信息化多元运动方案在衰弱前期老年患者中的应用研究

doi:10.3761/j.issn.0254-1769.2022.16.001

摘要/Abstract

摘要： 目的探索信息化多元运动方案对衰弱前期老年患者运动依从性及衰弱状态的影响。方法 2021年2月—9月，便利选取北京市某社区衰弱前期老年患者95例，随机分为两组，信息化多元运动组在讲解与示范的基础上使用微信小程序进行多元运动指导，常规运动组采用讲解与示范的方式进行多元运动指导。干预3个月，比较两组老年患者的运动依从性、衰弱改善情况及躯体功能。结果 89例老年患者完成了研究，信息化多元运动组老年患者的多元运动方案执行情况、衰弱改善情况及步速优于常规运动组（P<0.05），两组握力、简易体能状况量表得分和起立-行走时间的比较，差异无统计学意义（P>0.05）。结论信息化多元运动干预有利于提升老年患者运动依从性并改善衰弱状态。

关键词: 衰弱, 老年人, 多元运动, 依从性, 信息技术, 护理

Abstract:

Objective To investigate the impact of a multi-component exercise program based on Wechat applet on improving exercise adherence and the frailty state. Methods 95 pre-frailty of the elderly in a community in Beijing were randomly divided into 2 groups. On the basis of explanation and demonstration，the Wechat applet group used the multi-component exercise course of Wechat applet. The health education group used the way of explanation and demonstration to carry out multi-component exercise health education. The exercise adherence，frailty state and physical function were compared between the 2 groups. All subjects received 3-month intervention. Results 89 participants completed the study. The implementation of the multi-component exercise programs，the improvement of frailty and the improvement of walking speed in the Wechat applet group were better than those in the health education group（P<0.05），but there was no significant difference on grip strength，SPPB and TUGT between 2 groups（P>0.05）. Conclusion The multi-component exercise intervention based on Wechat applet is helpful to enhance the exercise adherence and improve frailty state of the elderly.

Key words: Frailty, Aged, Multi-Component, Adherence, Information Technology, Nursing Care

张洁, 刘欣梅, 赵芳, 李静, 张丹丹, 杨悦, 孙蕊, 吴娟, 王海妍. 信息化多元运动方案在衰弱前期老年患者中的应用研究[J]. 中华护理杂志, 2022, 57(16): 1925-1930.

ZHANG Jie, LIU Xinmei, ZHAO Fang, LI Jing, ZHANG Dandan, YANG Yue, SUN Rui, WU Juan, WANG Haiyan. Application of a multi-component exercise intervention based on Wechat applet in the pre-frailty elderly[J]. Chinese Journal of Nursing, 2022, 57(16): 1925-1930.

图/表 3

表1 两组一般资料比较

Table 1 Comparison of baseline data of subjects

表2 两组运动依从性的比较

Table 2 Comparison of exercise adherence between 2 groups

表3 两组干预后衰弱发生情况及躯体功能比较

Table 3 Comparison of frailty and related indexes of physical function after Intervention

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