| Summary: | 碩士 === 國防醫學院 === 護理研究所 === 105 === Abstract
Background: With the global ageing population, more and more middle-aged and older adults will face the impact of multimorbidity. People with multimorbidity were proved to have longer duration of hospital stay, more postoperative complications, higher medical costs and mortality, higher degree of psychological distress and poor sleep quality and quality of life. The benefits of aerobic exercise training for the people in chronic diseases are well known, but there were few research on aerobic exercise training for the middle-aged and older adults with multimorbidity.
Objectives: To evaluate the effects of patient-centered aerobic exercise training on physical activity, health-related fitness, quality of life and physio-behavioral parameters in middle-aged and older adults with multimorbidity
Method: A randomized controlled trial was designed, 45 middle-aged and older adults with multimorbidity were recruited and randomly assigned into three groups. The intervention group received 12-week of patient-centered aerobic exercise training. The comparison group received 12-week telephone-based motivational interviewing . The control group received 12-week of usual care. Generalized estimating equations (GEE) were used to examine the effects of time and group interaction.
Result: Patient-centered aerobic exercise training increase the total amout of vigorous physical activity, the strength of upper body muscle, and cardiopulmonary function (FEV1/FVC, VO2 max, AT). Also significantly improve the self-efficacy, quality of life and sleep quality.
Conclusion: Patient-centered aerobic exercise can improve the physical activity, physical fitness, quality of life and physiological behavior of middle-aged and older adults with multimorbidity. This study can be a reference for future clinical application and exercise prescriptions for middle-aged and older adults with multimorbidity.
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