评估内容包含骨质疏松性骨折指数（study of osteoporotic fractures index, SOF）、身体质量指数（Body Mass Index, BMI）、工具性日常生活活动量表（Instrumental Activities of Daily Living scale, IADL）、肌少症问卷（sluggishness, assistance in walking, rise from a chair, climb stairs, falls, SARC-F）、老年忧郁量表（Geriatric Depression Scale, GDS），以及介护风险筛检评估量表（Kihon Checklist）。我们计算连续性变项的平均值与标准差，类别变项则以个数及栏百分比例呈现。我们以独立样本t 检定（Independent sample t-test）检验两组之间的差异，成对样本t 检定（paired sample t test）检验课程前後的差距，并计算p 值和变化量。
1Taipei Chinese Medical Association, Taipei, Taiwan
2Taipei City Hospital, RanAi branch, Taipei, Taiwan
3University of Taipei, Taipei, Taiwan
4Institute of Public Health, National Yang-Ming Chiao Tung University, Taipei, Taiwan
5XU-SHENG Traditional Chinese Medicine Clinic, Taipei, Taiwan
6YUE-ZHAN Traditional Chinese Medicine Clinic, Taipei, Taiwan
7YONG-SHENG Traditional Chinese Medicine Clinic, Taipei, Taiwan
8Department of Health Promotion and Health Education, National Taiwan Normal University, Taipei, Taiwan
【Summary】
Objective: This study aimed to analyze the effectiveness of the 12-week traditional Chinese medicine course in preventing disability and dementia in the elderly.
Method: This study is a retrospective generation study. We recruited 117 elderly people over the age of 65 exposed to the risk of disability from the Taipei City community. Participants received a 12-week course on TCM prevention and delay of disability, including TCM health awareness, TCM and diet knowledge, Qigong exercises, meridian acupoint massage, cognitive promotion courses, and appreciation of art and music. According to the content of the course, we divided the participating cases into 62 people in group A and 55 people in group B. Group A of the TCM course focuses on qigong exercise and TCM diet therapy, while Group B of the TCM course focuses on herbal medicine knowledge, meridian massage, and TCM health awareness class. We used the following scales to evaluate the effectiveness of individual cases in preventing disability: osteoporotic fractures index (SOF), body mass index (BMI), instrumental activities of daily living (Instrumental Activities) of Daily Living scale (IADL), sarcopenia questionnaire (sluggishness, assistance in walking, rising from a chair, climb stairs, falls, SARC-F), Geriatric Depression Scale (GDS), and nursing care risk screen Kihon Checklist (Kihon Checklist). We calculated the average and standard deviation of continuous variables, and categorical variables are presented as examples of number and column percentage. We used the independent sample t-test to test the difference between the two groups, paired sample t-test) to test the gap before and after the course and calculate the p-value and the amount of change.
Result: A total of 109 senior elders completed TCM courses and assessments (57 in group A and 52 in group B). Before the course, only the body mass index (BMI) was significantly different between the two groups. After a 12-week course of Chinese medicine, the participating cases improved significantly on the Instrumental Activities of Daily Living Scale (IADL), Sarcopenia Questionnaire (SARC-F), Geriatric Depression Scale (GDS), and Kihon Checklist. However, the social function risk sub-item of the Kihon Checklist did not reach a statistically significant difference. We compared the effectiveness of different Chinese medicine courses. Group A of the TCM course showed more improvement in the Kihon checklist’s mental function, cognition, oral risk, and osteoporotic fracture index (SOF), and sarcopenia (SARC-F)).
Conclusion: The 12-week course on prevention and delay of disability in traditional Chinese medicine can promote the daily activities of the elderly and reduce the risk of disability. Sports-focused Chinese medicine courses can more effectively decrease the risk of disability.
【Keywords】Old Age; Dementia; Disability; Traditional Chinese Medicine; Community Care Center
251.1 中医预防及延缓失能课程对社区长者之成效
