关键词: Elderly Health belief model Musculoskeletal disorder Pain

Mesh : Humans Nursing Homes Musculoskeletal Pain / therapy psychology diagnosis Aged Homes for the Aged Randomized Controlled Trials as Topic Vitamin D Female Male Health Knowledge, Attitudes, Practice Middle Aged Physical Therapy Modalities Treatment Outcome Stress, Psychological / therapy psychology prevention & control Aged, 80 and over Patient Education as Topic / methods

来  源:   DOI:10.1186/s13063-024-08243-1   PDF(Pubmed)

Abstract:
BACKGROUND: Due to the burden of musculoskeletal diseases in the elderly and the multifactorial nature of such conditions, controlling the pain caused by these disorders requires multidisciplinary approach. This approach requires the participation of the elderly in applying effective prevention measures. This study aims to design a multidisciplinary educational intervention based on health belief model (HBM) for elderly residents of nursing homes.
METHODS: This is a parallel randomized clinical trial among elderly people aged 60 years and over living in a nursing home who suffer from musculoskeletal pain. Eligible participants will be divided into two groups including the intervention group who will receive a multidisciplinary intervention (vitamin D consumption, psycho-social stress management, and physiotherapy) and the control group who will receive usual care. Data collection instruments will include demographic data, the Depression, Anxiety, and Stress Scale (DASS), the visual analogue scale (VAS), and a self-designed questionnaire containing the HBM constructs. The interventions will be carried out by the educational team (general practitioner, psychologist, physiotherapist, and health education specialist). Interventions include changing the wrong beliefs of the elderly, taking 800 units of vitamin D daily, daily walking exercise by the elderly for at least 30 min and maintaining proper body posture during daily activities, muscle relaxation, relaxation techniques, regular exercise, examining their diet and eliminating stimulants (such as smoking and coffee), regular visits with friends and family, and deep breathing techniques. All questionnaires will be completed by the elderly before, after, 3, and 6 months after the intervention.
CONCLUSIONS: The present study will evaluate the effect of an educational intervention based on a multifaceted pain control approach for elderly people who reside in nursing homes in order to reduce musculoskeletal pain in the elderly living in nursing homes. One of the features of this study is its focus on improving the health of elderly residents in nursing homes. Given the increase in the elderly population worldwide, the findings from the current trial might benefit elderly populations.
BACKGROUND: IRCT20220904055881N1 . Registered on 11 February 2023.
摘要:
背景:由于老年人肌肉骨骼疾病的负担以及此类疾病的多因素性质,控制由这些疾病引起的疼痛需要多学科的方法。这种方法需要老年人参与实施有效的预防措施。本研究旨在针对养老院老年居民设计基于健康信念模型(HBM)的多学科教育干预措施。
方法:这是一项针对居住在疗养院的60岁及以上患有肌肉骨骼疼痛的老年人的平行随机临床试验。符合条件的参与者将分为两组,包括将接受多学科干预的干预组(维生素D消耗,心理社会压力管理,和物理治疗)和对照组将接受常规护理。数据收集工具将包括人口统计数据,大萧条,焦虑,和应力标度(DASS),视觉模拟量表(VAS),和一份包含HBM结构的自行设计的问卷。干预将由教育团队(全科医生,心理学家,物理治疗师,和健康教育专家)。干预措施包括改变老年人的错误信念,每天服用800单位维生素D,老年人每天进行至少30分钟的步行锻炼,并在日常活动中保持适当的身体姿势,肌肉放松,放松技术,定期锻炼,检查他们的饮食和消除兴奋剂(如吸烟和咖啡),定期拜访朋友和家人,深呼吸技术。所有问卷将由长者填写之前,之后,3、干预后6个月。
结论:本研究将评估基于多方面疼痛控制方法的教育干预对居住在疗养院的老年人的效果,以减少居住在疗养院的老年人的肌肉骨骼疼痛。这项研究的特点之一是致力于改善养老院老年居民的健康状况。鉴于全球老年人口的增加,本试验的结果可能使老年人群受益.
背景:IRCT20220904055881N1。2023年2月11日注册。
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