Background: Although current research supports the use of active video games(AVGs) in rehabilitation, the evidence has yet to be systematically reviewed or synthesized. The current project systematically reviewed lite...Background: Although current research supports the use of active video games(AVGs) in rehabilitation, the evidence has yet to be systematically reviewed or synthesized. The current project systematically reviewed literature, summarized findings, and evaluated the effectiveness of AVGs as a therapeutic tool in improving physical, psychological, and cognitive rehabilitative outcomes among older adults with chronic diseases.Methods: Seven databases(Academic Search Complete, Communication & Mass Media Complete, ERIC, Psyc INFO, Pub Med, SPORTDiscus,and Medline) were searched for studies that evaluated the effectiveness of AVG-based rehabilitation among older patients. The initial search yielded 946 articles; after evaluating against inclusion criteria and removing duplicates, 19 studies of AVG-based rehabilitation remained.Results: Most studies were quasi-experimental in design, with physical functioning the primary outcome investigated with regard to the use of AVGs in rehabilitation. Overall, 9 studies found significant improvements for all study outcomes, whereas 9 studies were mixed, with significant improvements on several study outcomes but no effects observed on other outcomes after AVG-based treatments. One study failed to find any benefits of AVG-based rehabilitation.Conclusion: Findings indicate AVGs have potential in rehabilitation for older patients, with several randomized clinical trials reporting positive effects on rehabilitative outcomes. However, existing evidence is insufficient to support the advantages of AVGs over standard therapy. Given the limited number of studies and concerns with study design quality, more research is warranted to make more definitive conclusions regarding the ability of AVGs to improve rehabilitative outcomes in older patients.展开更多
目的探讨以家庭为中心的共享决策对患者及其家属ICU后综合征(post-intensive care syndrome,PICS)的影响效果。方法于2020年1月-2022年7月通过方便抽样法选取某三级甲等综合医院的ICU出院患者150例作为研究对象,按照随机数字表法分为试...目的探讨以家庭为中心的共享决策对患者及其家属ICU后综合征(post-intensive care syndrome,PICS)的影响效果。方法于2020年1月-2022年7月通过方便抽样法选取某三级甲等综合医院的ICU出院患者150例作为研究对象,按照随机数字表法分为试验组与对照组,每组各75例。对照组患者出院后1个月、3个月进行电话随访,试验组采取以家庭为中心的共享决策进行3个月的干预。比较两组患者出院当天、出院后第1个月、3个月的PICS,即多维功能状态(认知功能、心理功能、躯体功能),分别采用福尔斯坦简易精神状态检查(mini-mental state examination,MMSE)、应激障碍综合征检查量表平民版(post-traumatic stress disorder checklist-civilian version,,PTSD PCL-C)、生活自理能力(activity of dailying living scale,ADL)、Lawton工具性日常生活能力(Lawton instrumental activities of daily living,Lawton IADL)量表评价。比较两组患者照顾负担、再入院率及全因死亡率。结果重复测量方差分析显示,各项量表得分的时间效应具有统计学意义(均P<0.001),MMSE、PTSD PCL-C、ADL得分的交互效应具有统计学意义(P<0.001),表明随着出院时间的延长,试验组的认知功能、心理功能和躯体能力得分改善优于对照组(均P<0.05);PTSD PCL-C得分组间效应具有统计学意义(P<0.05),试验组患者的心理功能改善效果优于对照组。出院1个月和3个月后试验组照顾负担低于对照组(P<0.001)。两组患者再入院率及全因死亡率比较,差异无统计学意义(均P>0.05)。结论以家庭为中心的共享决策能有效改善ICU幸存者多维功能状态、照护者照护负担水平,促使医患双方者价值观及治疗意愿协调一致,最终改善患者疾病预后及降低社会负担。展开更多
