Promoción de la independencia funcional en ancianos institucionalizados

C. Mendes
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Abstract

Introduction: With aging there is a decline in the physical and cognitive function of the elderly, which leads to impairment of the Functional Independence (F.I.) of the elderly person. Objective: To compare functional independence of two elderly groups with initially similar characteristics, living in a residential structure for the elderly, one of the groups being submitted to a Physical Exercise Program (P.E.P.) Method: Quantitative, quasi-experimental study. A sample of 20 elderly people divided into two similar groups, experimental and control, of ten elements each. One of the groups practiced P.E.P., which included muscle strength training and aerobic training for 12 weeks, 5 days a week, at moderate intensity. The Functional Independence Measure (FIM) was used to evaluate the functional independence of the elderly at first, and then in second moment, that is, after the implementation of P.E.P. to the experimental group. Data analysis was performed using descriptive and inferential statistics, namely with Fisher's exact test, Mann-Whitney and Wilcoxon, considering p <0.05. Results: At the end of the study the experimental group improved its functional independence in the "bath", "bath and shower" and "stairs" sub-levels, while maintaining all others, while the control group maintained functional independence in all evaluated sub-levels. Conclusion: The practice of physical exercise allows to maintain and/or improve functional independence of the elderly.
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促进机构老年人的功能独立
导读:随着年龄的增长,老年人的身体和认知功能逐渐下降,从而导致老年人功能独立性(Functional Independence, F.I.)的损害。目的:比较两组老年人的功能独立性,他们最初具有相似的特征,生活在老年人住宅结构中,其中一组被提交到体育锻炼计划(P.E.P.)。方法:定量、准实验研究。20名老年人被分成两个相似的组,实验组和对照组,每组10个元素。其中一组练习p.e.p.,包括肌肉力量训练和有氧训练,为期12周,每周五天,强度适中。首先采用功能独立性量表(FIM)评估老年人的功能独立性,然后在第二时刻,即对实验组实施P.E.P.后进行评估。数据分析采用描述性统计和推理统计,即Fisher精确检验,Mann-Whitney和Wilcoxon,考虑p <0.05。结果:研究结束时,实验组在“沐浴”、“沐浴和淋浴”和“楼梯”三个子层次的功能独立性有所提高,其余各子层次均保持功能独立性,对照组在所有评估子层次均保持功能独立性。结论:体育锻炼可以维持和/或改善老年人的功能独立性。
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