新冠肺炎疫情對高齡者身體活動與心理健康影響之探討

目的：以敘事評論方式針對新冠肺炎疫情對高齡者身體活動與心理健康影響進行探討，並提供疫情期間維持身體活動及心理健康之建議。方法：以2020－2021年期刊為範圍，透過PubMed、Google學術及華藝線上圖書館等資料庫，英文關鍵字為COVID-19, elderly, social isolation, physical activity, mental health，中文關鍵字為新冠肺炎、高齡者、社交隔離、身體活動、心理健康進行搜尋。結果：共篩選23篇文獻納入敘事評論探討，新冠肺炎疫情缺乏身體活動對高齡者的負面影響，包括身體活動時間減少，坐著的時間增加，染疫風險及染疫後住院機率及死亡率皆增加。對高齡者心理健康的負面影響，包括焦慮、憂鬱、睡眠品質下降。增進高齡者身體活動之建議，除了多元運動訓練外，可利用線上課程或體感遊戲進行鍛鍊，並利用家務勞動減少久坐行為。增進心理健康之建議，可利用手機應用程式等數位產品增加人際的互動，並保持規律睡眠及搭配芳香療法，以減少憂鬱，增進睡眠品質。結論：新冠肺炎疫情對於身體活動及心理健康皆有負面影響，企盼高齡者在疫情期間可以多動少坐增進身體活動量，並多利用數位資源與人互動減輕壓力，維持身、心健康。

關鍵字

居家運動；社交隔離；健康促進；公共衛生

並列摘要

Purpose: A narrative reviews on the impact of the COVID-19 pandemic on the physical activity and mental health of the elderly and provides advice on maintaining physical activity and mental health during the pandemic. Methods: Taking 2020-2021 journals as the scope, searching through databases such as PubMed, Google Scholar and Airiti Library, with Chinese and English keywords for COVID-19, elderly, social isolation, physical activity, mental health. Results: A total of 23 articles were screened for inclusion in narrative reviews. The negative effects of physical inactivity of the COVID-19 pandemic on the elderly, including reduced physical activity time, increased sitting time, increased risk of infection, and increased hospitalization and mortality after infection. Negative effects on mental health of older adults, including anxiety, depression and reduced sleep quality. In addition to multicomponent exercise, it is recommended to use online courses or somatosensory video games for exercise, and use housework to reduce sedentary behavior. Suggestions for improving mental health, using digital products such as mobile apps to increase interpersonal interaction, and maintaining regular sleep and matching aromatherapy to reduce depression and improve sleep quality. Conclusion: The COVID-19 pandemic has a negative impact on physical activity and mental health. It is hoped that the elderly can move more and sit less to increase physical activity during the pandemic, and use digital resources to interact with people to reduce stress and maintain physical and mental health.

並列關鍵字

home exercise ； social isolation ； health promotion ； public health

參考文獻

梅慧敏 (2021)。芳香療法於新冠肺炎 COVID-19 流行的運用。彰化護理，28(3)，18-23。doi：10.6647/CN.202109_28(3).0005

賴鼎富、黃品瑄、薛名淳、廖邕、陳伯儀 (2021)。高齡者肌力活動及其社會人口學關聯因素。大專體育學刊，23(1)，56-69。doi:10.5297/ser.202103_23(1).0005

楊博軒、王立亭與郭怡伶 (2021)。體感遊戲對高齡者認知功能影響之系統性文獻回顧。大專體育，156，35-53。doi:10.6162/SRR.202103(156).0004

Ammar, A., Brach, M., Trabelsi, K., Chtourou, H., Boukhris, O., Masmoudi, L.,… Hoekel-mann, A. (2020). Effects of COVID-19 home confinement on eating behavior and physical activity: Results of the ECLB-COVID19 international online survey. Nutrients, 12(6), 1-12. doi: 10.3390/nu12061583.

Aravinthan, V., Naomi, T., Mark, A. E., Nicholas, W. S. D., Thomas, A. P., Elizabeth, L. T.,… Benedict, D. M. (2020). Neurological and neuropsychiatric complications of COVID-19 in 153 patients: a UK-wide surveillance study. Lancet Psychiatry, 7, 875-82. doi.org/10.1016/S2215-0366(20)30287-X

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