| 吴敏婕,吴申慧,严玉茹.基于格林模式的健康促进方案在老年衰弱人群中的应用[J].上海护理,2025,25(8): |
| 基于格林模式的健康促进方案在老年衰弱人群中的应用 |
| The Application of Health Promotion Plan Based on Green's Model in Elderly Frail Population |
| 投稿时间：2024-08-22 修订日期：2025-07-28 |
| DOI： |
| 中文关键词: 老年衰弱 格林模式 健康促进 自我效能 人体成分测试 |
| 英文关键词:Elderly frailty,Green's Model,Health Promotion Plan,General Perceived Self-Efficacy Scale,Bioelectrical impedance analysis |
| 基金项目: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) |
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| 中文摘要: |
| 背景 我国处于人口老龄化快速发展阶段,老年衰弱患者比例居高,极易引起不良事件的发生。格林模式作为全球使用最广泛、最权威之一的健康干预模型,将其应用于老年衰弱患者中。以基于格林模式理念构建适合老年衰弱患者的健康促进方案,以达到延缓或改善老年衰弱的进展。目的 探索基于格林模式的健康促进方案在老年衰弱人群中的应用效果。方法 采用便利抽样法抽取2023年6月—2023年12月在某三甲医院老年综合评估护理门诊的老年衰弱人群98人,采用随机数字表法将老年衰弱人群分为观察组和对照组,每组49人,观察组采用基于格林模式的健康促进方案,对照组采用常规护理门诊健康教育模式。比较两组分别在3个月及6个月后健康管理效果。结果? 2组在干预6个月后的一般自我效能感(GSES)评分,基于老年综合评估的衰弱指数(FI-CGA)、握力均较干预前和干预后3月升高、内脏脂肪面积(VFA)有所下降；同期对比观察组与对照组发现,观察组在干预6个月后的基于老年综合评估的衰弱指数(FI-CGA)、 一般自我效能感(GSES)评分、 握力均高于对照组(P<0.05), 内脏脂肪面积(VFA)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、更有效的改善老年人肌力,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。 |
| 英文摘要: |
| Background Being in the rapid development stage of aging population, China is home to a high proportion of frail elderly patients, which is prone to the occurrence of adverse events.?The Green Model, one of the most widely used and authoritative health intervention models in the world, is applied to the treatment of frail elderly patients. Based on the concept of the Green Model, a health promotion scheme is formulated for frail elderly patients to delay aging progress or to improve their frailty conditions. Objective Evaluate the application effect of the health promotion scheme based on the Green Model in the treatment of frail elderly people. Methods With the convenience sampling method, 98 individuals are sampled among frail elderly patients from the comprehensive evaluation nursing outpatient for aged patients of a certain tertiary hospital from June to December in 2023. With the random number table method, the 98 individuals are divided into 2 groups respectively, observation group and control group, 49 per each. The Green Model based health promotion scheme is applied to the observation group, while the health education model of routine nursing outpatients is applied to the control group. Compare the health management results of the two groups after 3 months and 6 months. Results After 6-month intervention, figures of the two groups including the General Self-Efficacy Scale (GSES) scores, the frailty index (FI-CGA) based on a comprehensive geriatric assessment and the grip strength are all higher than those before intervention and those after 3-month intervention, while the figure of Visceral Fat Area (VFA) declines slightly; In comparison with the control group during the same period, it is found that the observation group surpasses the other group in terms of the General Self-Efficacy Scale (GSES) scores, the frailty index (FI-CGA) based on a comprehensive geriatric assessment and the grip strength (P<0.05), while getting lower of the two in the Visceral Fat Area (VFA) (P<0.05). Conclusion Compared with the traditional health education of routine nursing outpatients, the Green Model based health promotion scheme can improve muscle strength of the elderly, reduce the Visceral Fat Area, and delay the progress of frailty in a faster and more efficient way, thus enhancing the Self-Efficacy of the elderly. |
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