The Construction And Application Of The Exercise Intervention Mode For Frailty And Early Frailty Elderly In Community Based On The "Internet +"

Objective:Through qualitative research,the subjective and objective factors affecting exercise compliance of frail elderly people in community were investigated and understood.Based on the sports health management platform,the exercise intervention model was constructed,and the intervention effect for the elderly with frailty and early frailty was discussed.Methods:1.Qualitative investigation stageNineteen frail elderly people who were enrolled in Dongfeng Community Physical Examination Center in Bengbu City from November to December 2019 were selected as the research subjects.Data were collected according to the semi-structured method to conduct one-to-one interviews.Before that,explain the purpose,significance and main content to the interviewee.Each session lasted between 20 and 40 minutes.Processes,analyzes and rereadings data,proposes valuable ideas,classifies and encodes data,and further sublimates the theme.2.Intervention stageThere are two main parts in this stage: the construction of exercise intervention program and the implementation of intervention program.In the stage of building exercise program,based on the results of health examination and fitness,information management technology is applied to establish an exercise health file for individuals,and the closedloop health promotion service flow of exercise health detection,health assessment,health intervention and tracking management is realized.The experimental intervention phase belongs to the class of experimental studies.Sixty frail and pre-frail elderly people in Dongfeng Community of Bengbu from October to November 2019 were selected,and 60 subjects were included into the sequential coding,with the even number as the intervention group(n=30)and the odd number as the control group(n=30).The control group was exercised twice a week,60 min each time,for 12 weeks under the guidance of professional nursing staff.On the basis of the control group,the intervention group implemented the health care service based on the information platform.Data were collected and analyzed by SPSS20.0 software to evaluate the intervention effect.Results:(1)Lack of knowledge and cognitive level of exercise is not high:(1)Lack of knowledge and skills of regular exercise.(2)The benefits of exercise adherence are unclear.(3)Single channels for obtaining sports information.(2)the benefits of exercise and the consideration of movement disorders:(1)the conflict between exercise intention and perception disorders.(2)The conflict between self-improvement and social responsibility.The conflict between long-term goals and short-term temptations.(3)There are many factors that affect the change of sports behavior:(1)self habit and tolerance degree.(2)Selfefficacy and psychological emotions.Social support and environmental resources.2.Evaluation of intervention effect:(1)The scores of functional test after intervention were significantly increased in both the intervention group and the control group: SPPB total score(P<0.001),chair standing test(P<0.001),balance standing time on one leg(P<0.001),TUG(P<0.001).(2)Frailty score and fat mass were significantly reduced in both the intervention group and the control group(P<0.001).(3)TFI,vital capacity,BMI,left arm muscle,right arm muscle,left leg muscle and right leg muscle had no statistical significance between the intervention group and the control group before and after intervention(P>0.05).(4)After 12 weeks of intervention,there were significant differences in DSSI scores and loneliness scores between the intervention group and the control group(P<0.001);There were no significant changes in SAS and SD scores between the intervention group and the control group(P>0.05).Conclusion:1.Through qualitative research,this study clarified the influential factors of exercise for the frail elderly in the community,including lack of exercise knowledge,skills and access channels,self-efficacy and psychological emotions,social support and environmental resources,etc.,so as to provide a basis for the formulation of exercise intervention measures for the frail elderly.2.The exercise intervention model based on "Internet +" has effectively enhanced the physical condition,psychological and social support,and improved the elderly’s sense of exercise self-efficacy.Especially with the development of online sports health information management mode,the design,implementation and supervision of rehabilitation exercise prescription for the frail elderly in the community can optimize the effect of exercise rehabilitation.