社区老年人肌少症非药物管理的最佳证据总结  

Summary of best evidences on non-pharmacological management of sarcopenia in community-dwelling older adults

作　　者：陈丽娟 黄欢欢 唐娇 蒋思琪 赵庆华[1] 胥利[3] 王春妮 CHEN Lijuan;HUANG Huanhuan;TANG Jiao;JIANG Siqi;ZHAO Qinghua;XU Li;WANG Chunni(Department of Nursing,First Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China;School of Nursing,Chongqing Medical University,Chongqing 400016,China;Health Management Center,First Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China)

机构地区：[1]重庆医科大学附属第一医院护理部,重庆400016 [2]重庆医科大学护理学院,重庆400016 [3]重庆医科大学附属第一医院健康管理中心,重庆400016

出　　处：《重庆医学》2024年第23期3625-3632,共8页Chongqing Medical Journal

基　　金：中华医学会杂志社2022-2023年护理学科研究课题(CMAPH-NRI2022059)。

摘　　要：目的检索、评价并汇总社区老年人肌少症非药物管理的相关证据,为制订科学、有效的老年人肌少症健康管理方案提供循证依据。方法按照“6S”证据资源金字塔模型,根据PIPOST原则构建循证问题,检索UpToDate、JBI循证卫生保健中心、Cochrane Library、DynaMed、国际指南网、加拿大安大略注册护士协会指南网、梅斯指南网、医脉通、PubMed、CINAHL、Web of Science、中国知网、万方医学网、中华医学会期刊全文数据库中关于老年人肌少症非药物管理的相关证据,检索时间为2018年1月1日至2023年11月1日。结果共纳入20篇文献,包括1篇临床决策、2篇指南、7篇专家共识、10篇系统评价或meta分析。总结出包括筛查与评估、膳食营养管理、运动指导和健康教育4个方面的42条证据,其中A级推荐25条,B级推荐17条。结论医护人员应结合实际情况、医疗条件和患者个体因素选择最佳证据,指导老年肌少症患者安全有效地改善生活方式,提高生活质量。Objective To retrieve,evaluate and summarize the related evidences on non-pharmacological management of sarcopenia in community-dwelling older adults to provide an evidence-based basis for formulating a scientific and effective health management program for sarcopenia in older adults.Methods According to the“6S”evidence resource pyramid model,the UpToDate,JBI Center for Evidence-based Health Care,Cochrane Library,DynaMed,Guidelines International Network,Registered Nurses’Association of Ontario,MedSci,Yimaitong,PubMed,CINAHL,Web of Science,CNKI,Wanfang,and CBM for evidence related to the nonpharmacological management of sarcopenia in older adults.The retrival time was from January 1,2018 to November 1,2023.Results A total of 20 literatures were included,including 1 clinical decision,2 guidelines,7 expert consensuses and 10 systematic evaluations or meta analysis.Forty-two pieces of evidence were summarized in 4 aspects including screening and assessment,dietary and nutritional management,exercise guidance and health education,in which there were 25 recommendations for the level A and 17 recommendations for Level B.Conclusion Medical staff should select the best evidence by combining with the actual situation,medical conditions and individual factors of the patients,and guide elderly patients with sarcopenia to improve their lifestyle and quality of life safely and effectively.

关 键 词：肌少症 老年人 膳食营养 运动 循证护理 

分 类 号：R473.2[医药卫生—护理学]