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奥塔哥锻炼计划对 65 至 80 岁人群虚弱的影响。

Effect of the Otago Exercise Programme on the frailty of people between 65 and 80 years old.

机构信息

ISS Bioaraba, Subdirección de Enfermería, Dirección General de Osakidetza, Vitoria-Gasteiz, Álava, Spain.

OSI Barrualde-Galdakao, Galdakao, Bizkaia, Spain.

出版信息

Enferm Clin (Engl Ed). 2022 Jul-Aug;32(4):225-233. doi: 10.1016/j.enfcle.2021.11.003. Epub 2022 May 29.

Abstract

AIM

To evaluate the effect of the Otago Exercise Programme on the frailty of non-institutionalized people between 65 and 80 years of age and study factors associated with frailty.

METHOD

Pre-post test study (baseline and after 12 months) without control group in people aged 65-80 years (living in the community and with independent ambulation) after being trained in the Otago Exercise Programme in 5 sessions: weeks 1, 2, 4 and 8, and a reinforcement session at 6 months. Patients were recruited from 3 health areas (n = 200). Frailty was assessed with the FRAIL scale.

RESULTS

There were 198 people who started the study and 161 completed the 12-month follow-up. The average age of the sample was 72.28 years; predominance of female sex 64.65%; low educational level 76.50%; people living alone 24.50%; overweight in 42%, and grade I obesity in 32.32%. Significant differences were observed with a P = .023 in the level of frailty between baseline and 12 months. The exploratory analysis identified significant differences before and after the intervention by sex (being a woman) (P = .018) and condition of living alone (P = .0468).

CONCLUSIONS

The Otago Exercise Programme prevents positive results in frailty in people 65 to 80 years of age and can help maintain function and prevent deterioration.

摘要

目的

评估奥塔哥锻炼计划对 65 至 80 岁非住院人群的虚弱程度的影响,并研究与虚弱相关的因素。

方法

在对 65-80 岁(生活在社区并能独立行走)人群进行 5 次奥塔哥锻炼计划培训(第 1、2、4 和 8 周,以及第 6 个月的强化课程)后,进行无对照组的前后测试研究(基线和 12 个月后)。从 3 个卫生区域(n=200)招募患者。使用 FRAIL 量表评估虚弱程度。

结果

共有 198 人开始研究,161 人完成了 12 个月的随访。样本的平均年龄为 72.28 岁;女性占 64.65%;受教育程度低的占 76.50%;独居的占 24.50%;超重的占 42%,一级肥胖的占 32.32%。在基线和 12 个月之间,虚弱程度的水平存在显著差异(P=0.023)。探索性分析发现,干预前后的性别(女性)(P=0.018)和独居状况(P=0.0468)存在显著差异。

结论

奥塔哥锻炼计划可预防 65 至 80 岁人群虚弱状况的积极变化,并有助于维持功能和防止恶化。

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