中华护理杂志 ›› 2020, Vol. 55 ›› Issue (10): 1588-1592.DOI: 10.3761/j.issn.0254-1769.2020.10.026
收稿日期:
2019-10-21
出版日期:
2020-10-15
发布日期:
2020-09-27
作者简介:
张洁:女,硕士,副主任护师,副护士长,E-mail: 基金资助:
ZHANG Jie(),ZHANG Dandan,WANG Haiyan
Received:
2019-10-21
Online:
2020-10-15
Published:
2020-09-27
摘要:
衰弱是一种常见的老年综合征,严重影响老年人的生活质量和健康结局。然而,衰弱是可逆的过程,通过有效干预可延缓或改善衰弱的发展。目前,非药物干预是衰弱最重要的干预手段。该文通过综述近年来衰弱运动干预、营养干预、多因素综合干预及其他干预方法的国内外研究进展,为进一步开展衰弱老年人管理提供借鉴,并总结衰弱老年人非药物干预的效果评价指标,为开展相关研究,探索有效的衰弱老年人非药物干预方法提供依据。
张洁,张丹丹,王海妍. 衰弱老年人非药物干预的研究进展[J]. 中华护理杂志, 2020, 55(10): 1588-1592.
ZHANG Jie,ZHANG Dandan,WANG Haiyan. Research progress on non-pharmacological interventions for the frail elderly[J]. Chinese Journal of Nursing, 2020, 55(10): 1588-1592.
[1] | Fried LP, Tangen CM, Walston J, et al. Frailty in older adults:evidence for a phenotype[J]. Journals Gerontol Ser A Biol Sci Med Sci, 2001,56(3):M146-M156. |
[2] |
Clegg A, Young J, Iliffe S, et al. Frailty in elderly people[J]. Lancet, 2013,381(9868):752-762.
DOI URL |
[3] | 中华医学会老年医学分会. 老年患者衰弱评估与干预中国专家共识[J]. 中华老年医学杂志, 2017,36(3):251-256. |
Geriatric Medicine Society of Chinese Medical Association. Chinese experts consensus on assessment and intervention for elderly patients with frailty[J]. Chin J Geriatr, 2017,36(3):251-256. | |
[4] | He B, Ma Y, Wang C, et al. Prevalence and risk factors for frailty among community-dwelling older people in China:a systematic review and meta-analysis[J]. J Nutr Heal Aging, 2019,23(5):442-450. |
[5] |
Vermeiren S, Vella-Azzopardi R, Beckwée D, et al. Frailty and the prediction of negative health outcomes:a meta-analysis[J]. J Am Med Dir Assoc, 2016,17(12):1163.e1-1163.e17.
DOI URL |
[6] |
Zhang XM, Dou QL, Zhang WW, et al. Frailty as a predictor of all-cause mortality among older nursing home residents:a systematic review and meta-analysis[J]. J Am Med Dir Assoc, 2019,20(6):657-663.e4.
DOI URL PMID |
[7] | Clinical Practice Guidelines and Protocols in British Columbia: Frailty in Older Adults-Early Identification and Management[EB/OL]. (201710-25)[202002-10]. www2.gov.bc.ca/gov/content/health/practitioner-professional-resources/bc-guidelines/frailty. |
[8] |
Dent E, Lien C, Lim WS, et al. The Asia-Pacific clinical practice guidelines for the management of frailty[J]. J Am Med Dir Assoc, 2017,18(7):564-575.
DOI URL PMID |
[9] |
Morley JE, Vellas B, van Kan GA, et al. Frailty consensus:a call to action[J]. J Am Med Dir Assoc, 2013,14(6):392-397.
DOI URL PMID |
[10] | Dent E, Morley JE, Cruz-Jentoft AJ, et al. International clinical practice guidelines for sarcopenia(ICFSR):screening,diagnosis and management[J]. J Nutr Heal Aging, 2018,22(10):1148-1161. |
[11] | 于彤, 霍晓鹏, 王晓晶, 等. 坐式八段锦对高龄衰弱老年患者疲乏和衰弱的影响[J]. 护理学报, 2018,25(23):54-57. |
Yu T, Huo XP, Wang XJ, et al. Effect of sitting Baduanjin on fatigue an frailty of elderly patients[J]. J Nurs(China), 2018,25(23):54-57. | |
[12] | Seldeen KL, Lasky G, Leiker MM, et al. High intensity interval training improves physical performance and frailty in aged mice[J]. Journals Gerontol:Ser A, 2018,73(4):429-437. |
[13] |
García-Pinillos F, Laredo-Aguilera JA, Muñoz-Jiménez M, et al. Effects of 12-week concurrent high-intensity interval strength and endurance training program on physical performance in healthy older people[J]. J Strength Cond Res, 2019,33(5):1445-1452.
