The Effect Of Balance Training On Frailty For The Elderly Patients With Chronic Diseases

Objective:To investigate the current situation of frailty in elderly patients with chronic diseases and analyze the influencing factors.To explore the influence of balance training on frailty in elderly patients with chronic diseases,to reduce or delay the occurrence and development of frailty in elderly patients with chronic diseases and to reduce the risk of adverse health outcomes such as falls,disability,hospitalization and death,and to improve the quality of life.Methods:A cross-sectional survey was conducted to investigate the frailty of 235 elderly patients with chronic diseases in the First Bethune Hospital of JiLin University,and the influencing factors were analyzed.Then,according to the suggestions of experts and the opinions of elderly patients with chronic diseases,the balance training intervention program was formed.85 patients in pre-frailty or frailty period were selected from the elderly patients with chronic diseases in the previous investigation,and randomly divided into control group and intervention group by the random number table.A randomized controlled trial was conducted to explore the application effect of balance training in the elderly with chronic diseases.Among them,42 were in the control group and 43 were in the intervention group.The control group received routine nursing care while the intervention group received balance training for 6 months at home.The outcome indicators of the subjects were collected at pre-intervention,three months after intervention and six months after intervention.Statistical methods:IBM SPSS 24.0 was used for data analysis.The two-sided test standard was used,and P<0.05 indicated that the difference was statistically significant.Mean and standard deviation ??? were used to describe the measurement data that subject to normal distribution,median?quartile spacing?[M(P₂₅,P₇₅)]was used for data failure,and frequency and percentage were used to describe the counting data.In the cross-sectional survey,Anova,non-parametric statistical Kruskal-Wallis H test or chi-square test was used for single factor analysis,multiple linear regression analysis was used for multiple-factor analysis,and Spearman was used for correlation analysis.In the randomized controlled trial,inter-group comparison:two independent sample t test was used to test the measurement data that subject to normal distribution,non-parametric statistical Mann-Whitney U rank and test was used for data failure,and the chi-square test was used for the counting data.Intra-group comparison:the multi-measure analysis of variance was used to test the measurement data that subject to normal distribution,Friedman rank and test was used for data failure,and the chi-square test was used for the counting data.Results:1.The average score of frailty of elderly patients with chronic diseases was?1.38±1.72?,43?18.3%?patients were pre-frailty and 67?28.5%?patients were frailty.The frequency of 5indicators of frailty from high to low were:low grip strength,slow walking speed,low activity,fatigue and weakness.Age,gender,education level,type of medical insurance,smoking,alcohol consumption,and risk of falling were all factors influencing frailty of elderly patients with chronic diseases.In addition,cognitive status and depression were also correlated with frailty?r=-0.187,0.170?.2.A total of 85 elderly patients with chronic diseases were included in the randomized controlled trial.In the intervention group during this study,1 cases were excluded,2 cases were lost.In the control group during this study,2 cases were excluded.Both in the intervention group and control group,40 elderly patients with chronic diseases completed the whole study and data collection.Intra-group comparison,after 3 months of intervention,the cognitive ability of the intervention group was better than the baseline?P<0.05?.After 6months of intervention,the frailty of the intervention group was better than the baseline,and the risk of falling was lower than the baseline?P<0.05?.Inter-group comparison,after intervention,the frailty and the cognitive ability of the intervention group were better than that of the control group?P<0.05?;The risk of falling and depression were lower than that of control group?P<0.05?.Conclusions:1.The incidence of frailty was high in elderly patients with chronic diseases.Advanced age,female,low education,smoking,drinking,and high risk of falls were risk factors for frailty in elderly patients with chronic diseases.2.Among the elderly patients with chronic diseases,cognitive status,depression status and frailty were correlated.3.The balance training used in this study is beneficial to improve the frailty of elderly patients with chronic diseases,reduce their risk of falls,improve their cognitive ability,and alleviate depressive symptoms.