，共有 13 个小型多功能家庭护理设施的 96 名老年人被招募参与研究。他们被分配到干预组（38 人）和对照组（40 人）。对照组的平均每日步数从 852 步减少到 727 步，但干预组的平均每日步数增加了约 650 步，从 990 步增加到 1635 步。干预组的 TUG 平均时间从 16.1 秒减少到 14.0 秒，MMSE 评分从 15.9 分提高到 16.3 分，但未发现显著的交互作用。在非干预家庭日，干预组的每日步数从 908 步显著增加到 1485 步，而对照组的每日步数从 865 步减少到 722 步。
ARP 通过提高动机和改变行为，可能有效地增加了长期护理老年人的身体活动量。