DOI URL PMID |
[14] |
Losa-Reyna J, Baltasar-Fernandez I, Alcazar J, et al. Effect of a short multicomponent exercise intervention focused on muscle power in frail and pre frail elderly:a pilot trial[J]. Exp Gerontol, 2019,115:114-121.
DOI URL PMID |
[15] | El-Khoury F, Cassou B, Latouche A, et al. Effectiveness of two year balance training programme on prevention of fall induced injuries in at risk women aged 75-85 living in community:Ossébo randomised controlled trial[J]. BMJ Clin Res Ed, 2015,351:h3830. |
[16] | 刘泓, 钱会杰, 乔玉凤, 等. 家庭肺康复在老年COPD稳定期衰弱患者中的应用效果研究[J]. 中华护理杂志, 2016,51(10):1250-1255. |
Liu H, Qian HJ, Qiao YF, et al. Application and effect of home-based pulmonary rehabilitation on frailty in elderly COPD patients during the stable phase[J]. Chin J Nurs 2016,51(10):1250-1255. | |
[17] |
Arrieta H, Rezola-Pardo C, Gil SM, et al. Effects of multicomponent exercise on frailty in long-term nursing homes:a randomized controlled trial[J]. J Am Geriatr Soc, 2019,67(6):1145-1151.
DOI URL PMID |
[18] | Sáez de Asteasu ML, Martínez-Velilla N, Zambom-Ferraresi F, et al. Inter-individual variability in response to exercise intervention or usual care in hospitalized older adults[J]. J Cach-exia Sarcopenia Muscle, 2019,10(6):1266-1275. |
[19] |
Martínez-Velilla N, Casas-Herrero A, Zambom-Ferraresi F, et al. Effect of exercise intervention on functional decline in very elderly patients during acute hospitalization:a randomized clinical trial[J]. JAMA Intern Med, 2019,179(1):28-36.
DOI URL PMID |
[20] |
Park Y, Choi JE, Hwang HS, et al. Protein supplementation improves muscle mass and physical performance in undernourished prefrail and frail elderly subjects:a randomized,double-blind,placebo-controlled trial[J]. Am J Clin Nut, 2018,108(5):1026-1033.
DOI URL |
[21] |
Kang L, Gao Y, Liu XH, et al. Effects of whey protein nutritional supplement on muscle function among community-dwelling frail older people:a multicenter study in China[J]. Arch Gerontol Geriatr, 2019,83:7-12.
DOI URL PMID |
[22] |
Buigues C, Fernández-Garrido J, Pruimboom L, et al. Effect of a prebiotic formulation on frailty syndrome:a randomized,double-blind clinical trial[J]. Int J Mol Sci, 2016,17(6):932.
DOI URL |
[23] |
Wu S, Hsu LL, Hsu CC, et al. Dietary education with customised dishware and food supplements can reduce frailty and improve mental well-being in elderly people:a single-blind randomized controlled study[J]. Asia Pac J Clin Nutr, 2018,27(5):1018.
DOI URL PMID |
[24] |
Veronese N, Stubbs B, Punzi L, et al. Effect of nutritional sup-plementations on physical performance and muscle strength parameters in older people:a systematic review and meta-analysis[J]. Ageing Res Rev, 2019,51:48-54.
DOI URL PMID |
[25] |
Liao CD, Tsauo JY, Wu YT, et al. Effects of protein supplementation combined with resistance exercise on body composition and physical function in older adults:a systematic review and meta-analysis[J]. Am J Clin Nutr, 2017,106(4):1078-1091.
DOI URL PMID |
[26] |
Chan DCD, Tsou HH, Chang CB, et al. Integrated care for geriatric frailty and sarcopenia:a randomized control trial[J]. J Cachexia Sarcopenia Muscle, 2017,8(1):78-88.
