Using silver yoga exercises to promote physical and mental health of elders with dementia in long-term care facilities

Using silver yoga exercises to promote physical and mental health of elders with dementia in long-term care facilities
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DOI:
10.1017/s1041610211000287
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发表时间:
2011-10-01
影响因子:
7
通讯作者:
Chen, Kuei-Min
Chen, Kuei-Min
中科院分区:
医学1区
文献类型:
--
作者:
Fan, Jue-Ting;Chen, Kuei-Min

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背景:本研究旨在测试瑜伽运动对长期护理机构老年痴呆患者身心健康的影响。方法:采用准实验、前测后测设计。本研究选取台湾南部长期照护机构的68名60岁及以上轻度至中度失智症患者作为方便样本。33名老年人组成的实验组参加了为期12周的瑜伽训练计划,每周三次,每次55分钟;35名老年人组成的对照组维持日常活动。在完成为期12周的研究前后收集数据。测量包括身体组成、心肺功能、身体柔韧性、肌肉力量和耐力、平衡、关节运动、抑郁和问题行为。结果:与未参加瑜伽训练的参与者相比,参加瑜伽训练的参与者的身心健康状况更好,包括血压降低、呼吸频率降低、心肺功能增强、身体柔韧性增强、肌肉力量和耐力增强、平衡能力改善、关节活动增加(p值均< 0.05)。此外,痴呆老年人的抑郁状态(p < 0.001)和问题行为(p < 0.001)均显著降低。结论:瑜伽运动对长期护理机构老年痴呆患者的身心健康均有积极的益处。建议将瑜伽作为这些长期护理机构的常规活动之一。
Background: This study aimed to test the effects of yoga exercises on the physical and mental health of elderly people with dementia living in long-term care facilities.Methods: A quasi-experimental, pretest-post-test design was used. A convenience sample of 68 residents in long-term care facilities in southern Taiwan, aged 60 years and above with mild to moderate dementia, was selected. An experimental group of 33 elders participated in a 12-week yoga training program of three 55-minute sessions a week; a control group of 35 elders maintained their usual daily activities. Data were collected before and after completing the 12-week study. Measurements included body composition, cardiopulmonary functions, body flexibility, muscle strength and endurance, balance, joints motion, depression, and problem behaviors.Results: The yoga-trained participants had better physical and mental health than those who did not participate, including lowered blood pressure, reduced respiration rate, strengthened cardiopulmonary fitness, enhanced body flexibility, improved muscle strength and endurance, improved balance, and increased joints motion (all p values < 0.05). In addition, the depression state (p < 0.001) and problem behaviors (p < 0.001) of these demented elders were significantly reduced.Conclusion: Yoga exercise has positive benefits for both the physical and mental health of elders with dementia living in long-term care facilities. It is recommended that yoga be included as one of the routine activities in these long-term care facilities.