Genç Fatma Zehra, Bilgili Naile
Department of Public Health Nursing, Faculty of Nursing, Necmettin Erbakan University, Konya, Turkey.
Department of Public Health Nursing, Faculty of Nursing, Gazi University, Ankara, Turkey.
Int J Nurs Pract. 2023 Dec;29(6):e13194. doi: 10.1111/ijn.13194. Epub 2023 Aug 24.
This study aimed to test the effect of Otago exercises on fear of falling, balance, empowerment and functional mobility in older people living in nursing homes.
This study is a parallel-group randomized controlled trial. In total, 56 individuals were stratified randomized according to age-gender. Participants were recruited from September 2021 to August 2022. Data were collected at baseline, in the 8th and 12th weeks. The researcher gave Otago exercise training to the intervention group three times per week for the first 4 weeks and applied it to the individuals, and in the next 8 weeks, the researcher visited the institution to ensure the continuity of the exercises and contacted the individuals by phone. Friedman test and generalized linear model were used in the analysis of data.
In the study, group and time interaction were found to be significant in terms of the Berg balance scale, 30-second sit-and-stand test, elderly empowerment scale and timed up-and-go test. It was determined that the intervention did not improve fear of falling, upper extremity strength and 6-min walk test results.
Health personnel and administrators should have increased awareness about Otago exercises and can recommend implementation of the programme.
本研究旨在测试奥塔哥运动对养老院老年人跌倒恐惧、平衡能力、自我效能感和功能性活动能力的影响。
本研究为平行组随机对照试验。总共56名个体根据年龄和性别进行分层随机分组。参与者于2021年9月至2022年8月招募。在基线、第8周和第12周收集数据。研究人员在最初4周每周为干预组进行3次奥塔哥运动训练并应用于个体，在接下来的8周，研究人员走访机构以确保运动的连续性并通过电话与个体联系。数据分析采用弗里德曼检验和广义线性模型。
在本研究中，发现组间和时间交互作用在伯格平衡量表、30秒坐立试验、老年人自我效能感量表和计时起立行走测试方面具有显著性。确定干预并未改善跌倒恐惧、上肢力量和6分钟步行测试结果。
卫生人员和管理人员应提高对奥塔哥运动的认识，并可建议实施该方案。