DOI URL PMID |
[27] |
de Souto Barreto P, Rolland Y, Maltais M, et al. Associations of multidomain lifestyle intervention with frailty:secondary analysis of a randomized controlled trial[J]. Am J Med, 2018,131(11):1382.e7-1382.e13.
DOI URL |
[28] |
Ekerstad N, Dahlin-Ivanoff S, Landahl S, et al. Acute care of severely frail elderly patients in a CGA-unit is associated with less functional decline than conventional acute care[J]. Clin Interv Aging, 2017,12:1239-1249.
DOI URL PMID |
[29] |
Luger E, Dorner TE, Haider S, et al. Effects of a home-based and volunteer-administered physical training,nutritional,and social support program on malnutrition and frailty in older persons:a randomized controlled trial[J]. J Am Med Dir Assoc, 2016,17(7):671.e9-671.e16.
DOI URL |
[30] | 孟丽, 李鹏, 施红, 等. 老年人衰弱表型干预效果分析[J]. 中华老年医学杂志, 2019(7):810-815. |
Meng L, Li P, Shi H, et al. Effectiveness of exercise and nutrition interventions on older adults with frailty status[J]. Chin J Geriatr,, 2019(7):810-815. | |
[31] |
van der Elst M, Schoenmakers B, Duppen D, et al. Interventions for frail community-dwelling older adults have no significant effect on adverse outcomes:a systematic review and meta-analysis[J]. BMC Geriatr, 2018,18(1):1-9.
DOI URL PMID |
[32] |
Lai CKY, Kwan RYC, Lo SKL, et al. Effects of horticulture on frail and prefrail nursing home residents:a randomized controlled trial[J]. J Am Med Dir Assoc, 2018,19(8):696-702.
DOI URL PMID |
[33] |
Chan CWC, Chau PH, Leung AYM, et al. Acupressure for frail older people in community dwellings:a randomised controlled trial[J]. Age Ageing, 2017,46(6):957-964.
DOI URL PMID |
[34] | Freitag S, Schmidt S. Prevention of frailty through narrative intervention[J]. Soc Sci Med 1982, 2016,160:120-127. |
[35] |
Liao YY, Chen IH, Wang RY. Effects of kinect-based exer-gaming on frailty status and physical performance in prefrail and frail elderly:a randomized controlled trial[J]. Sci Rep, 2019,9(1):9353.
DOI URL PMID |
[36] |
Yamada M, Nishiguchi S, Fukutani N, et al. Mail-based intervention for sarcopenia prevention increased anabolic hormone and skeletal muscle mass in community-dwelling Japanese older adults:the INE(intervention by nutrition and exercise)study[J]. J Am Med Dir Assoc, 2015,16(8):654-660.
DOI URL PMID |
[37] | 卞剑云, 朱洁楠. 体能锻炼和营养干预对衰弱期和衰弱前期老年患者炎症因子的影响[J]. 中华现代护理杂志, 2019(2):196-199. |
Bai JY, Zhu JN. Status quo of geriatrics ward and nursing personnel allocation in medical institutions in Western China[J]. Chin J Med Nurs, 2019(2):196-199. | |
[38] |
Tarazona-Santabalbina FJ, Gómez-Cabrera MC, Pérez-Ros P, et al. A multicomponent exercise intervention that reverses frailty and improves cognition,emotion,and social networking in the community-dwelling frail elderly:a randomized clinical trial[J]. J Am Med Dir Assoc, 2016,17(5):426-433.
DOI URL PMID |
[39] | 范子哲. 运动康复指导对老年人衰弱状态、生活质量及心理健康的影响[J]. 中国老年学杂志, 2019,39(17):4243-4246. |
Fan ZZ. Effect of exercise rehabilitation guidance on the frail state,quality of life and mental health of the elderly[J]. Chin J Gerontol, 2019,39(17):4243-4246. | |
[40] |
Bleijenberg N, Drubbel I, Neslo RE, et al. Cost-effectiveness of a proactive primary care program for frail older people:a cluster-randomized controlled trial[J]. J Am Med Dir Assoc, 2017,18(12):1029-1036.e3.
DOI URL PMID |
[41] |
Fairhall N, Sherrington C, Kurrle SE, et al. Economic evaluation of a multifactorial,interdisciplinary intervention versus usual care to reduce frailty in frail older people[J]. J Am Med Dir Assoc, 2015,16(1):41-48.
