| Objectives:(1)To investigate and analyze the exercise self-efficacy of community elderly with mild cognitive impairment and its influencing factors,in order to provide a basis for improving the motivation of community elderly with mild cognitive impairment to actively participate in exercise and provide a reference for health care professionals to develop exercise interventions to delay cognitive decline.(2)To evaluate the effects of rope ladder training on cognitive function(including visuospatial and executive function,naming function,attention,language function,abstract thinking,delayed recall and orientation function)and motor function(including balance,mobility,lower extremity muscle strength and activities of daily living)in community elderly with mild cognitive impairment,with the aim of delaying or reversing their progression to dementia and improving their motor function,and providing new motor modalities for community elderly with mild cognitive impairment.Methods:(1)Analysis of exercise self-efficacy and its influencing factors in community elderly with mild cognitive impairment: using a random sampling method,250 community elderly with mild cognitive impairment who met the inclusion and exclusion criteria of this study were selected as the study population by recruiting elderly and conducting cognitive screening in three community health service centers in Nanning City from January to May 2022.The questionnaire method was used to collect information on community elderly with mild cognitive impairment using the general information questionnaire and the exercise self-efficacy scale to understand and analyze the exercise self-efficacy of community elderly with mild cognitive impairment and its influencing factors.Statistical analysis was performed using SPSS 26.0 software with a test level of α=0.05.Depending on the type of data,independent samples t-test,one-way ANOVA,Mann-Whitney U rank sum test or Kruskal-Wallis H-test were used to explore the effects of different demographic and sociological characteristics,health and disease factors,exercise and social support on exercise self-efficacy in older adults with mild cognitive impairment in the community.status and social support status on exercise self-efficacy,and multiple linear regression was used to analyze the factors influencing exercise self-efficacy.(2)Intervention study on the effect of rope ladder training on cognitive and motor functions of community elderly with mild cognitive impairment:using a random sampling method,elderly people were recruited and screened for cognition in a community health service center in Nanning City from September to November 2022,76 cases of community elderly with mild cognitive impairment who met the inclusion and exclusion criteria of this study were randomly selected as the study subjects,and divided into intervention The study was divided into intervention and control groups,with38 cases in each group.The control group was provided with health education related to mild cognitive impairment disease and maintained daily living arrangements.The intervention group received rope ladder training three times a week for 12 weeks.Before and after 12 weeks of intervention,the Montreal Cognitive Assessment Scale,Berg Balance Scale,Up and Go Timed Test,30-second Sit and Stand Test and Activities of Daily Living Scale were used to evaluate the effects of rope ladder training on cognitive function(including visuospatial and executive function,naming function,attention,language function,abstract thinking,delayed recall and orientation function)and motor function(including balance,mobility and movement)in community-dwelling older adults with mild cognitive impairment.The effects of rope ladder training on cognitive function(including visuospatial and executive function,naming function,attention,language function,abstract thinking,delayed recall and orientation function)and motor function(including balance,mobility,lower limb strength and activities of daily living)were evaluated.Results:(1)Analysis of exercise self-efficacy and its influencing factors in community elderly with mild cognitive impairment: 250 questionnaires were distributed in this study,and 250 valid questionnaires were returned,with a100% effective recovery rate.The exercise self-efficacy score of the elderly with mild cognitive impairment in the community was 5.28(4.33,6.44).The results of multiple linear regression analysis showed that the presence of somatic pain,the level of exercise in the past 6 months,the presence of falls in the past 6 months,the presence of regular exercise,the presence of safe and convenient exercise sites and equipment in or near the community,and the presence of family support to encourage exercise were the influencing factors of exercise self-efficacy among the elderly with mild cognitive impairment in the community(P < 0.05).(2)An intervention study on the effects of rope ladder training on cognitive and motor functions in community elderly with mild cognitive impairment: a total of 68 community elderly with mild cognitive impairment completed the collection of all data,including 33 cases in the intervention group and 35 cases in the control group.The results showed that after 12 weeks of intervention,the scores of visuospatial and executive functions,attention,and delayed recall in the intervention group were higher than those in the control group,and the differences were statistically significant(P <0.05);the scores of naming function,language function,abstract thinking,and orientation function in the intervention group did not change significantly compared with those in the control group,and the differences were There was no statistically significant difference between the scores of the intervention group and the control group(P > 0.05).In terms of motor function,mobility and activities of daily living ability improved in the intervention group compared with the pre-intervention group and were better than the control group,with statistically significant differences(P < 0.05);balance and lower limb muscle strength did not change significantly in the intervention group compared with the pre-intervention group(P > 0.05),and the differences were not statistically significant compared with the control group(P > 0.05).Conclusion:(1)Exercise self-efficacy in older adults with mild cognitive impairment in the community still needs to be improved and is affected by physical pain,level of exercise in the past 6 months,irregular exercise,falls in the past 6 months,lack of safe and convenient exercise space and equipment in or near the community,and lack of family support to encourage exercise.Health care professionals should develop exercise interventions appropriate for the community based on the factors influencing exercise self-efficacy in older adults with mild cognitive impairment in the community,so as to increase the motivation to exercise and delay the decline of cognitive function in older adults with mild cognitive impairment in the community.(2)In terms of cognitive function,rope ladder training can improve visuospatial and executive functions,attention and delayed recall in community-dwelling older adults with mild cognitive impairment;the effects on naming function,language function,abstract thinking and orientation function still need to be investigated in follow-up studies;in terms of motor function,rope ladder training can improve mobility and activities of daily living in community-dwelling older adults with mild cognitive impairment;the effects on balance and lower limb muscle strength still need to be further confirmed in follow-up studies. |
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