聚焦解决模式联合精细化管理对老年肌少症患者自尊及正念水平的影响

Influence of solution-focused approach combined with refined management on self-esteem and mindfulness levels in elderly patients with sarcopenia

目的探究聚焦解决模式联合精细化管理对老年肌少症患者自尊及正念水平的影响,为老年肌少症患者的健康管理提供思路。方法276例老年肌少症患者分别接受常规健康管理干预(对照组)和聚焦解决模式联合精细化管理干预(观察组),比较两组患者干预前后的肌肉功能、自尊量表(self-esteem scale,SES)、正念注意觉知量表(mindful attention awareness scale,MAAS)、Barthel指数(BI)评分和依从性。结果与干预前比较,两组患者干预后的肌肉功能和SES、MAAS、BI评分均升高,且观察组高于对照组,差异均有统计学意义(均P<0.05)。观察组的总依从率(95.65%)高于对照组(87.68%),差异有统计学意义(χ^(2)=6.807,P=0.034)。结论聚焦解决模式联合精细化管理可改善老年肌少症患者的肌肉功能,提高患者自尊水平、正念水平、依从性及生活质量。

Objective To explore the impact of the solution-focused approach combined with refined management on the self-esteem and mindfulness levels of elderly patients with sarcopenia,providing insights for the health management of elderly sarcopenia patients.Methods A total of 276 elderly patients with sarcopenia were divided into two groups:a control group receiving conventional health management intervention and an observation group receiving a solution-focused approach combined with refined management intervention.The muscle function,self-esteem scale(SES),mindful attention awareness scale(MAAS),Barthel index(BI)scores,and compliance were compared between the two groups before and after the intervention.Results Compared to pre-intervention,the muscle function,SES,MAAS,and BI scores increased in both groups after the intervention,with the observation group showing higher scores than the control group,and the differences were statistically significant(all P<0.05).The overall compliance rate in the observation group(95.65%)was higher than that in the control group(87.68%),and the difference was statistically significant(χ^(2)=6.807,P=0.034).Conclusions The integration of the solution-focused approach with refined management can improve muscle function in elderly patients with sarcopenia,enhance their levels of self-esteem and mindfulness,increase compliance,and improve the quality of life.