桌上遊戲合併有氧運動對衰弱高齡者認知和身體功能之成效

Effects of Board Games Combined with Aerobic Exercise on Cognitive Function and Physical Performance in Older Adults with Frailty

楊雅媛(Ya-Yuan Yang) ； 張元玫(Yuan-may Chang) ； 陳培豪(Pei-Hao Chen) ； 鄭方瑜(Fang-Yu Cheng)

《馬偕護理雜誌》 16卷1期 (2022/01) Pp. 1-12

https://doi.org/10.29415/JMKN.202201_16(1).0001

摘要

衰弱老人有較高風險會面臨認知及身體上的損傷，進而導致失能和失智的風險與不良的生活品質。研究顯示認知及有氧運動訓練可改善社區老年人認知和身體功能的表現，而桌上遊戲亦屬於一種認知訓練，但目前尚未針對衰弱老人族群進行研究介入。因此本研究旨在探討桌上遊戲合併有氧運動對衰弱高齡者認知和身體功能之成效。本研究從台灣北部社區招募11位衰弱長者，介入活動每週2次，一次為桌上遊戲、一次為有氧運動，每次60分鐘，共計12週24次，包含12次桌上遊戲和12次有氧運動介入。受試者在接受訓練前後，進行認知（神經心理檢查）及身體功能（衰弱程度和日常生活功能、計時起步測試）的評估。結果顯示經由24次的桌上遊戲合併有氧運動訓練後，可以改善衰弱長者的注意力／工作記憶（p=0.013）、走路速度（p=0.026）和衰弱狀況（p=0.046）。本研究方案可作為衰弱高齡者族群未來於社區進行預防延緩失能推展之參考。

關鍵字

衰弱高齡者 ； 桌上遊戲 ； 桌上遊戲合併有氧運動訓練 ； 認知及身體功能

並列摘要

Older adults with frailty are prone to high risks of cognitive and physical impairments which may lead to disability and lower quality of life. Evidence showed that both cognitive training and aerobic exercise have been effective for improving cognitive functioning and physical performance among community-dwelling seniors. However, board games as one kind of cognitive training has not been currently available as interventions for the older frail group. This study aimed to explore the effects of board games combined with aerobic exercise on improving cognitive function and physical performance in this particular group. Eleven older adults (n=11) with clinically defined frailty were recruited from the community in northern Taiwan. They received training through board games combined with aerobic exercise for 24 training sessions, each lasting 60-min twice every week. Assessed at baseline and after training, the outcome measures included cognitive functions such as neuropsychological examination, and physical functions including examinations about frailty status, the activity of daily living, and Time Up and Go (TUG) test. Our result showed that a 24-session intervention of board games combined with aerobic exercise training have ultimately improved frail elderly's attention/working memory (p=0.013), 5-meters walking performance (p=0.026), and frailty status (p=0.046). This study shed lights to future disability prevention for community-residing older adults with frailty.

並列關鍵字

frail elderly ； board games combined aerobic exercise ； cognitive functioning and physical performance ； intervention effects

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