Murley Brittany, Chen Kuei-Min, Gipson Christine S, Gosselin Kevin, Thornhill Jenna, Ross Allison, Gladding Kennedy, Mastel-Smith Beth
Assistant Professor, School of Nursing, The University of Texas at Tyler, TX, USA.
Director-General, Department of Long-Term Care, Pingtung Government, Taiwan; Professor, College of Nursing, Kaohsiung Medical University, Kaohsiung, Taiwan.
J Holist Nurs. 2025 Mar;43(1):70-83. doi: 10.1177/08980101241291756. Epub 2024 Nov 3.
Age-related loss of muscle mass and strength is a highly prevalent condition in older adults in long-term care (LTC) facilities. This pilot study aimed to test the effects of a vitality acupunch (VA) exercise program on muscle mass, muscle strength, muscle endurance, functional fitness, activities of daily living, quality of life, and sleep quality of older adults in LTC facilities with probable sarcopenia in the United States and understand the experiences of residents who participated in the VA program. A mixed-methods experimental design was used for this study. The quantitative phase included a sample of 27 participants randomly assigned to the control (= 13) or VA (= 14) condition. The VA condition consisted of three weekly 40-minute instructor-led seated exercise sessions over 24 weeks. Measures were obtained at baseline, three, and sixmonth intervals. Semi-structured interviews were conducted to explore participant's experiences of the program. Statistical comparison revealed significantly higher handgrip strength for the VA group (= .008). Narrative analysis revealed that the program had a positive impact on participant's daily lives. The VA program offers a holistic, evidence-based exercise program for older adults with probable sarcopenia living in LTC facilities.
在长期护理（LTC）机构中，老年人与年龄相关的肌肉质量和力量流失是一种非常普遍的情况。这项试点研究旨在测试活力针灸（VA）运动计划对美国LTC机构中可能患有肌肉减少症的老年人的肌肉质量、肌肉力量、肌肉耐力、功能适应性、日常生活活动能力、生活质量和睡眠质量的影响，并了解参与VA计划的居民的体验。本研究采用了混合方法实验设计。定量阶段包括27名参与者的样本，他们被随机分配到对照组（=13）或VA组（=14）。VA组包括在24周内，由教练指导，每周进行三次、每次40分钟的坐姿锻炼。在基线、三个月和六个月的间隔时间进行测量。进行了半结构化访谈，以探索参与者对该计划的体验。统计比较显示，VA组的握力明显更高（=0.008）。叙事分析表明，该计划对参与者的日常生活产生了积极影响。VA计划为居住在LTC机构中可能患有肌肉减少症的老年人提供了一个全面的、基于证据的运动计划。
