渐进性肌肉松弛对养老院老年人适应老年和生活质量的影响:一项随机对照试验。

Effect of progressive muscle relaxation on adaptation to old age and quality of life among older people in a nursing home: a randomized controlled trial.

机构信息

Faculty of Health Sciences, Nursing Department, Aksaray University, Aksaray, Turkey.

出版信息

Psychogeriatrics. 2021 Jul;21(4):560-570. doi: 10.1111/psyg.12706. Epub 2021 May 6.

Abstract

BACKGROUND

Changes occurring in the aging process, the presence of decline in physical and cognitive functions, and the limitations of participation in activities affect adaptation to old age and the quality of life. This study aimed to examine the effect of progressive muscle relaxation (PMR) exercises on adaptation to old age and the quality of life of older people.

METHODS

A randomized controlled trial design was used. The sample consisted of 45 older residents (21 intervention subjects, 24 controls) from a nursing home in a city of Turkey. The intervention group received progressive muscle-relaxation sessions twice weekly for 8 weeks, while the control group received routine care. All PMR exercises were led by the researcher. All participants were evaluated at baseline and after 8 weeks using the Assessment Scale of Adaptation Difficulty for the Elderly and the Nottingham Health Profile.

RESULTS

As a result of PMR exercises performed for 8 weeks, the Assessment Scale of Adaptation Difficulty for the Elderly and Nottingham Health Profile total mean scores of the intervention group improved significantly (P < 0.001). No statistically significant difference was observed, however, when comparing the intervention and control groups in terms of the level of adjustment to old age and health-related quality of life, either at baseline or following the intervention (P > 0.05).

CONCLUSION

The results of this study indicate that progressive muscle relaxation can increase adaptation to old age and the quality of life and of older people in a nursing home.

摘要

背景

衰老过程中发生的变化、身体和认知功能的下降以及参与活动的限制,都会影响老年人的适应能力和生活质量。本研究旨在探讨渐进性肌肉松弛(PMR)练习对老年人适应能力和生活质量的影响。

方法

采用随机对照试验设计。样本由土耳其某城市一家养老院的 45 名老年人(21 名干预组,24 名对照组)组成。干预组每周接受两次渐进性肌肉松弛训练,共 8 周,而对照组则接受常规护理。所有 PMR 运动均由研究者带领。所有参与者在基线和 8 周后分别使用老年人适应困难评估量表和诺丁汉健康状况量表进行评估。

结果

经过 8 周的 PMR 运动,干预组老年人适应困难评估量表和诺丁汉健康状况量表的总分均显著改善(P<0.001)。然而,无论是在基线还是干预后,干预组和对照组在适应老年和与健康相关的生活质量方面的调整水平方面,均无统计学差异(P>0.05)。

结论

本研究结果表明,渐进性肌肉松弛可以提高养老院老年人的适应能力和生活质量。

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