Department of Nursing, School of Nursing, Wuhan University, Wuhan, Hubei, China.
Department of Health Management, School of Sciences, Wuhan University, Wuhan, Hubei, China.
Geriatr Nurs. 2022 Jan-Feb;43:288-292. doi: 10.1016/j.gerinurse.2021.12.011. Epub 2021 Dec 30.
This pilot trial explored the feasibility of group-based Otago exercise program (OEP) and its impact on fear of falling (FOF) and physical function among Chinese older adults living in nursing homes. The intervention group received group-based OEP for 12 weeks, while the control group received routine care. The modified Survey of Activities and Fear of Falling in the Elderly (mSAFFE), timed Up and Go test (TUG), four-stage Balance test (FSBT), and 30 seconds sit-to-stand test (30s-SST) were used. After twelve weeks, we found that the intervention group had better outcomes than the control group in mSAFFE, TUG, FSBT and 30s-SST (p<0.05). Also, we compared the pretest-posttest results within the two groups, respectively. We found that, within the intervention group, the outcomes of mSAFFE, TUG, FSBT, and 30s-SST become significantly better after twelve weeks, but within the control group, the outcomes of TUG, FSBT, and 30s-SST become significantly worse. Our findings demonstrated that a group-based OEP was feasible and acceptability among Chinese older adults living in nursing homes and the group-based OEP could improve FOF and physical function among those older adults.
本试点研究旨在探索基于小组的奥塔哥运动计划（OEP）在养老院居住的中国老年人中预防跌倒恐惧（FOF）和身体功能的可行性及其影响。干预组接受了为期 12 周的基于小组的 OEP，而对照组则接受了常规护理。使用改良的老年人活动和跌倒恐惧调查（mSAFFE）、计时起立行走测试（TUG）、四阶段平衡测试（FSBT）和 30 秒坐立测试（30s-SST）。12 周后，我们发现干预组在 mSAFFE、TUG、FSBT 和 30s-SST 方面的结果优于对照组（p<0.05）。此外，我们还分别比较了两组内的前后测试结果。我们发现，在干预组中，mSAFFE、TUG、FSBT 和 30s-SST 的结果在 12 周后显著改善，但在对照组中，TUG、FSBT 和 30s-SST 的结果显著恶化。我们的研究结果表明，基于小组的 OEP 在养老院居住的中国老年人中是可行且可接受的，并且这种 OEP 可以改善老年人的 FOF 和身体功能。
