李冬艳,刘 颖,陈 燚,肖 芳,刘佳怡

本文将跨理论模型在老年肌少症患者自我运动管理中进行应用综述，包括以下几个方面：老年肌少症的概念、流行病学的特点、跨理论模型的引入、健康信念模式、相关影响因素、国内外研究以及评估工具。旨在为老年肌少症患者自我运动管理方面的干预策略提供理论支持和实践指导。

老年肌少症；跨理论模型；自我运动管理；研究进展

[1] CHEN L K, WOO J, ASSANTACHAI P, et al. Asian Working Group for Sarcopenia: 2019 Consensus Update on Sarcopenia Diagnosis and Treatment[J]. J Am Med Dir Assoc,2020,21(3): 300-307. [2] 中华人民共和国 2023 年国民经济和社会发展统计公报 http://www.stats.gov.cn/tjsj./zxfb/2024-03/01/content_37176534.htm. [3] 陈红梅,黄石松.全球性人口老龄化的挑战与中国应对[J].中国国情国力,2019(9): 32-34. [4] CRUZ-JENTOFT A J, BAHAT G, BAUER J, et al. Sarcopenia: revised European consensus on definition and diagnosis[J]. Age Ageing,2019,48(4): 601. [5] LIU X, WANG Y, WANG Z, et al. Association between sarcopenia-related traits and cardiovascular diseases: a bi-directional Mendelian randomization study[J]. Front Endocrinol (Lausanne),2023,14: 1237971. [6] 孙璐,钟娟平,牛雪庭,等.老年肌少症病人跌倒风险的研究进展[J].全科护理,2024,22(03): 431-435. [7] KIRK B, PHU S, BRENNAN-OLSEN S L, et al. Associations between osteoporosis, the severity of sarcopenia and fragility fractures in community-dwelling older adults[J]. Eury Geriatric Med,2020,11(3): 443-450. [8] 范华霞,罗芳,代静,等.老年冠心病患者肌少症发生情况与心功能的相关性研究[J].中华老年心脑血管病杂志,2023,25(08): 814-817. [9] 马懿真,杨丽娜.糖尿病性肌少症的实验研究进展[J].中国糖尿病杂志,2024,32(03): 231-234. [10] 王明强,马丽,卢海霞.低强度抗阻训练结合血流限制在老年肌少症病人中的应用进展[J].护理研究,2024,38(10): 1780-1783. [11] 管唯然,王媛.跨理论模型的情绪干预对肝癌患者术后心理状态和健康行为的影响[J].中国健康心理学杂志,2024,32(06): 867-872. [12] 赵莉,邓燕,史小娜.基于跨理论模型的护理干预对老年慢性阻塞性肺疾病患者衰弱状况的影响[J].实用临床医药杂志,2023,27(17): 97-100. [13] 康丽萍,吴碧瑜,张少颖,等.基于跨理论模型的护理干预对妊娠糖尿病孕妇自我管理能力及自我效能的影响[J].中国医药科学,2023,13(15): 111-114. [14] 李顶峰,邵振莉,陈蕊,等.基于跨理论模型的中青年高血压患者健康管理方案的应用效果研究[J].实用心脑肺血管病杂志,2024,32(01): 106-109. [15] 杨璇璇.基于跨理论模型的社区肌少症老年人运动干预方案构建的研究[D].新疆:新疆医科大学,2023. [16] 高靖雯.基于跨理论模型的运动干预在社区老年糖尿病患者肌少症中的研究[D].云南:南华大学,2021. [17] CRUZ-JENTOFT A J, BAEYENS J P, BAUER J M, et al. Sarcopenia: European consensus on definition and diagnosis: Report of the European Working Group on Sarcopenia in Older People[J]. Age Ageing,2010,39(4): 412-423. [18] CRUZ-JENTOFT A J, SAYER A. Sarcopenia[J]. Lancet,2019,393(10191): 2636-2646. [19] DENT E, MORLEY J E, CRUZ-JENTOFT A J, et al. International Clinical Practice Guidelines for Sarcopenia (ICFSR): Screening, Diagnosis and Management[J]. J Nutra Health Aging,2018,22(10): 1148-1161. [20] 刘娟,丁清清,周白瑜,等.中国老年人肌少症诊疗专家共识(2021)[J].