透過您的圖書館登入
IP:44.222.225.12
  • 期刊

以社區為基礎之健康促進課程對中老年人功能性體適能、憂鬱以及生活品質的效益

Effectiveness of Community-Based Health Promotion Program on Functional Fitness, Depression and Quality of Life in Middle-Aged and Older Adults

摘要


一週多次運動課程實證並不符合當今社區一週一次的健康促進課程運作模式。本研究目的是探討14 週,一週一次結合失智預防、營養、口腔清潔與防跌等四大主題的健康促進課程對於社區老人體能、憂鬱與生活品質的影響。隨機招募307 位55 歲以上中老年人參與本研究計畫(運動組159 人、對照組148 人),共有200 位完成前後測。於介入課程前進行基本資料、憂鬱量表、生活品質問卷以及功能性體適能檢測,並以臨床衰弱量表中文版 (Chinese-Canadian Study of Health and Aging Clinical Frailty Scale) 評估衰弱程度,隨後進行14 週每週一天,一天一次,一次110 分鐘的運動與健康促進課程,對照組維持既有的生活型態,並於課程執行結束後進行後測。研究結果顯示運動組於握力、30 秒坐站以及2 分鐘踏步測驗表現的進步幅度優於對照組,其效益主要來自於運動組之無衰弱期長者,運動組的憂鬱狀況改善則來自於運動組的衰弱前期長者,體位以及柔軟度兩組之間無顯著差異,2.44 公尺之敏捷度則退步。研究結論指出,本研究首次證明14 週以社區為基礎的健康促進課程,對無衰弱中老年人上下肢肌力與心肺耐力有增進效果,對衰弱前期者可改善憂鬱狀況。然而,敏捷度成績則無正向效果。

關鍵字

老化 行動能力 社會參與

並列摘要


Performing of exercise program for several times per week is currently incompatible with the community health program mode. The purpose of this study was to investigate the effect of a 14-week community-based health promotion program on functional fitness, depression and quality of life in older adults. The health promotion program in this study involved with four themes, including dementia prevention, nutrition, oral hygiene and fall prevention Three-hundred and seven subjects above 55 years old were recruited separately into exercise intervention group (n = 159) and control group (n = 148) by randomized sampling. However, only 200 participants completely performed the functional fitness test and questionnaires before (pre) and after (post) the study intervention. The frailty level of subjects was determined by Chinese-Canadian study of health and aging clinical frailty scale before intervention. Subsequent community-based health promotion program was performed (110 min per day, once per week, for 14 weeks) by exercise intervention group. Participants in control group were maintained the habitual life style during the study. The results after 14-week health promotion program have shown that strength and cardiovascular fitness (CF) of participants were significantly improved in exercise intervention group compared to control group. The statistical main effect of these improvements in strength and cardiovascular fitness are from the non-frailty subjects. Depression score (DS) was significantly attenuated in exercise group compared to control group. Nevertheless, agility performance of older adults in this study was declined after exercise intervention. No differences were reported in body weight and flexibility between the groups. This is the first study to demonstrate that 14-week community based health promotion program enhanced the strength and CF in non-frailty elderly and improved DS in pre-frailty elderly. However, no positive effect on agility performance was noticed.

並列關鍵字

aging mobility social participation

參考文獻


Chen, K. M.,Chen, M. H.,Lin, M. H.,Fan, J. T.,Lin, H. S.,Li, C. H.(2010).Effects of yoga on sleep quality and depression in elders in assisted living facilities.Journal of Nursing Research.18(1),53-61.
Chen, H. T.,Lin, C. H.,Yu, L. H.(2009).Normative physical fitness scores for community-dwelling older adults.Journal of Nursing Research.17(1),30-41.
林麗娟、巫靜怡(2010)。健走運動對社區中老年人心血管危險因子之影響。大專體育學刊。12(4),90-98。
行政院衛生署國民健康局(2009 年,3 月)。老人健康促進計畫 (2009-2012)。2015 年10 月15 日, 資料引自http://www.hpa.gov.tw/Bhpnet/Portal/File/ThemeDocFile/201110210145126095/980327%E8%80%81%E4%BA%BA%E8%A8%88%E7%95%AB(%E6%A0%B8%E5%AE%9A%E7%89%88).pdf[Health Promotion Administration, Minstry of Health and Welfare. (2009, March). Health promotion for elderly (2009-2012). Retrieved October 15,2015, from http://www.hpa.gov.tw/Bhpnet/Portal/File/ThemeDocFile/201110210145126095/980327%E8%80%81%E4%BA%BA%E8%A8%88%E7%95%AB(%E6%A0%B8%E5%AE%9A%E7%89%88).pdf]
教育部(2013)。102 年度臺中市政府及所屬樂齡學習中心辦理成果一覽表。2015 年10 月15日,資料引自https://moe.senioredu.moe.gov.tw/ezcatfiles/b001/img/img/296/102tcs.pdf [Ministry of Education. (2013). Activity statictics of Taichung city in 102. Retrieved October 15, 2015, from https://moe.senioredu.moe.gov.tw/ezcatfiles/b001/img/img/296/102tcs.pdf]

被引用紀錄


林惠娟(2016)。團體音樂治療活動對社區老人體適能之影響彰化護理23(3),24-31。https://doi.org/10.6647%2fCN.23.03.06
張籃茵、黃心樹、徐永年、劉紋妙(2020)。下肢運動改善中高齡者的功能性體適能、基本生理指標、運動自我效能、睡眠品質及心理健康護理雜誌67(2),33-44。https://doi.org/10.6224%2fJN.202004_67(2).06
何健章(2019)。臺灣老年人體適能檢測方法之描述性探析大專體育(150),19-33。https://doi.org/10.6162%2fSRR.201909_(150).0003
田政文、黃俊清、吳昭蓉、宋貞儀(2023)。匹克球運動促進社區中高齡者握力、平衡及步行能力之成效初探華人運動生物力學期刊20(1),27-35。https://doi.org/10.53106%2f207332672023032001004
林慧敏、劉美珠、林儷蓉(2020)。身心動作教育課程對中年人柔軟度之影響大專體育學刊22(1),19-34。https://doi.org/10.5297%2fser.202003_22(1).0002

延伸閱讀