集束化护理干预对老年肌少症患者依从性及肌肉功能的影响  

Effect of cluster nursing intervention on the compliance and muscle function in elderly patients with sarcopenia

作　　者：翟雨婷 葛兆霞[1] 张建薇[1] 许玲[1] ZHAI Yuting;GE Zhaoxia;ZHANG Jianwei;XU Ling(Department of Geriatrics,Nanjing Drum Tower Hospital,The Affiliated Hospital to Nanjing University Medical School,Nanjing,Jiangsu 210008,China)

机构地区：[1]南京大学医学院附属鼓楼医院老年医学科,江苏南京210008

出　　处：《中国临床研究》2023年第7期1111-1116,共6页Chinese Journal of Clinical Research

基　　金：江苏省卫生健康委科研课题(BJ18009)。

摘　　要：目的分析在老年肌少症患者中采用集束化护理干预措施对其依从性及肌肉功能的影响。方法回顾性收集193例2020年1月至2021年12月在南京鼓楼医院收治的老年肌少症患者的临床资料,采用常规护理措施干预的97例为对照组,采用集束化护理干预的96例为研究组。对比两组患者握力、简易体能状态量表(SPPB)评分、生活质量评分、日常生活能力(ADL)评分、焦虑自评量表(SAS)与抑郁自评量表(SDS)评分以及依从性、满意度。结果与护理干预前比,两组干预后握力、SPPB评分、活动能力、生活感受、健康感受、家庭支持、日常生活情况评分及ADL评分升高,且研究组显著高于对照组(P<0.05);两组干预后SAS、SDS评分降低,且研究组显著低于对照组(P<0.01);与对照组相比,研究组患者护理依从性较高(94.79%vs 85.57%,P<0.05),对护理满意度较高(95.83%vs 86.60%,P<0.05)。结论集束化护理干预有利于促进老年肌少症患者的肌肉功能改善、依从性提高及患者心理状态的改善。Objective To study the impacts of clustered nursing interventions on the compliance and muscle function in the elderly patients with sarcopenia.Methods A total of 193 patients with senile sarcopenia(SAR)treated in Nanjing Drum Tower Hospital from January 2020 to December 2021 were selected and divided into control group(with routine nursing intervention,n=97)and research group(with cluster nursing intervention,n=96).Grip strength,simplified physical state scale(SPPB)score,quality of life score,ability of daily living(ADL)score,self rating anxiety scale(SAS)and self rating depression scale(SDS),compliance and satisfaction were compared between two groups.Results Compared with those before nursing intervention,the grip strength,SPPB,activity ability,life feeling,health feeling,family support,daily life situation scores and ADL scores increased significantly after intervention in both groups,and the above indicators in research group were superior to those in control group(P<0.05).After intervention,SAS and SDS scores decreased in two groups,and they were statistically lower in research group than those in control group(P<0.01).Nursing compliance(94.79%vs 85.57%)and nursing satisfaction(95.83%vs 86.60%)in research group were significantly higher than those in control group(P<0.05).Conclusion Clustered nursing intervention can improve the patient s muscle function,compliance and mental state in senile sarcopenia.

关 键 词：集束化护理 肌少症 老年 依从性 肌肉功能 

分 类 号：R473.5[医药卫生—护理学]