摘要
Objectives:To explore the acceptability and feasibility of public square dancing among community residents with mild cognitive impairment(MCI)and depressive symptoms.Methods:This mixed-method study consisted of a quantitative and a qualitative phase.From January to July 2018,a total of 241 community-dwelling senior citizens who complained of memory loss in one community in the Haidian District in Beijing were approached and screened,and 41 qualified for the study.Among them,35 senior citizens participated in the public square dancing intervention.By the end of the three-month follow-up,31 senior citizens completed the whole study.The Subjective Exercise Experience Scale(SEES)was used to survey senior citizens at the end of the three-month public square dancing intervention and follow-up to measure the participants’subjective exercise experience.Then 15 senior citizens were interviewed to collect attitudes,opinions,and suggestions related to the intervention.Results:During the intervention,90.6%of senior citizens met the requirement for defined hours.All senior citizens continued to dance at the three-month follow-up,and 32.3%met the requirement for defined hours.The scores of psychological well-being(11.03±2.82 vs.14.87±3.93,P<0.001)and fatigue(11.00[8.00,12.00]vs.14.00[9.00,18.00],P<0.001)increased at the end of the three-month follow-up.Qualitative research results extracted four major themes:increased confidence and a sense of accomplishment;easy to learn,close to real life,and sense of belonging;promotes physical and mental health;future expectations include music selection,reduced weather disruption,and self-organizing workouts.Conclusion:Public square dancing proved to be an acceptable,viable,and valuable intervention for MCI residents with depressive symptoms,which could be carried out by nursing staff in the community.Future studies should consider the appropriate population,intensity,and frequency of public square dancing and its effect on specific cognitive functions.
目的探讨轻度认知障碍(mild cognitive impairment,MCI)伴抑郁症状的社区老年人对广场舞的可接受性和可行性。方法本研究采用定量和定性相结合的方法。2018年1月—8月对北京市海淀区某社区241名主诉记忆力下降的老年人进行认知功能筛查,共筛查出41名MCI伴抑郁症状的老年人,对其中35名老年人进行了为期3个月的广场舞干预锻炼,最终32名完成了干预,31名完成了之后的3个月随访。采用主观锻炼体验量表(Subjective Exercise Experience Scale,SEES)在广场舞干预及随访结束时对老年人进行调查,测量其主观运动体验。随后,对15名老年人进行访谈,收集与干预措施相关的态度、意见和建议。结果在干预期间,90.6%的老年人广场舞锻炼时间达到标准。在之后的3个月随访中,老年人都能坚持进行广场舞锻炼,其中32.3%的老年人锻炼时间达到标准。在3个月随访结束时,老年人的心理健康水平得分(11.03±2.82比14.87±3.93,P<0.001)和疲劳得分[11.00(8.00,12.00)比14.00(9.00,18.00)],P<0.001)都有所增加。质性研究结果共提炼出4个主题,分别为:增加信心和成就感;易于学习、贴近现实生活、有归属感;促进身心健康;未来期望包括增加曲目选择、减少天气影响和能够自行组织锻炼。结论广场舞对MCI伴有抑郁症状的老年人是一种可接受的、可行的、有价值的干预方法。未来的研究应考虑广场舞的适宜人群、强度和频率及其对特定认知功能的影响。
作者
Xiuyu Yao
Yu Zhao
Min Yin
Zheng Li
姚秀钰;赵禹;尹敏;李峥(School of Nursing,Peking Union Medical College,Beijing,China;Nursing Department,Peking University First Hospital,Beijing,China)
