太极拳结合抗阻训练应用于养老机构老年衰弱病人的研究

Effect of tai chi combined with resistance training on the elderly with frailty in a nursing home

目的探讨太极拳结合抗阻训练对养老机构老年衰弱病人衰弱状况、躯体活动能力以及生活质量的影响。方法2020年3~9月,在连云港市福乐老年公寓选择60例衰弱老年人作为研究对象,采用随机数表法分为试验组和对照组。试验组进行太极拳和抗阻训练,为期30周,对照组不进行干预。于干预前和干预30周后分别对病人的衰弱状况、躯体功能活动状况以及生活质量进行评价。结果干预后试验组衰弱总分、6 m步行时间低于干预前和对照组(P<0.05),握力水平显著高于干预前和对照组(P<0.05);干预后试验组SF-36各维度得分显著高于干预前和对照组(P<0.05)。结论对养老机构老年衰弱病人进行太极拳结合抗阻训练,有助于改善病人的衰弱状况,提高其躯体活动能力及生活质量。

Objective To investigate the effect of tai chi combined with resistance training on the frailty,physical activity ability and quality of life in the elderly with frailty in nursing homes.Methods From March to September 2020,a total of 60 elderly cases of frailty meeting the criteria were enrolled in this study from Fule Nursing Home in Lianyungang City.The subjects were divided into the experimental group and the control group by random number table method.The cases in the experimental group received tai chi training combined with resistance training for 30 weeks.No intervention was given in the control group.The frailty status,physical activity and quality of life of the two groups were evaluated before and after intervention.Results After intervention,the score of Frailty Phenotype and the 6 m walking time in the experimental group were lower than those before intervention and those in the control group(P<0.05);The level of grip strength was significantly higher than that before intervention and that in the control group(P<0.05).After intervention,the scores of SF-36 in all dimensions in the experimental group were significantly higher than those before intervention and those in the control group(P<0.05).Conclusions Tai chi combined with resistance training is helpful to improve the elderly patients’frailty,physical activity ability and quality of life.