預防失能照護模組對於社區老人體適能、健康相關生活品質、運動自我效能的成效評估－以南投縣為例

The Effect of Disability Prevention Program on Physical Fitness, Health-related Quality of Life, and Exercise Self-efficacy in Community-dwelling Older Adults in Nantou County

陳怡安(Yi-An Chen) ； 游曉微(Hsiao-Wei Yu) ； 朱德華(Teh-Hua Chu) ； 陳雅美(Ya-Mei Chen)

《長期照護雜誌》 22卷2期 (2018/10) Pp. 119-134

https://doi.org/10.6317/LTC.201810_22(2).0003

摘要

目的：探討南投YMCA預防失能照護模組對於南投社區老人體適能、健康生活品質、運動自我效能影響。方法：類實驗研究設計，實驗組是參加課程社區老人（n=42），對照組是未參與課程社區老人（n=31）。複迴歸測試南投YMCA預防失能照護模組對於老人體適能、健康生活品質、運動自我效能影響。結果與討論：參與南投YMCA預防失能照護模組（實驗組）社區老人，在體適能項目的起身行走（β= -1.83, SE = 0.44,p ＜ 0.001）、屈膝起立30秒（β=1.15, SE = 0.57, p ＜ 0.05）有改善。實驗組的因身體生理問題角色受限（β= 3.78, SE = 1.61, p = 0.02）、身體疼痛（β= 3.87, SE = 1.45, p ＜0.01）、活力狀況（β= 3.71, SE = 1.77, p = 0.04）、生理健康層面（β= 4.27, SE = 1.68, p= 0.01）等生活品質獲得改善。南投YMCA預防失能照護模組對老人運動自我效能預期也有助益（β= 2.19, SE = 0.31, p ＜ 0.001）。整體來說，南投YMCA預防失能照護模組，對於南投社區老人體適能、健康生活品質、運動自我效能皆有幫助，尤其是對於維持老人常規活動的「運動自我效能」特具意義，南投YMCA課程值得作為臺灣其他地區發展預防失能照護模組之實證參考。

關鍵字

社區老人 ； 預防失能照護模組 ； 體適能 ； 生活品質 ； 運動自我效能

並列摘要

Objectives: To investigate the effect of Nantou YMCA disability prevention program on physical fitness, health-related quality of life, and exercise self-efficacy in community-dwelling older adults in Nantou County. Methods: Quasi-experimental research design was used in this study. Participants were older adults participating in Nantou YMCA disability prevention program (intervention group, n=42) and older adults from other Nantou communities (control group, n=31). Multiple regression analysis was used to examine the effect of the disability prevention program on community-dwelling older adults' physical fitness, health-related quality of life, and exercise self-efficacy. Results and Discussion: The intervention group showed significant improvement in physical fitness tests of time up and go (β = -1.83, SE = 0.44, p ＜0.001) and 30-second chair stand (β = 1.15, SE = 0.57, p ＜ 0.05) than the control group. Older adults in the intervention group also gained significant increases in the score of quality of life in role physical (β = 3.78, SE = 1.61, p = 0.02), body pain (β = 3.87, SE = 1.45, p ＜0.01), vitality (β = 3.71, SE = 1.77, p = 0.04), and sum of physical health (β = 4.27, SE = 1.68, p = 0.01)as well as exercise self-efficacy expectation (β = 2.19, SE = 0.31, p ＜ 0.001) than older adults in the control group. This study indicated that Nantou YMCA disability prevention program was effective on helping community-dwelling older adults to improve their physical function, health-related quality of life, and confidence of exercise which helped maintaining older adults to engage activity regularly. The evidence-based intervention of Nantou YMCA disability prevention program merits implication in other places in Taiwan.

並列關鍵字

Community-dwelling older adults ； Disability prevention program ； Physical fitness ； Quality of life ； Exercise self-efficacy

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