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印度尼西亚社区居住的老年痴呆症患者的远程医疗家庭锻炼计划:一项可行性研究。

A Telehealth Home-Based Exercise Program for Community-Dwelling Older People with Dementia in Indonesia: A Feasibility Study.

机构信息

Rehabilitation, Ageing and Independent Living (RAIL) Research Centre, School of Primary and Allied Health Care, Monash University, Melbourne 3800, Australia.

Curtin School of Allied Health, Curtin University, Perth 6102, Australia.

出版信息

Int J Environ Res Public Health. 2023 Feb 15;20(4):3397. doi: 10.3390/ijerph20043397.

Abstract

(1) Background: This study aimed to evaluate the feasibility of a telehealth home-based exercise program for older people with dementia living in Indonesia with support from their informal carers. (2) Methods: Pre-post intervention single group study with three assessment time-points (baseline, 12 and 18 weeks). Participants with dementia underwent a 12-week physiotherapist-delivered telehealth exercise program, with informal carer supervision between supervised online sessions, and continued the exercises for a further six weeks without physiotherapist online supervision. (3) Results: Thirty dyads of older people with dementia and their informal carers were recruited; four (13.3%) withdrew across the 12-week intervention and one (3.3%) in the 6-week self-maintenance period. Median adherence was 84.1% (IQR [25, 75] = 17.1) during the 12-week intervention, and 66.7% (IQR [25, 75] = 16.7) in the self-maintenance period. No falls/adverse events were reported. Physical activity level, some aspects of function and disability, health-related benefits of exercise, exercise enjoyment and quality of life of older people with dementia improved significantly at 12 and 18 weeks. (4) Conclusions: The telehealth exercise program is feasible and safe and may have benefits for the health outcomes of community-living older people with dementia in Indonesia. Additional strategies are necessary to enhance longer-term adherence to the program.

摘要

(1)背景:本研究旨在评估在印度尼西亚,由非专业照护者支持的针对居家老年痴呆症患者的远程医疗家庭运动计划的可行性。(2)方法:采用前后干预单组研究,共三个评估时间点(基线、12 周和 18 周)。痴呆症患者接受了为期 12 周的物理治疗师远程医疗运动计划,在监督线上会议期间由非专业照护者监督,并在没有物理治疗师在线监督的情况下继续进行另外 6 周的练习。(3)结果:共招募了 30 对老年痴呆症患者及其非专业照护者;4 人(13.3%)在 12 周的干预期间退出,1 人(3.3%)在 6 周的自我维持期间退出。在 12 周的干预期间,中位数依从性为 84.1%(IQR [25,75] = 17.1),在自我维持期间为 66.7%(IQR [25,75] = 16.7)。未报告跌倒/不良事件。痴呆症老年人的身体活动水平、某些功能和残疾方面、运动的健康益处、运动享受度和生活质量在 12 周和 18 周时显著改善。(4)结论:远程医疗运动计划是可行且安全的,可能对印度尼西亚社区居住的老年痴呆症患者的健康结果有益。需要采取额外的策略来提高对该计划的长期依从性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/078c/9966659/ad72b3d9c9b8/ijerph-20-03397-g001.jpg

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