基于健康行动过程取向理论的运动干预对老年骨质疏松症伴衰弱患者跌倒风险的影响  

Effect of health action process approach-based exercise intervention on fall risk in el-derly patients with osteoporosis and frailty

作　　者：杨晓曦 马书丽[2] 王楚凡 YANG Xiaoxi;MA Shuli;WANG Chufan(School of Recreation,Panzhihua College,Panzhihua 617000,Sichuan,China;Department of Gastroenterology,Affiliated Hospital of Nantong University,Nantong,Jiangsu 226001,China;Department of Pediatrics,Yangzhou Maternal and Child Health Hospital,Yangzhou 225000,Jiangsu,China)

机构地区：[1]攀枝花学院康养学院,四川攀枝花617000 [2]南通大学附属医院消化科,江苏南通226001 [3]扬州市妇幼保健院儿科,江苏扬州225000

出　　处：《西藏医药》2024年第3期17-19,共3页Tibetan Medicine

基　　金：四川省科技厅重点研发项目(2020YFS0433)。

摘　　要：目的探究基于健康行动过程取向理论的运动干预对老年骨质疏松症伴衰弱患者跌倒风险的影响。方法回顾性分析2022年1月~2022年12月期间就诊我院的老年骨质疏松症伴衰弱患者217例。将2022年1月~2022年5月接受常规干预的95例患者纳入对照组,2022年6月~2022年12月接受基于健康行动过程取向理论的运动干预的122例患者纳入观察组。比较两组干预前及干预3个月后跌倒风险、平衡能力、平衡信心变化。结果干预3个月后与干预前相比,两组跌倒风险评分下降,且观察组得分更低(P<0.05);两组平衡能力及平衡信心评分均有上升,且观察组得分更高(P<0.05)。结论基于健康行动过程取向理论的运动干预有助于降低老年骨质疏松症伴衰弱患者跌倒风险,提升其平衡能力和信心,值得推广。Objective To explore the effect of health action process approach-based exercise intervention on fall risk in elderly patients with osteoporosis complicated with frailty.Methods Clinical data of 217 elderly patients with osteoporosis and frailty admit-ted to the hospital from January 2022 to December 2022 were retrospectively analyzed.Taking the implementation of health action process approach-based exercise intervention in our department(May 2022)as the dividing line,95 patients who received conven-tional intervention before implementation(from January 2022 to May 2022)were included in control group,and 122 patients who underwent health action process approach-based exercise intervention after implementation(from June 2022 to December 2022)were enrolled as observation group.The changes in fall risk,balance ability and balance confidence were compared between the two groups before intervention and after 3 months of intervention.Results After 3 months of intervention,the fall risk scores in the two groups were decreased compared with those before intervention,and the scores in observation group were lower(P<0.05).The scores of balance ability and balance confidence were increased in both groups,and the scores were higher in observation group(P<0.05).Conclusion Health action process approach-based exercise intervention strategy can help to reduce the fall risk and improve the balance ability and confidence in elderly patients with osteoporosis and frailty.

关 键 词：健康行动过程取向理论 运动干预 老年骨质疏松症 

分 类 号：R473.5[医药卫生—护理学]