基于计划行为理论的干预对肌少症老年人肌肉衰减状况及平衡能力的效果

doi:10.3969/j.issn.1006-9771.2023.08.001

Abstract

Abstract:

Objective To explore the effect of intervention based on theory of planned behavior on muscle attenuation and balance of the elderly with sarcopenia.
Methods From September, 2022 to February, 2023, 124 elderly people with sarcopenia were conveniently sampled from Lishuiwan Community and Shuxiangyuan Community in Shijiazhuang City, Hebei Province. According to the coin toss, 62 elderly people from Shuxiangyuan Community were designated as control group, and 62 elderly people from Lishuiwan Community were as intervention group. The intervention group implemented the intervention based on the theory of planned behavior, including behavior attitude, behavior, subjective norms, perceived behavior control and behavior awareness; the control group maintained their original lifestyle, for twelve weeks. Before and after intervention, the grip strength, time of Five-Times-Sit-to-Stand Test, relative appendicular skeletal muscle index (RASM), 6-minute walking speed and the score of Berg Balance Scale (BBS) were compared.
Results After intervention, the grip strength, RASM, 6-minute walking speed, and the score of BBS significantly increased, and the time of Five-Times-Sit-to-Stand Test shortened in the intervention group (|Z| > 6.257, |t| > 28.643, P < 0.001), and they were better in the intervention group than in the control group (|Z| > 2.288, |t| > 3.177, P < 0.05).
Conclusion The intervention based on theory of planned behavior can effectively relieve the muscle attenuation of the elderly with sarcopenia, and improve their balance ability.

Key words: sarcopenia, elderly, theory of planned behavior, balance

CLC Number:

R685

YANG Ya'nan, MU Liping, XING Fengmei, XUE Xinhong, WANG Xiaoguang, TAO Yangyu, SUN Zhumei, ZHANG Xiaoli. Effect of intervention based on theory of planned behavior on muscle attenuation and balance of the elderly with sarcopenia[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(8): 869-874.

Figures/Tables 6

References 27

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组别	n	性别(男/女)/n	年龄/岁	婚姻状况(有配偶/无配偶)/n	文化程度(小学及以下/初中/高中(中专)及以上)/n	家庭月收入(< 1000元/1000~2999元/3000~5000元/> 5000元)/n
对照组	62	32/30	74.15±5.40	44/18	25/27/10	15/29/12/6
干预组	62	30/32	74.92±5.68	40/22	24/27/11	16/27/13/6
t/χ²值		0.129	0.777	0.590	0.068	0.144
P值		0.719	0.438	0.442	0.967	0.986

组别	n	干预前	干预后	Z值	P值
对照组	60	17.80(14.93, 22.05)	17.75(14.93, 22.05)	2.373	0.018
干预组	61	17.20(15.15, 21.90)	19.50(17.05, 24.95)	-6.795	< 0.001
Z值		0.231	-3.090
P值		0.818	0.002

组别	n	干预前	干预后	t值	P值
对照组	60	16.88±3.60	16.84±3.63	0.909	0.367
干预组	61	16.76±3.12	14.78±3.05	38.792	< 0.001
t值		-0.200	-3.377
P值		0.842	0.001

组别	n	干预前	干预后	Z值	P值
对照组	60	5.65(5.30, 6.30)	5.60(5.23, 6.30)	1.890	0.059
干预组	61	5.60(5.25, 6.20)	5.80(5.45, 6.50)	-6.871	< 0.001
Z值		0.457	-2.288
P值		0.647	0.022

组别	n	干预前	干预后	Z值	P值
对照组	60	0.70(0.60, 0.80)	0.70(0.60, 0.80)	1.732	0.083
干预组	61	0.70(0.60, 0.80)	0.80(0.70, 0.90)	-6.257	< 0.001
Z值		0.201	-3.822
P值		0.841	< 0.001

Effect of intervention based on theory of planned behavior on muscle attenuation and balance of the elderly with sarcopenia

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组别	n	干预前	干预后	t值	P值
对照组	60	27.03±6.14	26.93±6.18	1.351	0.182
干预组	61	26.64±6.69	30.70±6.86	-28.643	< 0.001
t值		-0.337	3.177
P值		0.736	0.002

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