首页|基于自护理论的安全健康教育对老年肌少症患者护理安全及自我管理能力的影响

基于自护理论的安全健康教育对老年肌少症患者护理安全及自我管理能力的影响

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目的:探析老年肌少症患者护理中运用基于自护理论的安全健康教育干预对患者护理安全及自我管理能力的影响。方法:选取 2022 年 1-12 月联勤保障部队第九〇〇医院诊治的 91 例老年肌少症患者为研究对象,随机将患者分为对照组(44 例,常规健康教育)、试验组(47 例,基于自护理论的安全健康教育)。评估并比较两组患者干预前、干预后(出院后 3 个月入院复查时)的四肢骨骼肌质量指数(SMI)、握力、步速、5 次起坐时间、运动功能、跌倒效能、自我管理效能及机体功能、生活质量。结果:干预后,两组SMI、握力、步速均高于干预前,而 5 次起坐时间短于干预前,且观察组比对照组改善幅度更大,差异有统计学意义(P<0。05)。干预后,两组运动功能评分明显较干预前降低,且试验组低于对照组,两组跌倒效能评分、自我管理效能评分、机体功能评分、生活质量评分均高于干预前,且试验组均高于对照组,差异有统计学意义(P<0。05)。结论:对老年肌少症患者采取基于自护理论的安全健康教育干预的效果显著,可有效改善患者SMI与运动功能,提高患者跌倒效能与自我管理能力,优化机体功能与生活质量。
Impact of Safety and Health Education Based on Self-care Theory on Nursing Safety and Self-management Ability of Elderly Patients with Sarcopenia
Objective:To explore the impact of safety and health education interventions based on self-care theory on nursing safety and self-management ability of elderly patients with sarcopenia.Method:Ninety-one elderly sarcopenia patients treated in No.900 Hospital of Joint Service Support Forces of Chinese People's Liberation Army from January to December 2022 were selected as the study objects,and the patients were randomly divided into control group(44 cases,routine health education)and experimental group(47 cases,safety and health education based on self-care theory).The limbs skeletal muscle mass index(SMI),grip strength,gait speed,5 sit up times,motor function score,fall efficacy,self-management efficacy,body function and quality of life of two groups before intervention and after intervention(at 3-month hospital follow-up after discharge)were evaluated and compared.Result:After intervention,the SMI,grip strength,and gait speed of both groups were higher than those of before intervention,while the 5 sit up times were shorter than that of before intervention,and the experimental group had a greater improvement than the control group,and the differences were statistically significant(P<0.05).After intervention,the motor function scores of the two groups significantly lower than those of before intervention,and the scores of the experimental group were lower than those of the control group,the fall efficacy score scores,self-management efficacy scores,body function scores,and quality of life scores of the two groups were higher than those of before the intervention,and the scores of the experimental group were higher than those of the control group,the differences were statistically significant(P<0.05).Conclusion:Adopting safety and health education interventions based on self-care theory for elderly patients with sarcopenia has a significant intervention effect,which can effectively improve their SMI and motor function,enhance their fall efficacy and self-management ability,optimize body function and quality of life.

Elderly patients with sarcopeniaSafety and health education based on self-care theoryNursing safetySelf management ability

黄美月、殷琼蕾、王丽娥

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联勤保障部队第九〇〇医院 福建 福州 350025

老年肌少症 基于自护理论的安全健康教育 护理安全 自我管理能力

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(35)