老年肌力操在老年人肌力减退二级预防中的作用

发布时间：2018-09-11 21:33

【摘要】：目的探讨老年肌力操对老年人全身肌肉力量的改善效应。方法抽取保定市区的两个社区,随机确定一个为实验组,另一个为对照组。采用简单随机抽样方法分别从各社区抽取老年人80人为研究对象。首先进行问卷调查和身体机能测试,对实验组老年人进行为期6个月的老年肌力操训练干预,而对照组不进行干预。6个月后再次对研究对象进行问卷调查及身体机能测试。结果干预前,实验组和对照组全身肌量、推定骨量、握力、30 s反复坐起次数、10米直线走时间、修订版跌倒效能量表与Berg平衡量表得分,尿失禁、便秘及跌倒发生率等指标比较,差异均无统计学意义(P0.05)。干预后,实验组和对照组全身肌肉量分别为(38.67±3.74)kg和(37.17±3.31)kg,推定骨量分别为(2.36±0.29)kg和(2.26±0.23)kg,两组比较差异均有统计学意义(P0.05)。实验组和对照组握力分别是(22.19±6.14)kg和(19.62±5.99)kg,30 s反复坐起分别为(16.00±2.50)次和(13.49±3.54)次,10米直线走分别为(9.32±1.63)s和(11.65±1.88)s,差异均有统计学意义(P0.05)。实验组和对照组修订版跌倒效能量表得分分别为(8.62±1.30)分和(7.92±1.74)分,两组比较差异亦有统计学意义(P0.05)。Berg平衡量表得分分别为(53.76±2.94)分和(53.49±2.63)分,差异无统计学意义(P0.05)。两组老年人尿失禁发生率分别为40.0%和73.1%,差异有统计学意义(P0.05),而便秘发生率分别为13.3%和19.2%,跌倒发生率分别为2.7%和7.7%,二者差异均无统计学意义(P0.05)。结论老年肌力操的训练增加了肌肉质量,提高了肌肉力量,改善了身体机能,在老年人肌力减退的二级预防中作用明显。
[Abstract]:Objective to investigate the effect of senile muscle exercises on the body muscle strength of the elderly. Methods two communities in Baoding were randomly selected as experimental group and control group. A simple random sampling method was used to select 80 elderly people from different communities. First, questionnaire survey and body function test were carried out to the elderly in the experimental group for 6 months, but not in the control group. After 6 months, questionnaire survey and physical function test were carried out on the subjects. Results before intervention, the experimental group and the control group were compared with the scores of Berg balance scale, urinary incontinence, constipation and fall. The difference was not statistically significant (P0.05). After intervention, the total muscle mass in the experimental group and the control group was (38.67 卤3.74) kg and (37.17 卤3.31) kg, respectively, and the estimated bone mass was (2.36 卤0.29) kg and (2.26 卤0.23) kg, respectively. There was significant difference between the two groups (P0.05). The grip strength of the experimental group and the control group were (22.19 卤6.14) kg and (19.62 卤5.99) kg,30 s respectively, the repeated sitting up were (16.00 卤2.50) times and (13.49 卤3.54) times of 10 meters straight line walk were (9.32 卤1.63) s and (11.65 卤1.88) s, respectively (P0.05). The scores of the revised fall efficacy scale in the experimental group and the control group were (8.62 卤1.30) and (7.92 卤1.74), respectively. The difference between the two groups was statistically significant (P0.05). The Berg balance scale score was (53.76 卤2.94) and (53.49 卤2.63), respectively. The difference was not significant (P0.05). The incidence of urinary incontinence in the two groups was 40.0% and 73.1 respectively, the difference was statistically significant (P0.05), while the incidence of constipation was 13.3% and 19.2%, and the incidence of falls was 2.7% and 7.7%, respectively. There was no significant difference between the two groups (P0.05). Conclusion the training of senile muscle exercises can increase the muscle quality, improve the muscle strength and improve the body function. It plays an important role in the secondary prevention of the senile muscle strength decline.
【作者单位】：河北大学护理学院;
【基金】：河北省科技厅科技支撑项目(12276104D-71) 河北省医学科学研究重点课题(ZL20140285) 河北大学医学学科建设项目(2012A3005)
【分类号】：R161.7

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