The effects of a Simplified Tai-Chi Exercise Program (STEP) on the physical health of older adults living in long-term care facilities: A single group design with multiple time points

被引:36
|
作者
Chen, Kuei-Min [1 ]
Lin, Jong-Ni [1 ]
Lin, Huey-Shyan [2 ]
Wu, Hui-Chuan [3 ]
Chen, Wen-Ting [1 ]
Li, Chun-Huw [4 ]
Lo, Sing Kai [5 ]
机构
[1] Fooyin Univ, Sch Nursing, Kaohsiung 831, Taiwan
[2] Fooyin Univ, Dept Nursing Management, Kaohsiung 831, Taiwan
[3] Fooyin Univ, Dept Midwifery, Kaohsiung 831, Taiwan
[4] Yuhing Jr Coll Hlth Care & Management, Dept Nursing, Kaohsiung, Taiwan
[5] Deakin Univ, Fac Hlth & Behav Sci, Geelong, Vic 3217, Australia
关键词
aged; martial arts; physical fitness; Tai Chi;
D O I
10.1016/j.ijnurstu.2006.11.008
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Background: Studies support the positive effects that Tai Chi has on the physical health of older adults. However, many older adults residing in long-term care facilities feel too weak to practice traditional Tai Chi, and a more simplified style is preferred. Objective: To test the effects of a newly-developed, Simplified Tai-Chi Exercise Program (STEP) on the physical health of older adults who resided in long-term care facilities. Design: A single group design with multiple time points: three pre-tests, one month apart; four post-tests at one month, two months, three months, and six months after intervention started. Settings: Two 300 - 400 bed veteran homes in Taiwan. Participants: The 51 male older adults were recruited through convenience sampling, and 41 of them completed six-month study. Inclusion criteria included: (1) aged 65 and over; (2) no previous training in Tai Chi; (3) cognitively alert and had a score of at least eight on the Short Portable Mental Status Questionnaire; (4) able to walk without assistance; and (5) had a Barthel Index score of 61 or higher. Participants who had dementia, were wheel-chair bound, or had severe or acute cardiovascular, musculoskeletal, or pulmonary illnesses were excluded. Methods: The STEP was implemented three times a week, 50min per session for six months. The outcome measures included cardio-respiratory function, blood pressure, balance, hand-grip strength, lower body flexibility, and physical health actualization. Results: A drop in systolic blood pressure (p=.017) and diastolic blood pressure (p <.001) was detected six months after intervention started. Increase in hand-grip strength from pre to post intervention was found (left hand: p <.001; right hand: p=.035). Participants also had better lower body flexibility after practicing STEP (p=.038). Conclusions: Findings suggest that the STEP be incorporated as a floor activity in long-term care facilities to promote physical health of older adults. (c) 2006 Elsevier Ltd. All rights reserved.
引用
收藏
页码:501 / 507
页数:7
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