| Objective:To understand the current situation and its influencing factors of the elderly frailty in nursing homes,to construct a lifestyle intervention program suitable for the elderly in nursing homes based on the influencing factors,and validate the feasibility and effectiveness of the programMethod:This study was divided into two stages:(1)The investigation stage:Using convenient sampling method to select 245 cases elderly people from a public nursing homes in wuhan city as the research object,use the self-designed general situation questionnaire,the elderly debilitating assessment scale?health promoting lifestyle scale?quality of life questionnaire(SF-12)face-to-face survey?and analyze the present situation and the main influence factors of frailty of the elderly in nursing homes,to provide the basis for developing intervention research.(2)Intervention phase:? Construction of intervention program:the first draft of lifestyle intervention plan was made by consulting relevant literature and combining the opinions of geriatrics experts,and then the final draft was made through group discussion,expert consultation and pre-experiment..? Implementation of intervention program:accordance with the inclusion and exclusion criteria,72 cases of elderly frailty patients were selected as test subjects,according to different residential buildings,36 cases were divided into the intervention group and the control group.The control group was given general health education.The intervention group carried out lifestyle intervention,including face-to-face distribution of health education brochure,thematic intervention,diet prescription,group exercise,and face-to-face feedback.The lifestyle intervention lasted for 3 months.Data were collected before,1 month after and 3 months after intervention for statistical analysis and effect evaluation.SPSS 19.0 software was used for statistical analysis of data.General demographic data:mean and standard deviation were used for measurement data,and frequency and percentage were used for counting data.Chi-square test,t test,F test or kruskal-wallis H rank sum test were used for inter-group comparison.The outcome indicators at different time points before and after intervention were compared by repeated measure analysis of variance.Results:(1)The incidence of the elderly frailty in nursing institutions was 57.14%,the total frailty score was(8.16±3.72),and the frailty in physiological dimension was the most serious.Multiple linear regression analysis showed that age,education level and chronic diseases were the influencing factors of frailty(P<0.05),and health promoting lifestyle was the protective factor of frailty.Improving the level of exercise,nutrition and mental health of the elderly is the focus of lifestyle intervention.(2)After intervention,the frailty,HPLP-?R and sf-12 scores of the elderly in pension institutions were all improved to a certain extent,with significant statistical significance(P<0.05).Conclusion:Age,education level,chronic disease,sleep quality,health promoting lifestyle are the main influencing factors of elderly frailty in nursing institutions.The lifestyle intervention program in this study is highly operable,it can fully mobilize the enthusiasm of the elderly in nursing homes,improve their health promotion lifestyle level and physiological functions,reduce their anxiety and depression and other negative emotions,increase the social adaptability,thus to reduce the overall level of frailty and improve the quality of life. |
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