| Objective: To investigate the effects of Seated Eight Duan Jin on the frailty status,grip strength,cognitive status,depression level,sleep quality and quality of life of frail elderly in nursing institutions.To evaluate the effectiveness of Seated Eight Duan Jin in the frail elderly.Methods:An experimental research design was used.In this study,68 frail elderly people who met the inclusion and exclusion criteria in a nursing home in Changsha were selected between 03 and 08,2022,and a simple random sampling method was used to first divide the nursing home into Building A and Building B according to the building,which were written on slips of paper and placed in opaque containers,and one was randomly selected as the test group and the other as the control group.Then two sections were selected as the test group(n=33)and the control group(n=35)in building A and B respectively using the randomization method.The control group implemented conventional limb function exercise and care;the intervention group implemented a 3-month period of seated eight-danjin exercise for 30 minutes,five days a week,on the basis of the control group.The debilitating status score,grip strength score,cognitive function score,depression level score,quality of life score and sleep quality score were compared between the two study groups before,1 month after and 3 months after the intervention,respectively.The data were analyzed using chi-square test,t-test and repeated measures ANOVA,and statistical significance was indicated by P<0.05.Results: 1.The differences in the General Information Questionnaire,Tilburg Frailty Scale,grip strength,MMSE,GDS,WHOQOL-BREF,and PSQI between the two groups of study subjects before intervention were not statistically different(P > 0.05)and were comparable.2.Comparison of Tilburg debilitation scale scores between the two groups of study subjects(1)In the comparison between the groups at different measurement time points,after 1 month of intervention,there was no statistical difference in the dimensions and total scores between the two groups(P > 0.05),and after 3 months of intervention,the psychological and social dimensions and total scores of the subjects in the test group decreased compared with the control group,and there was a statistical difference(P < 0.05),and the scores of somatic function decreased compared with the control group,but there was no statistical significance(P>0.05).(2)Repeated-measures ANOVA results showed that the intervention effects of total frailty scores and psychological dimensions were statistically significant in both groups(P < 0.05),and there was no statistical difference between the time effects of each dimension in the total frailty scores of the two groups(P > 0.05),and there was an interaction between the intervention factors and time factors of total frailty scores,psychological dimensions and social dimensions in the two groups(P < 0.05).3.Comparison of grip strength scores between the two groups of study subjects(1)In the comparison between groups at different measurement time points,there was no statistical difference in the dimensions and total scores between the two groups after 1 month of intervention(P > 0.05),and after 3 months of intervention,the grip strength scores of the subjects in the experimental group were significantly higher than those in the control group and statistically significant(P < 0.05).(2)The results of ANOVA on repeated measures data showed that there was a statistically significant difference in grip strength scores between groups(P < 0.05),and there was no interaction effect between time and group(P > 0.05).4.Comparison of cognitive function scores between the two groups of study subjects.(1)In the comparison between groups at different measurement time points,after 1 month of intervention,the total scores of the experimental group and the control group were statistically significant(P < 0.05),and the scores of each dimension were not statistically significant(P >0.05);after 3 months of intervention,the scores of each dimension and the total scores were statistically significant(P < 0.05).(2)Repeated measure analysis of variance showed that there was no significant difference in the time effect of MMSE scores between the experimental group and the control group(P>0.05),but there was significant difference in the intergroup effect and interaction effect(P < 0.05).5.Comparison of depression level scores between the two groups of study subjects(1)In the comparison between groups at different measurement time points,there was no statistical difference in the depression level scores between the two groups after 1 month of intervention(P>0.05),and after 3 months of intervention,the depression status scores of the subjects in the experimental group were significantly lower than those in the control group,and were statistically significant(P<0.05).(2)The results of ANOVA of repeated measures data showed that the intervention effect,time effect and interaction effect of depression scores of the study subjects in both groups were statistically significant(P < 0.05).6.Comparison of quality-of-life scores between the two groups of study subjects(1)In the comparison between groups at different measurement time points,after 1 month of intervention,there were no statistical differences in the dimensions and total scores between the two groups(P > 0.05),after 3 months of intervention,the scores of physical domain and psychological domain dimensions were higher in the test group than in the control group,and there were statistical differences between the two groups(P < 0.05),and the total score of quality of life was higher in the test group(42.07 ± 1.43)than in the control group(39.94 ± 1.44),with a statistical difference between the two groups(P < 0.05),and no statistical difference between the two groups in the social relationship and environmental domain dimensions(P > 0.05).(2)The results of repeated measurement data variance analysis showed that the intergroup effect,time effect and interaction effect of WHOQOL-BREF score of the two groups were statistically significant(P < 0.05).7.Comparison of sleep quality scores between the two groups of study subjects(1)In the comparison between groups at different measurement time points,there were no statistical differences in the scores of sleep quality dimensions and total scores between the two groups after 1 month of intervention(P>0.05).After 3 months of intervention,the scores of sleep quality dimension,sleep time dimension,sleep efficiency dimension,hypnotic medication dimension and daily dysfunction dimension were lower in the test group than in the control group,and all of them were statistically different(P < 0.05),and the scores of sleep disorder dimension decreased in the test group compared with the intervention group,but there was no statistical difference(P > 0.05).(2)There was no significant difference between the two groups in PSQI scores(P>0.05),but there were significant differences in time effect and interaction effect(P < 0.05).Conclusion:Seated Eight Duan Jin can improve the frailty,grip strength,cognitive state,depression level,quality of life and sleep quality of frail elderly. |
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