社区老年肌少症患者自我管理干预方案的构建及应用研究

doi:10.3761/j.issn.1672-9234.2025.10.016

Abstract

Abstract:

Objective To construct a self-management intervention program for elderly patients with sarcopenia in the community and evaluate its application effect. Methods Based on the Health Empowerment Theory，a self-management intervention program for elderly patients with sarcopenia in the community was constructed through literature review and expert meeting method. A total of 72 elderly patients with sarcopenia who were treated in the geriatrics department of a grade A tertiary hospital in City Nanjing from June to September 2024 were selected as the participants，and they were randomly divided into the control group（n=36） and the experimental group（n=36）. The control group received routine care，while the experimental group was intervened based on the constructed self-management intervention program for elderly patients with sarcopenia in the community. The health empowerment and chronic disease self-management level of the two groups were compared before and after intervention. The skeletal muscle mass index（SMI），6-meter walking speed and upper limb grip strength of the two groups were compared before intervention，and 4 weeks，8 weeks and 12 weeks after intervention. Results After the intervention，the health empowerment and chronic disease self-management level of the experimental group were higher than those of the control group（P<0.05）. Repeated measures analysis of variance showed that the interaction effects of SMI，6-meter walking speed，upper limb grip strength time and group before intervention，4 weeks，8 weeks and 12 weeks after intervention were statistically significant（P<0.05）. The SMI and upper limb grip strength of the experimental group at 4 weeks，8 weeks and 12 weeks after intervention were better than those of the control group （P<0.05），and the 6-meter walking speed at 8 weeks and 12 weeks after intervention was faster than that of the control group（P<0.05）. Conclusion The application of the self-management intervention program for elderly patients with sarcopenia in the community can improve their health empowerment and chronic disease self-management level，and alleviate their sarcopenia.

Key words: Sarcopenia, Self-management, Community, Aged, Health empowerment

HU Dandan, HU Jin, SUN Hui, ZHOU Wu, HUANG Ziling, GU Yue, WU Yanping. Construction and application of a self-management intervention program for community-dwelling elderly patients with sarcopenia[J].Chinese Journal of Nursing Education, 2025, 22(10): 1250-1257.

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Construction and application of a self-management intervention program for community-dwelling elderly patients with sarcopenia

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