The Effect of Empowerment Program and Resistant Exercises on Frailty among Older Persons in Community
Main Article Content
Abstract
The quasi-experimental research with the two groups pretest-posttest design aimed to study the effect of the empowerment program and resistant exercises on frailty among older persons in community. The sample consisted of 44 persons who were 60 years and above in both male and female had frailty and living in the community in Bangkok. 22 participants were assigned to the control group and other 22 participants were assigned to the experimental group. The participants were matched pair by gender, age and body mass index. The experimental group received the empowerment program of Zimmerman theory and resistance exercises by dumbbell and the control group received conventional nursing only. The research instruments included: Mini-Mental Stage Examination-Thai version (MMSE-T), Barthel Activites of Daily Living Index and Frailty questionnaire. The empowerment program and resistance exercises were performed once a week for 5 weeks. Data were analyzed using descriptive and t-test statistics. The research findings can be summarized as follows :
1) The frailty among older persons in experimental group after receiving the empowerment program and resistance exercises was significantly lower than before receiving the program (p < .05)
2) The frailty among older persons in experimental group after participating the empowerment program and resistance exercises was significantly lower than others receiving conventional nursing care (p < .05)
The result of this study, it is recommended that there should be the empowerment program and resistance exercises to be used in taking care of elder people who have yet to suffer from frailty to prevent it from happening.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
References
2. Ministry of Public Health Policy. Conclusion of key statistics BE 2556 (statistical Thailand 2013). Bangkok: Office of Veterans Affairs; 2013. (in Thai).
3. Fried LP, Tangen CM, Walston J, Newman AB, Hirsch C, Gottdiener J, et al. Frailty in older adults evidence for a phenotype. J Gerontol A Biol Sci Med Sci 2001; 56(3):M146-56.
4. Kojima G. Prevalence of frailty in nursing homes: a systematic review and meta- analysis. J Am Med Dir Assoc 2015;16(11):940-5.
5. Inthanu N. Frailty: situational analysis in communities. [Master’s Thesis, Faculty of Nursing]. Walailak University; 2012. (in Thai).
6. Jaidee S. A study of frailty of elderly in Bangkok community. Royal Thai Navy Medical Journal 2017;44(3):117-35. (in Thai).
7. Rockwood K, Andrew M, Mitnitski A. A comparison of two approaches to measuring frailty in elderly people. J Gerontol A Biol Sci Med Sci 2007;62(7):738-43.
8. Zimmerman MA. Empowerment theory: psychological, organization and community levels of analysis. In: Rappaport J, Seidman E, editors. Handbook of community psychology. New York: Plenum; 2000.
9. Espinoza S, Walston JD. Frailty in older adults: insights and intervention. Cleve Clin J Med 2005;72(12):1105-12.
10. Panyoyai P. Aerobic exercise for the elderly. Journal of Nursing Health 2012; 35(2):140-8. (in Thai).
11. Haskell WL, Lee IM, Pate RR, Powell KE, Blair SN, Franklin BA, et al. Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Med Sci Sports Exerc 2007;39(8):1423-34.
12. Rogers ME, Sherwood HS, Rogers NL, Bohlken RM. Effects of dumbbell and elastic band training on physical function in older inner-city African-American women. Women Health 2002;36(4):33-41.
13. Bunkueang P. Clinical practice guideline for dementia. Bangkok: Institute of Neurology, Department of Medical Services, Ministry of Public Health; 2003. (in Thai).
14. Krajangpho S. Effects of empowering programs on foot heal and blood sugar behavior of elderly diabetes mellitus at risk for foot ulcer. [Master’s Thesis, Faculty of Nursing]. Chulalongkorn University; 2006. (in Thai).
15. Jitaphankul S. Principles of geriatric medicine. Bangkok. Chulalongkorn University press; 2001.(in Thai)
16. Parndee S. The effects of a power-building program on a group process: caring for the weight of adolescents with overweight. [Master’s Thesis, Faculty of Nursing]. Chulalongkorn University; 2007. (in Thai).