- 期刊
探討於社區據點對失智老人進行運動介入其身體功能之成效：前趨研究
The Effect of Exercise Intervention Held in A Community Care Center on Physical Function in Elders with Dementia: A Pilot Study
摘要
隨著台灣老年失智人口的增加，失智人口的照護議題已逐漸受到重視，雖有充足的研究證實運動介入對於機構中的失智症患者有延緩病程之效果，對於社區據點之失智症患者其運動介入效果尚未有足夠的實證。因此本研究欲探討一週1次的社區團體運動合併4次的居家運動是否可有效改善社區失智老人的平衡、移動能力、肌力及心肺耐力。本研究納入65歲以上社區失智症老人18位，並分為兩組。運動組接受一週1次的社區團體運動與4次的居家運動，控制組接受一週1次的音樂治療介入，兩組皆接受12週的介入，並於介入前後評估受試者平衡（伯格氏平衡量表、功能性前伸測試）、移動能力（8英呎計時起身行走測試）、肌力（30秒坐站測試）及心肺耐力（6分鐘行走測試）。兩組內介入前後差異以無母數的魏克森符號等級檢定（Wilcoxon signed-rank test）進行比較介入，兩組組間差異以曼－惠特尼U檢定（Mann-Whitney U-test），其統計上顯著水準（α）設為0.05。結果顯示運動組在接受一週1次的社區團體運動與4次的居家運動後，在平衡、移動能力、肌力及心肺耐力有顯著的進步；控制組在接受一週1次的團體音樂治療介入，則無顯著差異。社區為據點的介入模式中，以團體運動配合居家運動可有效改善社區失智老人的平衡、移動能力、肌力及心肺耐力，除改善社區失智老人的體能狀態，以期延緩其退化速度。
並列摘要
The care-issue for dementia is becoming more important as the elderly dementia population rapidly increases in Taiwan. Although many studies show exercise intervention is effective in slowing the disease progression of people with dementia living in institutions, there is insufficient evidence regarding individuals with dementia living in the community. Therefore, the purpose of this study is to assess if a once a week group exercise session along with four home exercise sessions per week is effective in improving the balance, mobility, muscle strength and aerobic endurance in community dwelling elders with dementia. This study recruited 18 elders above 65 years of age diagnosed with dementia who lived in the community, and allocated them into two groups. The exercise group received group exercise once a week and were assigned home exercises to be done four times a week, while the comparison group received music therapy once a week. Both groups underwent intervention for 12 weeks, and were assessed as to their balance (Berg Balance Test, Functional reach test), mobility (8 ft. time up and go test), muscle strength (30 second chair sit and stand) and aerobic endurance (six minute walk test). The Wilcoxon Signed Ranked test was used to compare the difference before and after intervention within groups, and the Mann-Whitney U test was used to compare the differences between groups, with statistical significance set at α=0.05. The results show significant improvements in the balance, mobility, muscle strength and aerobic endurance in the exercise group after receiving weekly group exercise along with four home exercises sessions, while there was no significant change in the comparison group which received weekly group music therapy. In an intervention model based in the community, group exercise combined with home exercise can improve the balance, mobility, muscle strength and aerobic endurance of elders with dementia living in the community. This method not only improves the physical status of community dwelling elders with dementia, but it hopefully slows the degeneration process.