The development and application of the mobile frailty management platform for Chinese community-dwelling older adults  

中国社区老年人移动衰弱管理平台的构建与应用研究

作　　者：Jjiayi Hou Xinrui Wan Mengjie Li Gujuan He 侯佳怡;万昕瑞;厉蒙杰;何桂娟

机构地区：[1]School of Nursing,Zhejiang Chinese Medical University,Hangzhou,Zhejiang,China [2]Department of Nursing Affiliated Hospital of Chengdu University of Traditional Chinese Medicine,Chengdu,Sichuan,China

出　　处：《International Journal of Nursing Sciences》2025年第2期115-122,I0001,共9页国际护理科学(英文)

摘　　要：Objectives:This study aimed to develop a mobile frailty management platform for Chinese communitydwelling older adults and evaluate its effectiveness,usability and safety.Methods:Based on literature research,the research team combined the frailty cycle and integration models,self-determination theory,and technology acceptance models and determined the frailty interventions through expert discussion,then transformed it into multimedia resources,finally,engineers developed the mobile management platform.A cluster sampling,parallel,single-blind,controlled quasiexperimental trial was conducted.Sixty older adults from two community health service centers were recruited from March to August 2023.The control group received routine community care,while the intervention group used the mobile frailty management platform.The incidence of frailty,scores of quality of life,depression,sleep quality,and grip strength within 12 weeks were compared between the two groups,and the availability and safety of the platform were assessed.Results:A total of 52 participants completed the study,27 in the intervention group and 25 in the control group.At 12 weeks after the intervention,the frailty state of the intervention group was reversed to prefrailty.There were no significant differences in the scores of quality of life,depression,sleep quality,and grip strength between the two groups before and 4 weeks after intervention.At 8 weeks and 12 weeks after the intervention,the quality of life,depression,and grip strength of the intervention group were improved with statistical significance(P<0.05).Sleep quality was statistically significant only 12 weeks after the intervention(P<0.05).System Usability Scale score for the platform was(87.96±5.88),indicating a highly satisfactory user experience.Throughout the intervention,no adverse events were reported among the older adults.Conclusions:The mobile frailty management platform effectively improved frailty status,depressive mood,sleep quality,grip strength,and quality of life for Chinese com目的构建中国社区老年人移动衰弱管理平台并评价其应用效果。方法基于文献研究,结合衰弱循环模型与整合模式、自我决定理论与技术接受模型,通过专家讨论法确定衰弱干预方案后将其转化为多媒体资源,由工程师开发移动管理平台。2023年3月至8月,采用整群抽样法在两所社区卫生服务中心选取60名老年人为研究对象,试验组接受移动衰弱管理干预,对照组接受常规社区管理,共干预12周。比较两组老年人衰弱发生率、生活质量、抑郁、睡眠质量与握力得分的差异,并评价平台的可用性及安全性。结果共52名老年人完成干预,其中试验组27名,对照组25名。干预12周后,试验组的衰弱状态均逆转为衰弱前期。干预前及干预4周后,两组生活质量、抑郁、睡眠质量和握力得分的比较,差异无统计学意义;干预8周和12周后,试验组生活质量、抑郁和握力得分的比较,差异有统计学意义;而睡眠质量仅在干预12周后改善明显,差异有统计学意义。平台可用性量表得分为(87.96±5.88)分,无相关不良事件发生。结论该研究构建的移动衰弱管理平台能有效改善老年人衰弱状态、抑郁及睡眠质量,增强握力并提升生活质量,具有临床实用价值。

关 键 词：COMMUNITY FRAILTY Mobile health Older adults Quasi-experimental trial Qualityof life Sleep quality 

分 类 号：R473.2[医药卫生—护理学]