目的探究Vivifrail多组分运动干预方案在重度神经认知障碍患者中的应用及效果。方法采用类实验研究,选取2021年6月—2022年6月在浙江省衢州市精神专科医院住院的重度神经认知障碍患者52例作为研究对象,A病房为试验组(26例),B病房为对照...目的探究Vivifrail多组分运动干预方案在重度神经认知障碍患者中的应用及效果。方法采用类实验研究,选取2021年6月—2022年6月在浙江省衢州市精神专科医院住院的重度神经认知障碍患者52例作为研究对象,A病房为试验组(26例),B病房为对照组(26例),试验组在常规护理的基础上给予为期12周的Vivifrail多组分运动,对照组采用常规护理。在干预前后均采用简易体能状况量表(Short Physical Performance Battery,SPPB)、“起立-行走”计时测试(Timed"Up and Go"Test,TUGT)、6 min步行试验(6 Minutes Walking Test,6MWT)、椅子坐位体前屈(Chair Sit and Reach,CSR)测试评估两组的躯体功能。结果试验组26例、对照组24例完成干预。干预12周后,SPPB总分(t=-4.312,P<0.001)及其3个测试维度——平衡测试(t=-3.029,P=0.004)、4 m步速测试(t=-3.972,P<0.001)、椅子坐立测试(t=-2.912,P=0.005)以及CSR测试结果(t=-3.446,P=0.001)两组间差异有统计学意义。重复测量方差分析结果显示,两组患者所有指标均有交互效应(P<0.001),除SPPB的4 m步速测试外,其余指标的时间效应均有统计学意义(P<0.05),组间效应有统计学意义的变量有SPPB平衡测试、CSR测试(P<0.05)。结论Vivifrail多组分运动可显著改善重度神经认知障碍患者的平衡功能、步行速度、肌肉力量、柔韧性等躯体功能,但对躯体灵活性及心肺功能的改善不明显。展开更多
目的系统评价座椅辅助阻力带运动(chair-based resistance band exercise,CRBE)对长期护理机构老年人身体功能、睡眠质量和抑郁的影响。方法对AgeLine,CINAHL,PubMed,Embase,Cochrane Library,Scopus和Web of Science等数据库进行检索...目的系统评价座椅辅助阻力带运动(chair-based resistance band exercise,CRBE)对长期护理机构老年人身体功能、睡眠质量和抑郁的影响。方法对AgeLine,CINAHL,PubMed,Embase,Cochrane Library,Scopus和Web of Science等数据库进行检索。检索时间为建库至2022年3月,纳入对慢性疾病老年人进行CRBE的随机对照试验研究。采用物理治疗证据数据库量表(the Physiotherapy Evidence Database,PEDro)对纳入文献进行质量评价,随机效应模型和固定效应模型用于生成集合效应量。结果共9篇文章符合纳入标准。结果显示,CRBE可促进日常生活活动(6项研究;SMD=0.30,P=0.001),肺活量(3项研究;MD=40.35,P<0.001),握力(5项研究;MD=2.17,P<0.001),上肢肌肉耐力(5项研究;MD=2.23,P=0.012),下肢肌肉耐力(4项研究;MD=1.32,P<0.001),上肢柔韧性(4项研究;MD=3.06,P=0.022),下体柔韧性(4项研究;MD=5.34,P<0.001),动态平衡(3项研究;MD=-0.35,P=0.011)、睡眠质量(2项研究;MD=-1.71,P<0.001),并减轻抑郁状况(2项研究;SMD=-0.33,P=0.035)。结论证据表明CRBE改善了长期慢性疾病老年人的身体功能参数、睡眠质量,并减轻抑郁状况。这项研究可用以敦促长期护理机构让行动不便的老年人参与体育活动。展开更多
This study aimed to identify the key physical abilities (aerobic endurance, gait speed, balance, strength) and psychological variables associated with the level of basic (BADL) and instrumental (IADL) activities of da...This study aimed to identify the key physical abilities (aerobic endurance, gait speed, balance, strength) and psychological variables associated with the level of basic (BADL) and instrumental (IADL) activities of daily living in an autonomous community-dwelling elderly population in Italy. 135 elderly people (63% women;mean age = 73.3, SD = 5.5) were included in the study. Stepwise regression was performed to verify the association between these variables and the level of BADL and IADL in the elderly participants. Results showed that balance (β = -0.21, p of physical functioning (β = 0.32, p L scores, and IADL score was associated with perception of physical functioning (β = 0.30, p 001) and upper limb strength (β = 0.21, p < 0.05). The results demonstrate a relationship between physical functioning and ADL, both real physical functioning and perceived physical functioning.展开更多
