奥塔戈运动干预对老年人衰弱前期状态及下肢功能的影响  

Effects of Otago Exercise Program on pre-frailty and lower extremity function in the elderly

作　　者：孙鑫[1] 刘斌 侯蕾 李静蕊 章萍[4] SUN Xin;LIU Bin;HOU Lei;LI Jingrui;ZHANG Ping(The Second Affiliated Hospital of Nanchang University,Nanchang Jiangxi 330000;Jiangxi Cancer Hospital;Nursing School of Nanchang University;Nanchang First Hospital)

机构地区：[1]南昌大学第二附属医院,江西南昌330000 [2]江西省肿瘤医院 [3]南昌大学护理学院 [4]南昌市第一医院

出　　处：《天津护理》2024年第5期516-520,共5页Tianjin Journal of Nursing

基　　金：江西省教育厅科学技术研究重点项目(200136)。

摘　　要：目的:探讨奥塔戈运动对老年人衰弱前期状态及下肢功能的效果。方法:选择南昌市2个社区82名衰弱前期的老年人,按居住地分为干预组、对照组各41名。干预组进行12周的奥塔戈运动,每周3次,每次30~40分钟,对照组采用空白对照。分别于干预前、干预第4周(前期)、第8周(中期)、第12周(后期)评估Fried衰弱表型得分、5次起坐试验用时、起立-行走试验用时。结果:干预前期、中期及后期干预组Fried衰弱表型得分低于对照组(P<0.05);干预中期及后期干预组5次起坐试验、起立行走试验用时均低于对照组(P<0.05)。结论:奥塔戈运动可逆转老年人的衰弱前期状态,增强其下肢肌肉力量、移动步行能力。Objective:To explore the effects of Otago Exercise Program on pre-frailty state and lower extremity function in the elderly.Methods:Eighty-two pre-frail elderly individuals from two communities in Nanchang were selected and divided into the intervention group and control group according to their residence,with 41 participants in each group.The intervention group participated in the Otago Exercise Program for 12 weeks,three times a week,with each session lasting 30 to 40 minutes.The control group received no intervention(blank control).The Fried Frailty Phenotype(FFP)score,Five Times Sit-To-Stand(FTSTS)test time,and Timed Up and Go Test(TUGT)time were evaluated before the intervention and at the 4th(early stage),8th(middle stage),and 12th weeks(late stage)of the intervention.Results:During the early,middle,and late stages of the intervention,the FFP scores in the intervention group were lower than those in the control group(P<0.05).In the middle and late stages of the intervention,the intervention group had shorter times for the FTSTS and the TUGT compared to the control group(P<0.05).Conclusion:The Otago Exercise Program can reverse pre-frailty state in elderly individuals,enhancing the lower extremity muscles strength and improving mobility and walking ability.

关 键 词：老年人 奥塔戈运动 衰弱前期 下肢肌肉力量 步行能力 

分 类 号：R473.59[医药卫生—护理学]