基于格林模式的护理方案在社区老年肌少症中的应用效果  

Application effect of nursing program based on Green model in community elderly patients with sarcopenia

作　　者：沈鸣霞 陶琼英 曹文婷 翟佳燚 叶玲珠 SHEN Mingxia;TAO Qiongying;CAO Wenting;ZHAI Jiayi;YE Lingzhu(Nursing Department,Jiading Town Street Community Health Service Center in Jiading District of Shanghai,Shanghai 201899,China;School of Nursing and Health Management,Shanghai University of Medicine&Health Sciences,Shanghai 200237,China)

机构地区：[1]上海市嘉定区嘉定镇街道社区卫生服务中心护理部,上海201899 [2]上海健康医学院护理与健康管理学院,上海200237

出　　处：《医药前沿》2025年第4期105-108,共4页Journal of Frontiers of Medicine

基　　金：嘉定区自然科学研究课题(JDKW-2021-0032)。

摘　　要：目的分析基于格林模式的护理方案在社区老年肌少症中的应用效果。方法选取2023年4—6月上海市嘉定区嘉定镇街道社区卫生服务中心参与65岁及以上体检的测量有前期和重症肌少症的患者100例,根据护理方案不同分为观察组和对照组各50例。对照组采用常规健康教育,观察组在对照组的基础上实施基于格林模式的护理方案。比较两组护理前后骨骼肌量、骨骼肌力、活动能力、生活质量和健康促进生活方式水平。结果护理前,两组骨骼肌量、骨骼肌力、6 min步行试验(6WMT)距离、36条目健康调查简表(SF-36)各维度评分和健康促进生活方式量表-Ⅱ各维度评分比较,差异无统计学意义(P>0.05)。护理后,两组骨骼肌量、骨骼肌力、6WMT距离、SF-36各维度评分及营养、运动、健康责任评分均长于或高于护理前,且观察组长于或高于对照组,差异有统计学意义(P<0.05);但两组压力管理、人际关系、精神成长评分比较,差异无统计学意义(P>0.05)。结论基于格林模式的护理方案能够有效改善社区老年肌少症患者的骨骼肌量、骨骼肌力和活动能力,提高其生活质量和健康促进生活方式水平。Objective To analyze the application effect of nursing program based on Green model in elderly people with sarcopenia in community.Methods From April to June 2023,a total of 100 patients aged 65 years and over who participated in the physical examination of Jiading Town Street Community Health Service Center in Jiading District of Shanghai were selected.According to different nursing methods,they were divided into observation group and control group,with 50 cases in each group.The control group was given routine health education,and the observation group was given nursing program based on Green model on the basis of the control group.The skeletal muscle mass,skeletal muscle strength,activity ability,quality of life and health-promoting lifestyle were compared between the two groups before and after nursing.Results Before nursing,there were no statistically significant differences in skeletal muscle mass,skeletal muscle strength,6 Minutes Walk Test(6WMT)distance,all dimensions of 36-Item Short-Form Health Survey(SF-36)and Health-Piomoting Lifestyle Profile-Ⅱscores between the two groups(P>0.05).After nursing,skeletal muscle mass,skeletal muscle strength,6WMT distance,SF-36 scores and nutrition,exercise and health responsibility scores were higher in both groups than before nursing,and the observation group was higher than the control group,with statistical significance(P<0.05);but there was no statistical significance in stress management,interpersonal relationship and spiritual growth scores between the two groups(P>0.05).Conclusions The nursing program based on Green model can effectively improve the skeletal muscle mass,skeletal muscle strength and activity ability of elderly patients with sarcopenia in community,improve their quality of life and the level of health-promoting lifestyle.

关 键 词：肌少症 老年人 格林模式 护理方案 骨骼肌量 骨骼肌力 6 min步行试验 36条目健康调查简表 健康促进生活方式量表-Ⅱ 

分 类 号：R473[医药卫生—护理学]