摘要
目的探索基于格林模式的健康促进方案在老年衰弱患者中的应用效果。方法采用便利抽样法,选取2023年6-12月在某三级甲等医院老年综合评估护理门诊的老年衰弱患者98例为研究对象,采用随机数字表法将其分为观察组和对照组,各49例。对照组接受常规护理门诊健康教育,观察组在对照组基础上接受基于格林模式的健康促进方案。采用老年综合评估的衰弱指数(FI⁃CGA)、握力、一般自我效能感量表(GSES)和内脏脂肪面积(VFA)比较两组患者干预3个月及6个月后的健康管理效果。结果两组患者在干预6个月后的GSES得分、FI⁃CGA、握力均较干预前和干预后3个月升高,VFA则有所下降。干预6个月后,观察组患者FI⁃CGA、GSES得分、握力均高于对照组(P<0.05),VFA则低于对照组(P<0.05)。结论基于格林模式的健康促进方案相较于传统的护理门诊健康教育可以更快、更有效地改善老年人肌力,减少内脏脂肪面积,减缓老年衰弱的进展,从而提升老年人的自我效能。
Objective To explore the effects of a Precede-Proceed model-based health promotion program in elderly patients with frailty.Methods A total of 98 elderly patients with frailty who visited the comprehensive geriatric assessment clinic at a GradeⅢ⁃A hospital from June to December 2023 were selected by convenience sampling.They were randomly divided into an observation group(n=49)and a control group(n=49)using a random number table.The control group received conventional health education at the nursing clinic,while the observation group additionally participated in a Precede-Proceed model-based health promotion program.Health management effects were compared between the two groups 3 and 6 months post-intervention in terms of the Frailty Index based on Comprehensive Geriatric Assessment(FI⁃CGA),grip strength,General Self-Efficacy Scale(GSES)and visceral fat area(VFA).Results GSES scores,FI⁃CGA and grip strength improved and VFA decreased in both groups 6 months post-intervention compared to pre⁃intervention and 3 months postintervention.FI⁃CGA scores,GSES scores and grip strength in the observation group were higher than those in the control group(P<0.05)and VFA was lower than that in the control group(P<0.05)6 months postintervention.Conclusion Compared to conventional health education at nursing clinics,the Precede-Proceed model⁃based health promotion program more rapidly and effectively improves muscle strength,reduces VFA and mitigates frailty progression in the elderly,consequently improving their self⁃efficacy.
作者
吴敏婕
吴申慧
严玉茹
WU Minjie;WU Shenhui;YAN Yuru(Renji Hospital Affiliated to Shanghai Jiao Tong University School of Medicine,Shanghai 200127)
出处
《上海护理》
2025年第8期1-5,共5页
Shanghai Nursing
基金
上海交通大学医学院附属仁济医院护理部2022年度院内护理管理课题(hlglkt2022-003)。
关键词
老年衰弱
格林模式
健康促进
健康管理
自我效能
人体成分测试
Elderly frailty
Precede⁃Proceed Model
Health promotion
Health management
Self⁃efficacy
Body composition analysis
作者简介
吴敏婕(1987-),女,护师,本科,主要从事老年护理工作;通信作者:严玉茹(1981-),女,副主任护师,本科,主要从事老年护理及老年衰弱患者健康管理工作。E-mail:yanyuru@renji.com。
