多学科团队协作干预在超高龄肌少症患者中的应用与评价

Application and evaluation of multidisciplinary team intervention in super-aged patients with sarcopenia

目的探讨基于多学科团队协作的护理干预对超高龄肌少症患者营养状况、肌肉力量、躯体功能和日常生活能力的影响。方法选取南京大学医学院附属鼓楼医院老年科2017年7-11月29例超高龄肌少症患者作为干预组,实施多学科团队协作干预,将2017年2-6月的29例超高龄肌少症患者作为对照组,实施常规管理。比较2组患者在干预1、6个月后营养指标、肌肉力量、身体活动功能及日常生活能力评分。结果干预1个月后,干预组血红蛋白、血清白蛋白分别为(118.79±11.47)、(35.86±5.73)g/L,对照组分别为(112.27±11.69)、(31.35±5.48)g/L,2组比较差异有统计学意义(t值为2.09、2.98,P<0.05或0.01);干预6个月后,干预组的血红蛋白、血清白蛋白、肌肉力量、身体活动功能和日常生活能力分别为(124.66±13.52)g/L、(38.47±6.02)g/L、(23.75±3.61)g、(9.18±1.85)分、(86.19±14.36)分,对照组分别为(112.03±11.89)g/L、(31.01±5.91)g/L、(19.15±3.19)g、(6.14±1.69)分、(64.12±15.83)分,2组比较差异有统计学意义(t值为3.68~6.37,均P<0.01)。结论基于多学科协作的护理干预能改善超高龄肌少症患者的营养状况、肌肉力量、躯体功能和生命质量。

Objective To explore the effects of multidisciplinary team based nursing intervention on nutritional status,muscle strength,physical function and daily living ability of super-aged patients with sarcopenia.Methods A total of 29 super-aged patients with sarcopenia from July to November in 2017 in Department of Geriatric,Nanjing Drum Tower Hospital,the Affiliated Hospital of Nanjing University Medical School were selected as the observation group with multidisciplinary team intervention.And 29 super-aged patients with sarcopenia from February to June 2017 were selected as the control group with routine management.Nutritional indicators,muscle strength,physical activity function and daily living ability scores were compared between the two groups at 1 and 6 months after intervention.Results After 1 month of intervention,hemoglobin and serum albumin was(118.79±11.47),(35.86±5.73)g/Lin the observation group and(112.27±11.69),(31.35±5.48)g/L in the control group,the difference between the two groups was statistically significant(t value was 2.09,2.98,P<0.05 or 0.01).After 6 months of intervention,hemoglobin,serum albumin,muscle strength,physical activity function and daily living ability was(124.66±13.52)g/L,(38.47±6.02)g/L,(23.75±3.61)g,(9.18±1.85)points,(86.19±14.36)points in the observation group,and(112.03±11.89)g/L,(31.01±5.91)g/L,(19.15±3.19)g,(6.14±1.69)points,(64.12±15.83)points in the control group,the difference between the two groups was statistically significant(t value was 3.68-6.37,all P<0.01).Conclusions Nursing intervention based on multidisciplinary team can improve the nutritional status,muscle strength,physical function and quality of life of super-aged patients with sarcopenia.