Gerontological Nursing Department, Faculty of Nursing, Mansoura University, Mansoura, Egypt.
Department of Medical and Surgical Nursing, College of Nursing, Taibah University, Madinah, Saudi Arabia.
Biol Res Nurs. 2024 Apr;26(2):202-218. doi: 10.1177/10998004231205014. Epub 2023 Oct 5.
Sleep disturbances are common among older adults and can have detrimental effects on their overall well-being. Tai Chi exercise has shown promise in improving sleep quality, quality of life (QoL), and psychological well-being in various populations. To investigate the effect of a home-based simplified Tai Chi exercise program on sleep quality, daytime sleepiness, QoL, and psychological well-being in Egyptian older adults. A quasi-experimental design was employed, with 152 participants aged 60 years and above assigned to either an experimental group (= 87) or a control group (= 65). Thecontrol group received a health education program to improve their sleeping quality and life-style, while the experimental group received a similar health education program and Tai Chi exercise training program. The participants in the experimental group were instructed to perform 3 months Tai Chi exercise. Data on sleep quality, daytime sleepiness, QoL, generalized anxiety disorder (GAD), and depression symptoms were collected at baseline, and one month, and 3 months post-intervention using validated questionnaires. Repeated measures ANOVA was done to investigate the effectiveness of the intervention programsover 3 time periods. The results showed significant improvements in sleep quality (< .001), QoL (< .005), GAD (< .005), and depression symptoms (< .005) post-interventions. Also, there were significant difference in the effectiveness of the intervention programs between both the experimental and control groups. The experimental group exhibited greater improvements compared to the control group. The findings support the beneficial effects of a home-based simplified Tai Chi exercise program on sleep quality, QoL, and psychological well-being in Egyptian older adults. These results have important implications for promoting healthy aging and improving overall well-being in this population. Further research is recommended to validate these findings and explore the underlying mechanisms of Tai Chi exercise on the outcomes of interest.
睡眠障碍在老年人中很常见，会对他们的整体健康产生不利影响。太极拳运动已被证明在改善不同人群的睡眠质量、生活质量（QoL）和心理健康方面具有潜力。本研究旨在探讨基于家庭的简化太极拳运动方案对埃及老年人睡眠质量、日间嗜睡、生活质量和心理健康的影响。采用准实验设计，将 152 名 60 岁及以上的参与者分为实验组（n=87）和对照组（n=65）。对照组接受改善睡眠质量和生活方式的健康教育计划，实验组接受类似的健康教育计划和太极拳运动训练计划。实验组的参与者被要求进行 3 个月的太极拳运动。在基线、干预后 1 个月和 3 个月使用经过验证的问卷收集睡眠质量、日间嗜睡、生活质量、广泛性焦虑症（GAD）和抑郁症状的数据。采用重复测量方差分析来研究干预方案在 3 个时间段的有效性。结果显示，干预后睡眠质量（<.001）、生活质量（<.005）、广泛性焦虑症（<.005）和抑郁症状（<.005）均有显著改善。此外，实验组和对照组之间的干预方案效果存在显著差异。实验组的改善程度明显大于对照组。研究结果支持基于家庭的简化太极拳运动方案对埃及老年人睡眠质量、生活质量和心理健康的有益影响。这些结果对促进该人群的健康老龄化和改善整体健康状况具有重要意义。建议进一步研究以验证这些发现，并探讨太极拳运动对感兴趣结果的潜在机制。
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