文摘Background: Although current research supports the use of active video games(AVGs) in rehabilitation, the evidence has yet to be systematically reviewed or synthesized. The current project systematically reviewed literature, summarized findings, and evaluated the effectiveness of AVGs as a therapeutic tool in improving physical, psychological, and cognitive rehabilitative outcomes among older adults with chronic diseases.Methods: Seven databases(Academic Search Complete, Communication & Mass Media Complete, ERIC, Psyc INFO, Pub Med, SPORTDiscus,and Medline) were searched for studies that evaluated the effectiveness of AVG-based rehabilitation among older patients. The initial search yielded 946 articles; after evaluating against inclusion criteria and removing duplicates, 19 studies of AVG-based rehabilitation remained.Results: Most studies were quasi-experimental in design, with physical functioning the primary outcome investigated with regard to the use of AVGs in rehabilitation. Overall, 9 studies found significant improvements for all study outcomes, whereas 9 studies were mixed, with significant improvements on several study outcomes but no effects observed on other outcomes after AVG-based treatments. One study failed to find any benefits of AVG-based rehabilitation.Conclusion: Findings indicate AVGs have potential in rehabilitation for older patients, with several randomized clinical trials reporting positive effects on rehabilitative outcomes. However, existing evidence is insufficient to support the advantages of AVGs over standard therapy. Given the limited number of studies and concerns with study design quality, more research is warranted to make more definitive conclusions regarding the ability of AVGs to improve rehabilitative outcomes in older patients.
文摘目的探讨以家庭为中心的共享决策对患者及其家属ICU后综合征(post-intensive care syndrome,PICS)的影响效果。方法于2020年1月-2022年7月通过方便抽样法选取某三级甲等综合医院的ICU出院患者150例作为研究对象,按照随机数字表法分为试验组与对照组,每组各75例。对照组患者出院后1个月、3个月进行电话随访,试验组采取以家庭为中心的共享决策进行3个月的干预。比较两组患者出院当天、出院后第1个月、3个月的PICS,即多维功能状态(认知功能、心理功能、躯体功能),分别采用福尔斯坦简易精神状态检查(mini-mental state examination,MMSE)、应激障碍综合征检查量表平民版(post-traumatic stress disorder checklist-civilian version,,PTSD PCL-C)、生活自理能力(activity of dailying living scale,ADL)、Lawton工具性日常生活能力(Lawton instrumental activities of daily living,Lawton IADL)量表评价。比较两组患者照顾负担、再入院率及全因死亡率。结果重复测量方差分析显示,各项量表得分的时间效应具有统计学意义(均P<0.001),MMSE、PTSD PCL-C、ADL得分的交互效应具有统计学意义(P<0.001),表明随着出院时间的延长,试验组的认知功能、心理功能和躯体能力得分改善优于对照组(均P<0.05);PTSD PCL-C得分组间效应具有统计学意义(P<0.05),试验组患者的心理功能改善效果优于对照组。出院1个月和3个月后试验组照顾负担低于对照组(P<0.001)。两组患者再入院率及全因死亡率比较,差异无统计学意义(均P>0.05)。结论以家庭为中心的共享决策能有效改善ICU幸存者多维功能状态、照护者照护负担水平,促使医患双方者价值观及治疗意愿协调一致,最终改善患者疾病预后及降低社会负担。
