关键词: 健康行为, 肌力, 训练, 老年, 衰弱, 护理

Abstract:

Objective To verify the application effect of the muscle strength training based on Fogg behavior model for elderly frail patients，and provide references and bases for subsequent related research. Methods This paper constructed a muscle strength training program for elderly frail patients based on the Fogg behavior model. The exercise intervention process includes the stages of cultivating exercise awareness, scientific fitness guidance, and developing exercise habits. 66 elderly frail people aged 60 and above who were hospitalized in 4 geriatric wards of a tertiary A hospital in Beijing from January to March 2022 were recruited，and they were randomly divided into a control group and an intervention group. The intervention group implemented a muscle strength training based on the Fogg behavior model，while the control group was given routine exercise guidance and education for 6 months. The muscle strength，cardiopulmonary function，and glucose and lipid metabolism of the 2 groups were compared at the end of 3 and 6 months of intervention. Results A total of 65 patients with 33 in the control group and 32 in the intervention group completed the study. The muscle strength of the intervention group showed better changes over time at 6 months compared to the control group（P<0.05）. In terms of cardiopulmonary function，the intervention group had better lung capacity than the control group at 3 and 6 months，with statistically significant differences（t=2.166，P=0.034；t=3.385，P=0.001）. There was no statistically significant difference in heart rates and left ventricular ejection fraction between the groups（P>0.05）. In terms of glucose and lipid metabolism，only high-density lipoprotein in the intervention group was found to be superior to it in the control group at 3 and 6 months，with statistically significant differences（t=2.970，P=0.004；t=4.111，P<0.001）. There was no statistically significant difference between blood glucose，low-density lipoprotein，total cholesterol，and triglycerides groups（P>0.05）. Conclusion The muscle strength training based on the Fogg behavior model can effectively improve the muscle strength and lung function of frail elderly patients，and can also improve blood lipid metabolism to a certain extent，while there is no obvious effect on heart function and blood glucose control.

Key words: Health Behavior, Muscle Strength, Exercise, Aged, Frail, Nursing Care