Chinese Journal of Nursing Education >
Construction and application of a self-management intervention program for community-dwelling elderly patients with sarcopenia
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 . DOI: 10.3761/j.issn.1672-9234.2025.10.016
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