渐进式抗阻运动对养老机构衰弱老年人的影响

Effect of progressive resistance exercise on the frail elderly in nursing homes

目的探讨渐进式抗阻运动对养老机构衰弱老年人跌倒恐惧心理及躯体活动能力的影响。方法将养老机构衰弱老年人以管理区域为单位随机分成观察组33人和对照组34人。对照组仅接受健康教育课程,观察组在健康教育课程的基础上进行渐进式抗阻运动,均干预12周。干预前后对两组采用跌倒效能量表、简易体能状况量表及跌倒恐惧发生率进行评价。结果观察组运动依从率78.8%。干预后,观察组跌倒效能及体能状况评分显著优于对照组,跌倒恐惧发生率显著低于对照组(均P<0.05)。结论渐进式抗阻运动能有效减轻养老机构衰弱老年人跌倒恐惧程度,提高躯体活动能力。

Objective To explore the effect of progressive resistance exercise on fear of falling and physical activity of the frail elderly in nursing homes. Methods A total of 67 elderly adults were randomly divided into an intervention group of 33 and a control group of 34 according to the management area. The control group only participated in a health education program, while the intervention group additionally took part in a progressive resistance exercise program on the basis of health education program. The intervention lasted for 12 weeks. Before and after intervention, both groups were evaluated by using the Modified Fall Efficacy Scale, Short Physical Performance Battery and the incidence of fear of falling. Results The exercise compliance rate in the intervention group was 78.8%. After the intervention, the fall efficacy and physical condition scores of the intervention group were better, and the incidence of fear of falling were lower, than those of the control group(all P<0.05). Conclusion Progressive resistance exercise can effectively reduce fear of falling and improve physical activity of the frail elderly in nursing homes.