DOI URL PMID |
[1] | 郝瑞霞, 李育玲, 徐勇, 杨丽洁, 韩雪. 冠心病患者负性情绪智能化改善方案的制订及应用[J]. 中华护理杂志, 2021, 56(9): 1285-1292. |
[2] | 张继文, 范环, 肖树芹, 杨芳宇, 吴瑛. 独居与非独居老年人居家照护未满足需求的比较研究[J]. 中华护理杂志, 2021, 56(9): 1293-1298. |
[3] | 陆金玲, 许勤, 陈丽, 丁玲玉, 花红霞, 徐欣怡. 5种肌肉减少症筛查工具在胃癌患者术前营养评定中的应用比较[J]. 中华护理杂志, 2021, 56(9): 1299-1304. |
[4] | 燕美琴, 王娇, 刘亦娜, 张慧君, 任永莲. 群组孕期保健模式在妊娠期糖尿病孕妇分娩结局中的效果研究[J]. 中华护理杂志, 2021, 56(9): 1305-1311. |
[5] | 黄娜, 周英凤, 李丽, 刘巧艳, 朱佳蕾, 汪玲, 潘秀红, 郭娜菲. 妊娠期糖尿病孕妇血糖管理决策行为及影响因素的研究[J]. 中华护理杂志, 2021, 56(9): 1312-1317. |
[6] | 朱淑榕, 魏碧蓉, 郭胜斌, 林颖. 硬膜外分娩镇痛产妇护理支持需求问卷的研制及信效度检验[J]. 中华护理杂志, 2021, 56(9): 1318-1324. |
[7] | 蒋阳, 沈鸣雁, 冯志仙. 1例镜像综合征并发急性心力衰竭孕妇的护理[J]. 中华护理杂志, 2021, 56(9): 1325-1328. |
[8] | 申乔乔, 冯现刚, 梁韵仪, 左倩倩, 张正敏, 高钰琳. 围产期哀伤辅导指南的系统评价[J]. 中华护理杂志, 2021, 56(9): 1329-1334. |
[9] | 金微, 肖琦, 杨凌艳, 曾铁英. 紧急剖宫产术后产妇心理健康问题的研究进展[J]. 中华护理杂志, 2021, 56(9): 1335-1339. |
[10] | 曹亚雨, 刘惠蓉, 彭玉娇, 杨权, 杨思锐, 陶彦灵, 温贤秀. 肾移植受者手术决策参与满意度的调查研究[J]. 中华护理杂志, 2021, 56(9): 1340-1345. |
[11] | 齐晓玖, 王慧婷, 刘宇, 杨晶, 乔红梅, 田家利, 唐丽安, 张素. 临床护士对氧疗安全认知的现状调查[J]. 中华护理杂志, 2021, 56(9): 1346-1351. |
[12] | 孙文静, 谢莉玲, 黄龙贤, 游海玲, 屈芙蓉, 左燕. 鼻饲患者两种误吸风险预测模型的外部验证及比较[J]. 中华护理杂志, 2021, 56(9): 1352-1356. |
[13] | 陈虹秀, 杨莘, 胡秀英, 邓宝凤, 马红梅, 张艾灵, 方海云, 石泽亚, 丁福, 王传霞, 亓恒美, 黄沂, 张俊梅, 马秀花, 鲁丽萍, 王申, 沙丽艳, 曹军华. 我国30个省份老年专科护士队伍培养与工作现状调查研究[J]. 中华护理杂志, 2021, 56(9): 1363-1368. |
[14] | 王雪瑞, 陈雁, 王清, 夏冬云, 许玲. 基于服务质量差距模型的“互联网+护理服务”质量评价指标研究[J]. 中华护理杂志, 2021, 56(9): 1369-1376. |
[15] | 郑丽丽, 吕丹尼, 唐晓敏, 陈丽骊, 张婷, 傅藏藏, 诸纪华, 汪金燕. 3例先天性长段缺失型食管闭锁患儿行胃造瘘术的术后护理[J]. 中华护理杂志, 2021, 56(9): 1377-1379. |
阅读次数 | ||||||
全文 |
|
|||||
摘要 |
|
|||||