奥塔戈运动对养老机构老年人衰弱的影响

Effectiveness of the Otago exercise on frailty in institutionalized residents

目的评价奥塔戈运动对养老机构老年人衰弱的影响。方法将76名养老机构老年人分为干预组(n=35)和对照组(n=41),干预组接受3个月的团体奥塔戈运动干预,对照组接受常规照护,连续干预3个月后评价效果。结果干预前两组下肢肌力、平衡能力和衰弱状况差异无统计学意义(均P>0.05),干预组移动能力显著差于对照组(P<0.05)。干预后干预组移动能力、下肢肌力、平衡能力和衰弱状况均显著改善,且显著优于对照组(均P<0.05)。结论奥塔戈运动能有效改善养老机构老年人下肢肌力、平衡能力、移动能力,改善其衰弱状态。

Objective To evaluate the effectiveness of the Otago exercise on frailty in institutionalized residents.Methods Seventy-six institutionalized residents were assigned into an intervention group of 35 and a control group of 41,receiving either 3-month of group Otago exercise intervention or routine care,respectively.The effect was measured after 3 months of intervention.Results There were no significant differences in muscle strength of the lower extremities,balance ability and frailty between the two groups before the intervention(P>0.05 for all),whereas the mobilization ability of the intervention group was poorer than the control group before the intervention(P<0.05).Mobilization ability,muscle strength of the lower extremities,balance ability and frailty were significantly improved in the intervention group after the intervention and were also better compared with the control group(P<0.05 for all).Conclusion The Otago exercise can effectively improve muscle strength of the lower extremities,balance ability and mobility of the elderly in elder-care institutions,thus to ameliorate frailty.