弹性带运动对长期护理机构老年人功能性体能的影响。
Effectiveness of Elastic Band Exercises on the Functional Fitness of Older Adults in Long-Term Care Facilities.
机构信息
MSN, RN, Doctoral Candidate, Department of Health Promotion and Health Education, National Taiwan Normal University, and Deputy Director, Department of Nursing, Sijhih Cathay General Hospital, Taiwan, ROC.
PhD, RN, Consultant, Department of Nursing, Cathay General Hospital, Taiwan, ROC.
出版信息
J Nurs Res. 2022 Oct 1;30(5):e235. doi: 10.1097/jnr.0000000000000511.
BACKGROUND
Population aging has caused a rise in the institutionalization, disability, and mortality rates of older adults worldwide. Older adults are able to engage in muscle training. Elastic band exercises can safely and effectively improve the upper and lower muscle strength and balance of older adults.
PURPOSE
This study was developed to examine the effects of a 3-month elastic band exercise program on the activities of daily living (ADLs), hand muscle strength, balance, and lower limb muscle strength of older adults living in institutional settings.
METHODS
This was a randomized controlled trial. Sixty-one participants were randomly sampled from two long-term care facilities (LTCFs) in northern Taiwan (31 participants in the experimental group and 30 participants in the control group). Both groups underwent pretesting concurrently. The experimental group participated in 3 months of elastic band exercises, whereas the control group participated in the routine exercise program in their LTCFs. All of the participants were tested 1 and 3 months after the intervention.
RESULTS
The average ADL, hand muscle strength, balance, and lower limb muscle strength scores of participants in the experimental group had improved significantly more than those of the control group at posttest (all p s < .05).
CONCLUSIONS/IMPLICATIONS FOR PRACTICE: Elastic band exercises positively affect ADLs, hand muscle strength, balance, and lower limb muscle strength in older adults living in LTCFs. Moreover, the high benefit-to-cost ratio of these exercises helps lower the threshold of health promotion. We recommend including elastic band exercises in routine activities and designing different elastic band exercises for older adults at different proficiency levels. Furthermore, an elastic band exercise network should be established to improve the policy and implementation aspects of elastic band activities, raise awareness among community-dwelling and institutionalized older adults, and promote elastic band exercises to LTCFs nationwide.
背景
人口老龄化导致全球老年人的机构化、残疾和死亡率上升。老年人能够进行肌肉训练。弹性带运动可以安全有效地提高老年人的上下肢力量和平衡能力。
目的
本研究旨在探讨 3 个月弹性带运动方案对居住在机构环境中的老年人日常生活活动（ADL）、手部肌肉力量、平衡和下肢肌肉力量的影响。
方法
这是一项随机对照试验。从台湾北部的两家长期护理机构（LTCF）中随机抽取 61 名参与者（实验组 31 名，对照组 30 名）。两组同时进行预测试。实验组参加了 3 个月的弹性带运动，而对照组则参加了他们所在 LTCF 的常规运动方案。所有参与者在干预后 1 个月和 3 个月进行测试。
结果
实验组参与者的平均 ADL、手部肌肉力量、平衡和下肢肌肉力量评分在测试后明显高于对照组（均 p<.05）。
结论/对实践的影响：弹性带运动对居住在 LTCF 的老年人的 ADL、手部肌肉力量、平衡和下肢肌肉力量有积极影响。此外，这些运动的高效益成本比有助于降低健康促进的门槛。我们建议将弹性带运动纳入常规活动，并为不同熟练程度的老年人设计不同的弹性带运动。此外，应建立弹性带运动网络，以改善弹性带活动的政策和实施方面，提高社区和机构老年人的意识，并将弹性带运动推广到全国的 LTCF。
Zotero 插件