Health Promotion Outcomes of a Newly Developed Elastic Band Exercise Program for Older Adults in the Community: A Pilot Test

新發展的彈力帶健身操方案對社區老人健康促進之成效：前驅性試驗

10.1097/jnr.0000000000000099

詹淑雅(Shu-Ya Chan)；郭昶志(Chang-Chih Kuo)；陳桂敏(Kuei-Min Chen)；曾維璇(Wei-Shyuan Tseng)；黃欣婷(Hsin-Ting Huang)；李純華(Chun-Huw Li)

社區照顧關懷據點 ； 彈力帶 ； 健康促進 ； 老人 ； community care station ； elastic band ； health promotion ； older adults

The Journal of Nursing Research

24卷2期（2016 / 06 / 01）

137 - 144

英文

背景　研究顯示65歲以上的老人若無從事身體活動，其罹病率、死亡率及醫療支出將大大提升。為了延緩老化過程對健康所造成的影響，社區老人之健康促進極為重要。目的　前驅測試新發展之「銀髮彈力帶健身操」方案對社區關懷據點老人健康促進之成效。方法　本研究採單組、前後測之類實驗性設計，以方便取樣方式選取20位社區照顧關懷據點老人參與本研究。「銀髮彈力帶健身操」介入措施包括三個階段（舒筋暖身、動態有氧、靜態伸展），每週進行3次，每次40分鐘，為期一個月。研究個案之健康測量指標含三大類（功能性體適能、自覺健康狀態及睡眠品質），共12個變項。測量時間點為介入措施執行前及完成一個月之介入措施後再度測量。結果　在為期一個月的研究結束後，研究個案的肺活量、心肺適能、肩臂柔軟度、坐姿體前彎、上肢肌力、下肢肌耐力及自覺身體健康狀態等7個項目皆有顯著改善（所有p 值 ＜.05），其餘變項皆無顯著差異。結論／實務應用　研究初步支持「銀髮彈力帶健身操」對社區關懷據點老人之健康促進有正面的效果。建議從事社區老人照護之健康照護專業人員可考量將「銀髮彈力帶健身操」納為社區老人健康促進方法之一，推廣並鼓勵社區老人規律練習。建議未來擴大測試此運動方案於大樣本之老人族群，並檢視其長時間介入之成效。

Background: Studies indicate that the incidence of disease, the mortality rate, and medical costs are significantly higher in people aged 65 years and over who do not engage in physical activities than in their peers who do engage in these activities. Therefore, promoting appropriate physical activity among older adults in the community is essential to delaying the health implications of aging. Purpose: This pilot test was developed to assess the effectiveness of a newly developed Senior Elastic Band (SEB) exercise program on the health of older adults in community care stations. Methods: A quasiexperimental design was used. A convenience sample of 20 participants from a community care station was recruited. The SEB intervention included three phases (warm-up, aerobicmotion, and static stretching) andwas conducted three times per week, 40 minutes per session for 1 month. Twelve health indicators in three categories (functional fitness, selfperceived health status, and sleep quality) were examined before and immediately after 1 month of SEB exercises. Results: Participants showed improved performance at the end of the 1-month study for the following indicators: lung capacity, cardiopulmonary fitness, upper and lower body flexibilities, upper limb muscle power, lower limb muscle endurance, and selfperceived physical health status (all ps ＜ .05). No significant differences were identified for the other indicators. Conclusions/Implications for Practice: The SEB exercise program shows preliminary and promising effects on improving the health of older adults in a community care station. Healthcare professionals who work with older adults living in the community may consider the SEB exercise program as a health promotion modality to recommend and implement with this population. However, we recommend further testing the long-term effects of this program on a larger population.

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