中华老年医学杂志,2021,40(08): 943-952. [21] YANG L J, WU G H, YANG Y L, et al. Nutrition, Physical Exercise, and the Prevalence of Sarcopenia in Elderly Residents in Nursing Homes in China[J]. Med Sci Monit,2019,25: 4390-4399. [22] PAPADOPOULOU S K, TSINTAVIS P, POTSAKI P, et al. Differences in the Prevalence of Sarcopenia in Community-Dwelling,Nursing Home and Hospitalized Individuals. A Systematic Review and Meta-Analysis[J]. J Nutra Health Aging,2020,24(1): 83-90. [23] CHEN Z, LI W Y, HO M, et al. The Prevalence of Sarcopenia in Chinese Older Adults: Meta-Analysis and Meta-Regression[J]. Nutrients,2021,13(5). [24] FENG L, GAO Q, HU K, et al. Prevalence and Risk Factors of Sarcopenia in Patients with Diabetes: A Meta-analysis[J]. J Clin Endocrinol Meta,2022,107(5): 1470-1483. [25] JOGIAT U M, BÉDARD E, SASEWICH H, et al. Sarcopenia reduces overall survival in unresectable esophageal cancer: a systematic review and meta-analysis[J]. J Cachexia Sarcopenia Muscle,2022,13(6): 2630-2636. [26] WATHANAVASIN W, BANJONGJIT A, AVIHINGSANON Y, et al. Prevalence of Sarcopenia and Its Impact on Cardiovascular Events and Mortality among Dialysis Patients: A Systematic Review and Meta-Analysis[J]. Nutrients,2022,14(19). [27] TANTAI X, LIU Y, YEO Y H, et al. Effect of sarcopenia on survival in patients with cirrhosis: A meta-analysis[J]. J Hepatol,2022,76(3): 588-599. [28] PARK B, BHAT S, WELLS C I, et al. Short- and long-term impact of sarcopenia on outcomes after emergency laparotomy: A systematic review and meta-analysis[J]. Surgery,2022,172(1): 436-445. [29] SUROV A, WIENKE A. Sarcopenia predicts overall survival in patients with malignant hematological diseases: A meta-analysis[J]. Clin Nutra,2021,40(3): 1155-1160. [30] SUTTON E H, PLYTA M, FRAGKOS K, et al. Pre-treatment sarcopenic assessments as a prognostic factor for gynecology cancer outcomes: systematic review and meta-analysis[J]. Eury J Clin Nutra,2022,76(11): 1513-1527. [31] FINDLAY M, WHITE K, STAPLETON N, et al. Is sarcopenia a predictor of prognosis for patients undergoing radiotherapy for head and neck cancer? A meta-analysis[J]. Clin Nutra,2021,40(4): 1711-1718. [32] LANDI F, MARZETTI E, MARTONE A M, et al. Exercise as a remedy for sarcopenia[J]. Curr Open Clin Nutra Meta Care,2014,17(1): 25-31. [33] 李丽璇,林玲.健康信念模式指导下的孕期护理干预对剖宫产率的影响[J].