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

doi:10.3969/j.issn.1003-9198.2022.12.022

实用老年医学 ›› 2022, Vol. 36 ›› Issue (12): 1277-1280.doi: 10.3969/j.issn.1003-9198.2022.12.022

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

李詹, 周凯云, 鲍凤香, 陈玉伦

212013 江苏省镇江市,江苏大学医学院(李詹);
215324 江苏省苏州市,昆山市老年医院院办(周凯云);
222061 江苏省连云港市,连云港市第一人民医院门诊部(鲍凤香);
222006 江苏省连云港市,连云港市社会福利中心社会福利院(陈玉伦)

收稿日期:2021-12-27 出版日期:2022-12-20 发布日期:2022-11-30
通讯作者: 周凯云,Email: 2351390187@qq.com
基金资助:
江苏省第五期“333高层次人才培养工程”资助项目(BRA2020258)

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

LI Zhan, ZHOU Kai-yun, BAO Feng-xiang, CHEN Yu-lun

LI Zhan. School of Medicine, Jiangsu University, Zhenjiang 212013, China;
ZHOU Kai-yun. Hospital Office, Kunshan Geriatrics Hospital, Suzhou 215324, China;
BAO Feng-xiang. Department of Out-patient, the First People's Hospital of Lianyungang, Lianyuangang 222061, China;
CHEN Yu-lun. Social Welfare Institute, Social Welfare Center of Lianyungang, Lianyungang 222006, China

Received:2021-12-27 Online:2022-12-20 Published:2022-11-30

摘要/Abstract

摘要： 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。

关键词: 衰弱, 老年人, 养老机构, 太极拳, 抗阻训练

Abstract: 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.

Key words: frailty, aged, nursing homes, tai chi, resistance training

中图分类号:

R592

李詹, 周凯云, 鲍凤香, 陈玉伦. 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[J]. 实用老年医学, 2022, 36(12): 1277-1280.

LI Zhan, ZHOU Kai-yun, BAO Feng-xiang, CHEN Yu-lun. Effect of tai chi combined with resistance training on the elderly with frailty in a nursing home[J]. Practical Geriatrics, 2022, 36(12): 1277-1280.

参考文献

[1] KOJIMA G. Prevalence of frailty in nursing homes: a systematic review and meta analysis[J]. J Am Med Dir Assoc, 2015, 16(11):940-945.
[2] DENT E, MORLEY J E, CRUZ-JENTOFT A J, et al. Physical frailty: ICFSR international clinical practice guidelines for identification and management[J]. J Nutr Health Aging, 2019, 23(9):771-787.
[3] 姚露, 陈雪萍, 陈姬. 养老机构衰弱老年人多元运动干预的研究进展[J]. 护理与康复, 2021, 20(8):31-35.
[4] 罗宝林, 罗泽槟, 陈森芸. 老年人衰弱预防与延迟或逆转干预的证据总结[J]. 护理学杂志, 2021, 36(14):32-37.
[5] SINCLAIR A J, AB DELHAFIZ A, DUNNING T, et al. An international position statement on the management of frailty in diabetes mellitus:summary of recommendations 2017[J]. J Frailty Aging, 2018, 7(1):10-20.
[6] 樊俊宁, 孙至佳, 余灿清, 等. Fried表型和衰弱指数与死亡风险关联的比较分析[J]. 中华流行病学杂志, 2021, 42(7):1179-1187.
[7] 黄建华, 陈川, 陈久林, 等. 上海郊区某社区老年衰弱患病率及生活方式影响因素分析[J]. 疾病预防控制, 2021, 42(4):33-36.
[8] 秦丽, 梁珍珍, 葛立宾, 等. 社区老年衰弱综合征的影响因素研究[J]. 中国全科医学, 2020, 632(5):99-104.
[9] 周清安, 王献红, 祝希泉, 等. 太极拳锻炼对2型糖尿病周围血管病变患者生命质量及血清炎症因子的影响[J]. 中国疗养医学, 2021, 30(10):1025-1028.
[10] FULOP T, WITKOWSKI J M, OLIVIERI F, et al. The integration of inflame maging in age-related diseases[J]. Semin Immunol, 2018, 40(6):17-22.
[11] 戈玉杰, 吴庆文, 高志鹏, 等. 简式太极拳训练对老年衰弱前期衰弱水平和平衡能力的影响[J]. 中国老年学杂志, 2020, 40(3):563-566.
[12] 朱亚琼. 太极拳、全身振动治疗对高龄老人的临床随机对照研究[D].北京: 中国人民解放军医学院, 2016.
[13] 钟静, 王秀华. 老年人肌少症非药物干预的研究进展[J]. 中国护理管理, 2019, 19(8):1256-1262.
[14] ARRIETA H, REZOLA-PARDO C, GIL S M, et al. Effects of multicomponent exercise on frailty in long-term nursing homes: a randomized controlled trial[J]. J Am Geriatr Soc, 2019, 67(6):145-151.
[15] 范子哲. 运动康复指导对老年人衰弱状态、生活质量及心理健康的影响[J]. 中国老年学杂志, 2019, 39(17):4243-4246.

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

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