基于计划行为理论的干预对肌少症老年人肌肉衰减状况及平衡能力的效果

doi:10.3969/j.issn.1006-9771.2023.08.001

《中国康复理论与实践》 ›› 2023, Vol. 29 ›› Issue (8): 869-874.doi: 10.3969/j.issn.1006-9771.2023.08.001

• 专题运动和平衡功能康复 • 上一篇下一篇

基于计划行为理论的干预对肌少症老年人肌肉衰减状况及平衡能力的效果

杨雅楠^1a, 穆丽萍^1a, 邢凤梅^1a(), 薛新宏², 王晓光², 陶徉聿², 孙竹梅^1b, 张小丽^1a

1.华北理工大学，a.护理与康复学院;b.临床医学院，河北唐山市 063200
2.华北理工大学附属医院康复科，河北唐山市 063000

收稿日期:2023-05-12 修回日期:2023-07-12 出版日期:2023-08-25 发布日期:2023-10-09
通讯作者: 邢凤梅 E-mail:598461347@qq.com
作者简介:杨雅楠(1998-)，女，汉族，河北石家庄市人，硕士研究生，主要研究方向：老年护理。
基金资助:
2023年政府资助临床医学优秀人才培养项目(ZF2023004)

Effect of intervention based on theory of planned behavior on muscle attenuation and balance of the elderly with sarcopenia

YANG Ya'nan^1a, MU Liping^1a, XING Fengmei^1a(), XUE Xinhong², WANG Xiaoguang², TAO Yangyu², SUN Zhumei^1b, ZHANG Xiaoli^1a

1. a. College of Nursing and Rehabilitation; b. College of Clinical Medicine, North China University of Science and Technology, Tangshan, Hebei 063200, China
2. Department of Rehabilitation, North China University of Science and Technology Affiliated Hospital, Tangshan, Hebei 063000, China

Received:2023-05-12 Revised:2023-07-12 Published:2023-08-25 Online:2023-10-09
Contact: XING Fengmei E-mail:598461347@qq.com
Supported by:
2023 Government Funded Clinical Medicine Excellent Talent Training Project(ZF2023004)

摘要/Abstract

摘要：

目的探讨基于计划行为理论的干预对肌少症老年人肌肉衰减和平衡能力的效果。
方法 2022年9月至2023年2月，便利抽取河北省石家庄市丽水湾社区和书香苑社区的124例肌少症老年人，抛硬币法将书香苑社区的62例老年人设为对照组，丽水湾社区的62例老年人设为干预组。干预组实施基于计划行为理论的干预，包括行为态度、行为、主观规范、知觉行为控制和行为意向5个方面;对照组保持原来的生活方式，共干预12周。干预前后比较两组握力、5次坐立试验时间、相对四肢骨骼肌指数(RASM)、6 m步速和Berg平衡量表(BBS)评分。
结果干预后，干预组握力、RASM、6 m步速和BBS评分显著提高，5次坐立试验时间显著缩短(|Z| > 6.257, |t| > 28.643, P < 0.001)，且均优于对照组(|Z| > 2.288, |t| > 3.177, P < 0.05)。
结论基于计划行为理论的干预可有效改善肌少症老年人的肌肉衰减，提高平衡能力。

关键词: 肌少症, 老年人, 计划行为理论, 平衡

Abstract:

Objective To explore the effect of intervention based on theory of planned behavior on muscle attenuation and balance of the elderly with sarcopenia.
Methods From September, 2022 to February, 2023, 124 elderly people with sarcopenia were conveniently sampled from Lishuiwan Community and Shuxiangyuan Community in Shijiazhuang City, Hebei Province. According to the coin toss, 62 elderly people from Shuxiangyuan Community were designated as control group, and 62 elderly people from Lishuiwan Community were as intervention group. The intervention group implemented the intervention based on the theory of planned behavior, including behavior attitude, behavior, subjective norms, perceived behavior control and behavior awareness; the control group maintained their original lifestyle, for twelve weeks. Before and after intervention, the grip strength, time of Five-Times-Sit-to-Stand Test, relative appendicular skeletal muscle index (RASM), 6-minute walking speed and the score of Berg Balance Scale (BBS) were compared.
Results After intervention, the grip strength, RASM, 6-minute walking speed, and the score of BBS significantly increased, and the time of Five-Times-Sit-to-Stand Test shortened in the intervention group (|Z| > 6.257, |t| > 28.643, P < 0.001), and they were better in the intervention group than in the control group (|Z| > 2.288, |t| > 3.177, P < 0.05).
Conclusion The intervention based on theory of planned behavior can effectively relieve the muscle attenuation of the elderly with sarcopenia, and improve their balance ability.

Key words: sarcopenia, elderly, theory of planned behavior, balance

中图分类号:

R685

杨雅楠, 穆丽萍, 邢凤梅, 薛新宏, 王晓光, 陶徉聿, 孙竹梅, 张小丽. 基于计划行为理论的干预对肌少症老年人肌肉衰减状况及平衡能力的效果[J]. 《中国康复理论与实践》, 2023, 29(8): 869-874.

YANG Ya'nan, MU Liping, XING Fengmei, XUE Xinhong, WANG Xiaoguang, TAO Yangyu, SUN Zhumei, ZHANG Xiaoli. Effect of intervention based on theory of planned behavior on muscle attenuation and balance of the elderly with sarcopenia[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(8): 869-874.

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组别	n	性别(男/女)/n	年龄/岁	婚姻状况(有配偶/无配偶)/n	文化程度(小学及以下/初中/高中(中专)及以上)/n	家庭月收入(< 1000元/1000~2999元/3000~5000元/> 5000元)/n
对照组	62	32/30	74.15±5.40	44/18	25/27/10	15/29/12/6
干预组	62	30/32	74.92±5.68	40/22	24/27/11	16/27/13/6
t/χ²值		0.129	0.777	0.590	0.068	0.144
P值		0.719	0.438	0.442	0.967	0.986

组别	n	干预前	干预后	Z值	P值
对照组	60	17.80(14.93, 22.05)	17.75(14.93, 22.05)	2.373	0.018
干预组	61	17.20(15.15, 21.90)	19.50(17.05, 24.95)	-6.795	< 0.001
Z值		0.231	-3.090
P值		0.818	0.002

组别	n	干预前	干预后	t值	P值
对照组	60	16.88±3.60	16.84±3.63	0.909	0.367
干预组	61	16.76±3.12	14.78±3.05	38.792	< 0.001
t值		-0.200	-3.377
P值		0.842	0.001

组别	n	干预前	干预后	Z值	P值
对照组	60	5.65(5.30, 6.30)	5.60(5.23, 6.30)	1.890	0.059
干预组	61	5.60(5.25, 6.20)	5.80(5.45, 6.50)	-6.871	< 0.001
Z值		0.457	-2.288
P值		0.647	0.022

组别	n	干预前	干预后	Z值	P值
对照组	60	0.70(0.60, 0.80)	0.70(0.60, 0.80)	1.732	0.083
干预组	61	0.70(0.60, 0.80)	0.80(0.70, 0.90)	-6.257	< 0.001
Z值		0.201	-3.822
P值		0.841	< 0.001

基于计划行为理论的干预对肌少症老年人肌肉衰减状况及平衡能力的效果

Effect of intervention based on theory of planned behavior on muscle attenuation and balance of the elderly with sarcopenia

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组别	n	干预前	干预后	t值	P值
对照组	60	27.03±6.14	26.93±6.18	1.351	0.182
干预组	61	26.64±6.69	30.70±6.86	-28.643	< 0.001
t值		-0.337	3.177
P值		0.736	0.002

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