广东医学,2014,35(22): 3602-3603. [34] JEIHOONI A K, DINDARLOO S F, HARSINI P A. Effectiveness of Health Belief Model on Oral Cancer Prevention in Smoker Men[J]. J Cancer Educ,2019,34(5): 920-927. [35] BAHAT G, ERDOĞAN T, İLHAN B. SARC-F and other screening tests for sarcopenia[J]. Curr Open Clin Nutra Meta Care,2022,25(1): 37-42. [36] 赵凌燕,衣沈妮,张婷.老年慢性阻塞性肺疾病合并肌少症患者自我管理行为现状及影响因素分析[J]. 齐鲁护理杂志, 2023,29(11): 16-18. [37] 秦丽丽,顾赛男,翁艳秋,等.基于跨理论模型分析老年冠心病患者自我管理能力现状及影响因素[J].华南预防医学,2023,49(08): 1049-1053. [38] MANSUROĞLU S, KUTLU F Y. The Transtheoretical Model based psychoeducation's effect on healthy lifestyle behaviors in schizophrenia: A randomized controlled trial[J]. Arch Psychiatry Nur’s,2022,41: 51-61. [39] MOHEBBI B, TAFAGHODI B, SADEGHI R, et al. Factors predicting nutritional knowledge, illness perceptions, and dietary adherence among hypertensive middle-aged women: Application of transtheoretical model[J]. J Educ Health Promote,2021,10: 212. [40] LIU X, WANG L, TAO H, et al. Effects of a Trans-Theoretical Model-Based Health Education Program on the Management of Cognitive Dysfunction in Older Adults with Mild Cognitive Impairment: Study Rationale and Protocol Design for a Randomized Controlled Trial[J]. Front Psychiatry,2020,11: 616420. [41] 杨光,冯俊强.基于跨理论模型的焦点式心理干预对老年慢性心力衰竭患者心理韧性及健康行为的影响[J].中国医药导报,2024,21(08): 157-161. [42] 梅双双,陈梅,郑小燕.基于跨理论模型的护理干预对颅脑损伤患者运动及认知功能的影响[J].当代护士, 2023,30(35): 39-43.[43] 王筱筱,李文婷.跨理论模型健康宣教对缺血性脑卒中康复期患者的效果[J].山西卫生健康职业学报,2022,32(6): 153-154. [44] 周静,黄宇理,赵娜,等.跨理论模型联合赋能教育对中青年冠心病病人 PCI 术后自我管理行为和负性情绪的影响[J].蚌埠医学院学报,2022,47(07): 939-943. [45] WANG H, LI D, XIONG Y, et al. Effect of Cross Theoretical Model of Behavior Change and Motivation Interview on Self-Management Behavior[J]. J Oncol,2022,2022: 3551167. [46] 卢小丽,李卡,黄明君,等.基于跨理论模型的营养教育在肺癌术后患者中的应用研究——以四川大学华西医院为例[J].现代预防医学,2020,47(01): 44-48. [47] MALMSTROM T K, MORLEY J E. SARC-F: a simple questionnaire to rapidly diagnose sarcopenia[J]. J Am Med Dir Assoc,2013,14(8): 531-532. [48] 王晓英.老年肌少症问卷的汉化及运动疗法对肌少症治疗效果的 meta 分析[D].河北:河北医科大学,2018. [49] SHAH S, VANCLAY F, COOPER B. Improving the sensitivity of the Barthel Index for stroke rehabilitation[J]. J Clin Epidemiol,1989,42(8): 703-709. [50] 吴秀玲,赖红花,潘坛芳.改良 Barthel 指数评定量表在慢性阻塞性肺疾病患者护理中的应用研究[J].中国社区医师,2022,38(04): 119-121. [51] 司琦.大学生体育锻炼行为的阶段变化与心理因素研究[J].体育科学,2005(12): 76-83. [52] 黄瑞秀.基于跨理论模型的健康信念教育模式在冠心病二级预防中的干预研究[D].河南:河南大学,2019. [53] 杨淑花.基于跨理论模型的健康教育对中青年初发 2 型糖尿病患者自我管理行为影响的研究[D].宁夏:宁夏医科大学,2018. [54] 李娟.跨理论模型的健康教育对首发中风患者自我管理行为的影响[D].黑龙江:黑龙江中医药大学,2016. [55] 刘莉,张艳,田雨同,等.社区老年人肌少症认知行为问卷的研制及信效度检验[J].现代预防医学,2024,51(6): 1141-1146.

点击下载PDF