Health-Related Quality of Life in Frail Institutionalized Elderly: Effects of a Cognition-Action Intervention and Tai Chi
Health-Related Quality of Life in Frail Institutionalized Elderly: Effects of a Cognition-Action Intervention and Tai Chi
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DOI：
10.1123/japa.17.2.236
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发表时间：
2009-04-01
影响因子：
1.5
通讯作者：
Bourdel-Marchasson, Isabelle
中科院分区：
文献类型：
--
作者：
Dechamps, Arnaud;Onifade, Cherifa;Bourdel-Marchasson, Isabelle
没有以前的研究探讨了身心方法对健康相关的生活质量（HRQoL）在体弱老年人的影响。认知与行动是一个不可分割的整体。因此，一个新的干预为基础的方法，使用熟悉为基础的运动和非判断性的方法，“认知行动”的建议，并进行了测试与太极对HRQoL在体弱的制度化老年人。年龄在65-94岁的52名参与者（58%为女性）参加了为期24周的太极拳（TC）干预，每周4天，或每周两次30分钟的认知-行动（CA）锻炼计划。探讨了简易精神状态评分、身体（PCS）和精神成分（MCS）总结（SF 12）、福尔斯效能量表（FES）和运动自我效能的变化。TC组的PCS从33.6 +/- 6.7改善到51 +/- 4.8，CA组从30.6 +/- 9.9改善到45.1 +/- 10.2（p <0.001）。两组SF-12的MCS（p < .001）、FES（p < .001）和运动自我效能（p < .01）均显著增强。适应性CA程序和太极拳都有效地改善体弱老年人的HRQoL。
No previous studies have explored the effects of mind-body approaches on health-related quality of life (HRQoL) in the frail elderly. Cognition and action are an inseparable whole during functioning. Thus, a new intervention-based approach using familiarity-based movements and a nonjudgmental approach of "cognition-action" was proposed and was tested with Tai Chi on HRQoL in frail institutionalized elderly. Fifty-two participants (58% women) age 65-94 took part in a 24-wk Tai Chi (TC) intervention 4 days/wk or a cognition-action (CA) exercise program of 30 min twice a week. Changes in Mini Mental State score, physical (PCS) and mental component (MCS) summaries (SF12); Falls Efficacy Scale (FES); and exercise self-efficacy were explored. PCS improved from 33.6 +/- 6.7 to 51 +/- 4.8 in the TC group and from 30.6 +/- 9.9 to 45.1 +/- 10.2 in the CA group (p < .001). MCS of SF-12 (p < .001), FES (p < .001), and exercise self-efficacy (p < .01) were enhanced significantly in both groups. Adapted CA programs and Tai Chi were both efficient in improving HRQoL of frail elderly.