{"title":"在长期护理中实施太极拳运动以减少跌倒。","authors":"Angela F Miles, David C Mulkey","doi":"10.1097/NCQ.0000000000000756","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Falls are a frequent occurrence in older adults in long-term care facilities.</p><p><strong>Local problem: </strong>At our long-term care facility, the percentage of patients who fell increased from 45% in 2021 to 68% in 2022, indicating a need for an evidence-based solution.</p><p><strong>Methods: </strong>We used an evidence-based quality improvement framework to pilot a tai chi exercise program.</p><p><strong>Interventions: </strong>Residents were invited to participate in the Tai Ji Quan: Moving for Better Balance program for 12 weeks. Classes were 30 minutes long and included a 5-minute warm-up and 5-minute cooldown.</p><p><strong>Results: </strong>Seventy-five residents participated in the tai chi program. There was a significant 32.3% reduction in falls ( P =.001). Residents' fall risk scores decreased 14% ( P < .001).</p><p><strong>Conclusions: </strong>Implementing a tai chi exercise project may affect falls and decrease the overall fall risk.</p>","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":null,"pages":null},"PeriodicalIF":1.2000,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Implementing Tai Chi Exercise in Long-Term Care to Reduce Falls.\",\"authors\":\"Angela F Miles, David C Mulkey\",\"doi\":\"10.1097/NCQ.0000000000000756\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Falls are a frequent occurrence in older adults in long-term care facilities.</p><p><strong>Local problem: </strong>At our long-term care facility, the percentage of patients who fell increased from 45% in 2021 to 68% in 2022, indicating a need for an evidence-based solution.</p><p><strong>Methods: </strong>We used an evidence-based quality improvement framework to pilot a tai chi exercise program.</p><p><strong>Interventions: </strong>Residents were invited to participate in the Tai Ji Quan: Moving for Better Balance program for 12 weeks. Classes were 30 minutes long and included a 5-minute warm-up and 5-minute cooldown.</p><p><strong>Results: </strong>Seventy-five residents participated in the tai chi program. There was a significant 32.3% reduction in falls ( P =.001). Residents' fall risk scores decreased 14% ( P < .001).</p><p><strong>Conclusions: </strong>Implementing a tai chi exercise project may affect falls and decrease the overall fall risk.</p>\",\"PeriodicalId\":16931,\"journal\":{\"name\":\"Journal of nursing care quality\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.2000,\"publicationDate\":\"2024-07-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of nursing care quality\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1097/NCQ.0000000000000756\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2023/11/24 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q3\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of nursing care quality","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/NCQ.0000000000000756","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/11/24 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"NURSING","Score":null,"Total":0}
Implementing Tai Chi Exercise in Long-Term Care to Reduce Falls.
Background: Falls are a frequent occurrence in older adults in long-term care facilities.
Local problem: At our long-term care facility, the percentage of patients who fell increased from 45% in 2021 to 68% in 2022, indicating a need for an evidence-based solution.
Methods: We used an evidence-based quality improvement framework to pilot a tai chi exercise program.
Interventions: Residents were invited to participate in the Tai Ji Quan: Moving for Better Balance program for 12 weeks. Classes were 30 minutes long and included a 5-minute warm-up and 5-minute cooldown.
Results: Seventy-five residents participated in the tai chi program. There was a significant 32.3% reduction in falls ( P =.001). Residents' fall risk scores decreased 14% ( P < .001).
Conclusions: Implementing a tai chi exercise project may affect falls and decrease the overall fall risk.
期刊介绍：
Journal of Nursing Care Quality (JNCQ) is a peer-reviewed journal that provides practicing nurses as well as nurses who have leadership roles in nursing care quality programs with useful information regarding the application of quality principles and concepts in the practice setting. The journal offers a forum for the scholarly discussion of “real world” implementation of quality activities.
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