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针对日本老年人综合健康服务与预防保健项目中物理治疗师干预措施的可行性研究。

A feasibility study on physical therapist interventions in the Japanese integrated health services and preventive care program for older adults.

作者信息

Mori Yuta, Watanabe Ryota, Saito Koichi, Mitani Masashi, Yamamoto Masahide, Okabe Masako, Itou Takuya, Minamide Mitsuaki

机构信息

Department of Rehabilitation, Hananooka Hospital, Japan.

Center for Preventive Medical Sciences, Chiba University, Japan.

出版信息

J Phys Ther Sci. 2024 Dec;36(12):782-790. doi: 10.1589/jpts.36.782. Epub 2024 Dec 1.

Abstract

[Purpose] This study examined the feasibility of including physical therapists in the Health Services and Preventive Care program at community gatherings. [Participants and Methods] The participants were 56 older adults from five community gatherings who did not have a long-term care insurance service. As part of the Health Services and Preventive Care program, interventions by physical therapists were conducted for 90 minutes once a month for 6 months at five community gatherings, which involved exercises, and home-based exercises. The feasibility outcomes were dropout rate, number of times people participated in the program, and understanding of frailty. The effectiveness outcomes were frailty, grip strength, walking speed, and five-times-sit-to-stand test. [Results] The feasibility study results showed a dropout rate of 4.3%, 4.7 ± 0.4 times participation, and a 93.2% frailty understanding. Effectiveness outcomes revealed no increase in frailty. The physical indices showed that all participants statistically improved in the five-times-sit-to-stand test (Pre: 7.3 ± 2.3 times, Post: 6.5 ± 7.6 times). [Conclusion] The results of the feasibility study indicate that the program is feasible because of the high rates of completion and frailty prevention understanding.

摘要

[目的] 本研究探讨了在社区聚会上让物理治疗师参与健康服务与预防保健项目的可行性。[参与者与方法] 参与者为来自五次社区聚会的56名老年人,他们均未享受长期护理保险服务。作为健康服务与预防保健项目的一部分,物理治疗师在五次社区聚会上每月进行一次为期90分钟、共6个月的干预,内容包括锻炼和居家锻炼。可行性结果指标为退出率、人们参与项目的次数以及对衰弱的认知。有效性结果指标为衰弱情况、握力、步行速度和五次坐立试验。[结果] 可行性研究结果显示退出率为4.3%,参与次数为4.7±0.4次,对衰弱的认知率为93.2%。有效性结果显示衰弱情况未增加。身体指标显示,所有参与者在五次坐立试验中均有统计学意义上的改善(干预前:7.3±2.3次,干预后:6.5±(此处原文有误,推测应为7.6次))。[结论] 可行性研究结果表明,由于完成率高和对衰弱预防的认知度高,该项目是可行的。

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