文摘目的探究Vivifrail多组分运动干预方案在重度神经认知障碍患者中的应用及效果。方法采用类实验研究,选取2021年6月—2022年6月在浙江省衢州市精神专科医院住院的重度神经认知障碍患者52例作为研究对象,A病房为试验组(26例),B病房为对照组(26例),试验组在常规护理的基础上给予为期12周的Vivifrail多组分运动,对照组采用常规护理。在干预前后均采用简易体能状况量表(Short Physical Performance Battery,SPPB)、“起立-行走”计时测试(Timed"Up and Go"Test,TUGT)、6 min步行试验(6 Minutes Walking Test,6MWT)、椅子坐位体前屈(Chair Sit and Reach,CSR)测试评估两组的躯体功能。结果试验组26例、对照组24例完成干预。干预12周后,SPPB总分(t=-4.312,P<0.001)及其3个测试维度——平衡测试(t=-3.029,P=0.004)、4 m步速测试(t=-3.972,P<0.001)、椅子坐立测试(t=-2.912,P=0.005)以及CSR测试结果(t=-3.446,P=0.001)两组间差异有统计学意义。重复测量方差分析结果显示,两组患者所有指标均有交互效应(P<0.001),除SPPB的4 m步速测试外,其余指标的时间效应均有统计学意义(P<0.05),组间效应有统计学意义的变量有SPPB平衡测试、CSR测试(P<0.05)。结论Vivifrail多组分运动可显著改善重度神经认知障碍患者的平衡功能、步行速度、肌肉力量、柔韧性等躯体功能,但对躯体灵活性及心肺功能的改善不明显。
基金This study was funded by Universitas Airlangga,Indonesia through Article Review scheme number 200/UN3.15/PT/2022.
文摘目的系统评价座椅辅助阻力带运动(chair-based resistance band exercise,CRBE)对长期护理机构老年人身体功能、睡眠质量和抑郁的影响。方法对AgeLine,CINAHL,PubMed,Embase,Cochrane Library,Scopus和Web of Science等数据库进行检索。检索时间为建库至2022年3月,纳入对慢性疾病老年人进行CRBE的随机对照试验研究。采用物理治疗证据数据库量表(the Physiotherapy Evidence Database,PEDro)对纳入文献进行质量评价,随机效应模型和固定效应模型用于生成集合效应量。结果共9篇文章符合纳入标准。结果显示,CRBE可促进日常生活活动(6项研究;SMD=0.30,P=0.001),肺活量(3项研究;MD=40.35,P<0.001),握力(5项研究;MD=2.17,P<0.001),上肢肌肉耐力(5项研究;MD=2.23,P=0.012),下肢肌肉耐力(4项研究;MD=1.32,P<0.001),上肢柔韧性(4项研究;MD=3.06,P=0.022),下体柔韧性(4项研究;MD=5.34,P<0.001),动态平衡(3项研究;MD=-0.35,P=0.011)、睡眠质量(2项研究;MD=-1.71,P<0.001),并减轻抑郁状况(2项研究;SMD=-0.33,P=0.035)。结论证据表明CRBE改善了长期慢性疾病老年人的身体功能参数、睡眠质量,并减轻抑郁状况。这项研究可用以敦促长期护理机构让行动不便的老年人参与体育活动。
文摘This study aimed to identify the key physical abilities (aerobic endurance, gait speed, balance, strength) and psychological variables associated with the level of basic (BADL) and instrumental (IADL) activities of daily living in an autonomous community-dwelling elderly population in Italy. 135 elderly people (63% women;mean age = 73.3, SD = 5.5) were included in the study. Stepwise regression was performed to verify the association between these variables and the level of BADL and IADL in the elderly participants. Results showed that balance (β = -0.21, p of physical functioning (β = 0.32, p L scores, and IADL score was associated with perception of physical functioning (β = 0.30, p 001) and upper limb strength (β = 0.21, p < 0.05). The results demonstrate a relationship between physical functioning and ADL, both real physical functioning and perceived physical functioning.
