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The effect of physical activity on depressive symptoms and quality of life among elderly nursing home residents: Randomized controlled trial
Scopus
Toplam 114 atıf DOI
Objectives Physical activity may have positive effects on decreasing anxiety, stress and depression, maintaining mental health and ensuring psychological vitality.This study aimed to determine how a “Physical Activity Program” for elderly people in nursing homes affected their depressive symptoms and quality of life. Methods We included 80 individuals aged >65 years (40 in the intervention group, 40 controls) in this experimental, randomized, controlled pretest-posttest study. Besides socio-demographic data, depressive symptoms and quality of life were assessed by standardized procedures (Beck Depression Scale [BDI], SF 36 Quality of Life Questionnaire) before and after a ten-weeks lasting “Physical Activity Program”, consisting of 10 min warm-up activities, 20 mintes rhythmic exercices, 10 min cool-down exercises and a 30 mintes free walking period on four days of the week. Results In contast to controls, individuals of the intervention group presented with a significant decrease in the BDI after the “Physical Activity Program”. Likewise, eight-subscales and two sub-dimensions of the SF 36 Quality of Life Questionnaire significantly improved only in the experimental group (p < 0.05). Conclusions Our results suggest that a structured physical activity program positively impacts depressive symptoms and quality of life in elderly individuals.
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Effects of the cognitive stimulation therapy based on Roy's adaptation model on Alzheimer's patients’ cognitive functions, coping-adaptation skills, and quality of life: A randomized controlled trial
Scopus
Havuzumuzda 38 atıf almış
Purpose: This study aims to specify the effects of Cognitive Stimulation Therapy based on Roy's adaptation model (RAM) on Alzheimer's patients’ coping and adaptation skills, cognitive functions, and quality of life (QOL). Design and methods: This is an experimental and randomized controlled trial. Patients in the experimental group received cognitive stimulation therapy (CST) based on RAM. Findings: The cognitive function level of the experimental group was found to be higher than that of the control group at the end of the measurements (performed in the 7th week); the difference was found to be statistically significant (P <.05). In the experimental group, dimensions of troubleshooting and focusing, making physical decisions, attention processing, systematizing, learning, and establishing relationships were found to be better than those of the control group after the application, and the difference was found to be statistically significant (P <.05). However, after the application, QOL of the experimental group was found to be better than that of the control group following the measurements; the difference was found to be statistically significant (P <.05). Practice implications: Psychiatric nurses should evaluate the patients using Standardize Mini-Mental Test Examination before applying RAM-based CST, and they should apply CST to early- and mid-stage Alzheimer's disease (AD) patients at the end of the evaluation and work with groups consisting of six persons at most. Since the cognitive functions of individuals with AD decline from the first stage, coping-adaptation, and QOL levels will also be affected, so it is recommended to evaluate the cognitive functions, coping-adjustment and QOL levels of individuals before applying RAM-based CST. Trial registration number: NCT02229474.
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Kurumlar (3)
Akdeniz Üniversitesi
Antalya, Turkey
Akdeniz University, Faculty of Medicine
Antalya, Turkey
Selçuk Üniversitesi
Selçuklu, Turkey