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在澳大利亚地区,针对患有精神疾病的老年人,锻炼对其身心健康结果的有效性和益处:一项混合方法研究。

Effectiveness and Benefits of Exercise on Older People Living With Mental Illness' Physical and Psychological Outcomes in Regional Australia: A Mixed-Methods Study.

机构信息

Western NSW Local Health District, Older People's Mental Health Service, Orange, NSW,Australia.

School of Allied Health, Exercise and Sport Sciences, Charles Sturt University, Bathurst, NSW,Australia.

出版信息

J Aging Phys Act. 2022 Oct 26;31(3):417-429. doi: 10.1123/japa.2021-0514. Print 2023 Jun 1.

DOI:10.1123/japa.2021-0514
PMID:36288787
Abstract

Regular exercise is reported to improve depressive symptoms and quality of life for people experiencing mental illness. For older adults, including strength and balance can also decrease falls. Mental health services seldom include funding for Accredited Exercise Physiologist programs. A 9-week Accredited Exercise Physiologist-led program for older adults receiving mental health treatment with a community Older People's Mental Health Service was trialed in regional Australia. This clinician-conceived small-scale feasibility study utilized a two-phase concurrent triangulation mixed-method design to evaluate physical and psychological program outcomes and identify factors related to engaging in physical activity. This tailored exercise program led to improvements in measures of psychological distress and physical and psychological function. These changes corresponded with participants identifying benefits of exercising as a group of adults living with mental illness. Such findings suggest a supervised, individualized program for older mental health consumers confers physical and psychological benefits; however, further research evaluating exercise interventions with this population is required.

摘要

有报道称,有规律的运动可以改善患有精神疾病人群的抑郁症状和生活质量。对于老年人来说,增强力量和平衡能力也可以减少跌倒。精神卫生服务机构很少为经过认证的运动生理学家项目提供资金。在澳大利亚的一个地区,对在社区老年人心理健康服务机构接受心理健康治疗的老年人进行了为期 9 周的由经过认证的运动生理学家领导的项目。这是一项由临床医生构思的小规模可行性研究,采用了两阶段同时性三角混合方法设计,以评估身体和心理计划结果,并确定与参与身体活动相关的因素。这种量身定制的锻炼计划改善了心理困扰以及身体和心理功能的衡量标准。这些变化与参与者确定了作为患有精神疾病的成年人一起锻炼的好处相对应。这些发现表明,为老年心理健康消费者提供监督和个性化的计划可以带来身体和心理上的好处;然而,还需要进一步研究评估这种人群的锻炼干预措施。

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