维护中年妇女的内在能力:对个性化多组件干预的混合方法研究,与世卫组织ICOPE框架保持一致
Ruby Yu1, Cecilia Tong2, Matthew Yu2
1Department of Medicine & Therapeutics, Faculty of Medicine, the Chinese University of Hong Kong, New Territories, Hong Kong; Jockey Club Institute of Ageing, the Chinese University of Hong Kong, New Territories, Hong Kong.
妇女健康计划改善了中年妇女的内在能力 (IC). 这种个性化干预措施显示出高接受度和可行性,以防止与年龄相关的衰退.
科学领域:
- 老年学与公共卫生
- 预防医学 预防医学
- 妇女健康 妇女健康
背景情况:
- 保持中年内在能力 (IC) 是防止与年龄相关的功能衰退的关键.
- 妇女健康计划是一项为期12周的个性化干预,基于世卫组织老年人综合护理 (ICOPE) 框架开发.
- 评估WomenWellness的有效性和可扩展性对于中年保健至关重要.
研究的目的:
- 评估WomenWellness干预措施在提高中年女性内在能力方面的有效性.
- 评估WomenWellness计划的可行性和可接受性,以潜在地融入常规医疗保健.
- 确定妇女健康干预在社区环境中的可扩展性潜力.
主要方法:
- 香港的一项多中心随机对照试验招募了176名至少有一种IC域损伤的妇女.
- 参与者被随机分配到WomenWellness干预 (n=117) 或接受健康套装的对照组 (n=59).
- 结果包括IC复合分数,特定领域的障碍,身体/认知表现和人体测量,使用通用线性混合模型进行分析. 定性焦点小组探索了可接受性和可行性.
主要成果:
- 与对照组相比,WomenWellness显著降低了IC复合分数 (p=0.032).
- 干预组在椅子上站立时间,尾骨肌肉质量指数 (ASMI) 保存,心肺呼吸能力以及营养不良和视力障碍风险降低方面有所改善.
- 定性数据表明,参与者接受度高,服务提供商认可该计划适应社区环境的适应性.
结论:
- 妇女健康计划有效地提高了中年妇女的内在能力.
- 该干预表明了高度的可接受性,可行性和适应性忠实性.
- 研究结果支持将WomenWellness整合到常规中年保健服务中,以预防功能衰退.
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