Effect of a Home-Based Simplified Tai Chi Exercise Program on Sleep Quality, Daytime Sleepiness, Quality of Life, and Psychological Well-Being in Egyptian Older Adults: A Quasi-Experimental Study.

Biological research for nursing Pub Date : 2024-04-01 Epub Date: 2023-10-05 DOI:10.1177/10998004231205014
Fatma M Ibrahim, Doaa E Fadila, Rami A Elshatarat, Ateya M Ibrahim, Doaa A Abd Elmawla
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Abstract

Introduction: Sleep disturbances are common among older adults and can have detrimental effects on their overall well-being. Tai Chi exercise has shown promise in improving sleep quality, quality of life (QoL), and psychological well-being in various populations. Objective: To investigate the effect of a home-based simplified Tai Chi exercise program on sleep quality, daytime sleepiness, QoL, and psychological well-being in Egyptian older adults. Methods: A quasi-experimental design was employed, with 152 participants aged 60 years and above assigned to either an experimental group (= 87) or a control group (= 65). Thecontrol group received a health education program to improve their sleeping quality and life-style, while the experimental group received a similar health education program and Tai Chi exercise training program. The participants in the experimental group were instructed to perform 3 months Tai Chi exercise. Data on sleep quality, daytime sleepiness, QoL, generalized anxiety disorder (GAD), and depression symptoms were collected at baseline, and one month, and 3 months post-intervention using validated questionnaires. Repeated measures ANOVA was done to investigate the effectiveness of the intervention programsover 3 time periods. Results: The results showed significant improvements in sleep quality (< .001), QoL (< .005), GAD (< .005), and depression symptoms (< .005) post-interventions. Also, there were significant difference in the effectiveness of the intervention programs between both the experimental and control groups. The experimental group exhibited greater improvements compared to the control group. Conclusion: The findings support the beneficial effects of a home-based simplified Tai Chi exercise program on sleep quality, QoL, and psychological well-being in Egyptian older adults. These results have important implications for promoting healthy aging and improving overall well-being in this population. Further research is recommended to validate these findings and explore the underlying mechanisms of Tai Chi exercise on the outcomes of interest.

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基于家庭的简化太极运动计划对埃及老年人睡眠质量、日间嗜睡、生活质量和心理健康的影响:一项准实验研究。
引言:睡眠障碍在老年人中很常见,可能会对他们的整体健康产生不利影响。太极运动在改善不同人群的睡眠质量、生活质量和心理健康方面显示出了前景。目的:研究家庭简化太极运动项目对埃及老年人睡眠质量、日间嗜睡、生活质量和心理健康的影响。方法:采用准实验设计,将152名60岁及以上的参与者分为实验组(n=87)或对照组(n=65)。对照组接受了健康教育,以改善睡眠质量和生活方式,实验组接受了类似的健康教育和太极运动训练。实验组的参与者被要求进行为期3个月的太极运动。在基线、干预后1个月和干预后3个月,使用经验证的问卷收集有关睡眠质量、日间嗜睡、生活质量、广泛性焦虑症(GAD)和抑郁症状的数据。采用重复测量方差分析法研究干预方案在3个时间段内的有效性。结果:干预后,结果显示睡眠质量(p<.001)、生活质量(p<0.005)、GAD(p<005)和抑郁症状(p<.005)显著改善。此外,干预方案的有效性在实验组和对照组之间存在显著差异。与对照组相比,实验组表现出更大的改善。结论:研究结果支持家庭简化太极运动计划对埃及老年人睡眠质量、生活质量和心理健康的有益影响。这些结果对促进健康老龄化和改善这一人群的整体福祉具有重要意义。建议进行进一步的研究来验证这些发现,并探索太极运动对感兴趣结果的潜在机制。
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