Construction Of Exercise Program For Elderly Frailty In Nursing Homes

Research Purpose:This study is based on evidence-based nursing to form a guiding exercise management program for frail patients in our nursing homes.Objective to explore the suitable exercise plan for the elderly patients in elderly care institutions,in order to alleviate or reverse their frailty,and respond to the policies and requirements of strengthening health promotion and disease prevention for the elderly.Research Methods:1.Through the systematic search of the relevant guidelines and articles of the elderly at home and abroad,and the quality evaluation of the included guidelines and articles,the first draft of the sports management plan for the elderly in nursing homes was summarized.2.On the basis of the first draft of the scheme,Delphi method was used to conduct two rounds of expert consultation by E-mail,questionnaire star or personal questionnaire.Through reliability analysis and opinion modification,the final draft of the sports management scheme for the frail elderly in nursing homes was finally formed.Research Results:1.After searching the guide website and bibliographic database,26 articles were obtained,including 8 guides,1 expert consensus,12 systematic reviews and 5 original studies.According to the content of the literature,the first draft of the program was drawn up,covering five aspects:frailty management,attention,exercise prescription,effect evaluation and health education.2.19 questionnaires were sent out in two rounds of expert inquiry,and the final effective recovery rate was 100%,indicating that the experts were highly active in this study.The authority coefficient(Cr)of the first round of expert consultation is 0.858,and that of the second round is0.874,which indicates that experts are highly credible.Kendall’s coordination coefficient(W)was between 0.094 and 0.266(P<0.05),which indicated that the expert opinions were highly coordinated and the results were reliable.Finally,43 specific contents including five dimensions of infirmity management,health education,precautions,exercise prescription and effect evaluation were determined.Research Conclusion:Based on evidence-based nursing and Delphi methodology,this study constructs a program of exercise management for the elderly in nursing homes.The program includes 5 first-class subclauses,11 second-class subclauses and 43 third-class subclauses,including infirmity management,health education,exercise precautions,exercise prescription and effect evaluation,the index is scientific,reliable and feasible.It can provide reference for the professionals of primary health care institutions to carry out the individualized exercise plan for the elderly,and has certain guiding significance for improving the situation of the elderly in nursing homes.