[1]宋辛颖,李鑫鑫,张伟宏,等.养老机构2型糖尿病衰弱老年人久坐行为现状与影响因素研究[J].军事护理,2023,40(12):14-17,21.[doi:10.3969/j.issn.2097-1826.2023.12.004]
　SONG Xinying,LI Xinxin,ZHANG Weihong,et al.Status Quo and Influencing Factors of Sedentary Behavior of Frail Elders with Type 2 Diabetes Mellitus in Nursing Institutions[J].Nursing Journal Of Chinese People's Laberation Army,2023,40(12):14-17,21.[doi:10.3969/j.issn.2097-1826.2023.12.004]
点击复制

养老机构2型糖尿病衰弱老年人久坐行为现状与影响因素研究
分享到：

《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
40
期数:
2023年12期
页码:
14-17,21
栏目:
论著
出版日期:
2023-12-15

文章信息/Info

Title:
Status Quo and Influencing Factors of Sedentary Behavior of Frail Elders with Type 2 Diabetes Mellitus in Nursing Institutions
文章编号:
2097-1826(2023)12-0014-05
作者:
宋辛颖; 李鑫鑫; 张伟宏; 陈星运; 雷健克
(郑州大学 护理与健康学院,河南 郑州 450001)
Author(s):
SONG Xinying; LI Xinxin; ZHANG Weihong; CHEN Xingyun; LEI Jianke
(School of Nursing and Health,Zhengzhou University,Zhengzhou 450001,Henan Province,China)
关键词:
久坐行为;  养老机构;  2型糖尿病;  老年人;  影响因素
Keywords:
sedentary behavior;  nursing facility;  type 2 diabetes mellitus;  elderly patients;  influencing factor
分类号:
R473.2
DOI:
10.3969/j.issn.2097-1826.2023.12.004
文献标志码:
A
摘要:
目的 调查郑州市养老机构2型糖尿病衰弱老年人久坐行为现状,分析其影响因素,为制订个性化决策辅助方案提供参考。方法 2022年12月至2023年6月,便利抽样法选取郑州市6所养老机构中225名2型糖尿病衰弱老年人为研究对象,采用一般资料调查表、糖尿病自我效能量表、老年人久坐行为日志对其进行调查。结果 郑州市养老机构2型糖尿病衰弱老年人平均久坐时间为(8.71±1.16)h/d,多元线性回归分析结果显示年龄、性别、跌倒史、居住类型、亲属探望频率、糖尿病自我效能、运动步数是其久坐行为的影响因素(均P<0.05)。结论 养老机构2型糖尿病衰弱老年人久坐行为现状不容乐观。养老机构医护人员应采取针对性措施,减少其久坐行为,提高2型糖尿病衰弱老年人生活质量。
Abstract:
Objective To investigate the status quo and influencing factors of sedentary behavior of frail elderly individuals with type 2 diabetes mellitus in nursing homes in Zhengzhou,and provide reference for the formulation of customized and auxiliary programs on decision-making.Methods A total of 225 frail elderly individuals with type 2 diabetes mellitus were selected as the objects during December 2022 and June 2023 from 6 different nursing institutions in Zhengzhou.A general information questionnaire,the Diabetes Mellitus Self-Efficacy Scale(SED)and Sedentary Behaviour Diary were used to examine the sedentary behaviour.Results The results showed that the average sedentary time in Zhengzhou nursing institutions was(8.71±1.16)hours per day.The results of the multiple linear regression analysis showed that age,gender,history of falls,living type,frequency of visiting relatives,diabetes self-efficacy,and step count were significant factors influencing sedentary behavior in frail elderly individuals with type 2 diabetes mellitus in nursing institutions(all P<0.05).Conclusions The current situation of sedentary behavior of the elderly with type 2 diabetes in nursing institutions is not optimistic.Institutional healthcare workers should take corresponding measures to reduce their sedentary behaviour and improve the quality of life of frail elders with type 2 diabetics.

参考文献/References:

[1] 王双,詹俊鲲,程梅,等. 中国养老机构内老年人血糖规范化管理专家共识(2021)[J].中华老年医学杂志,2021,40(6):683-694.
[2] 《中国老年2型糖尿病防治临床指南》编写组.中国老年2型糖尿病防治临床指南(2022年版)[J].中国糖尿病杂志,2022,30(1):2-51.
[3] 赵梦.养老机构老年人衰弱识别及影响因素的纵向研究[D].济南:山东大学,2020.
[4] ABDELHAFIZ A H,MCNICHOLAS E,SINCLAIR A J.Hypoglycemia,frailty and dementia in older people with diabetes: reciprocal relations and clinical implications[J].J Diabetes Complications,2016,30(8):1548-1554.
[5] DIPIETRO L,AL-ANSARI S S,BIDDLE S,et al.Advancing the global physical activity agenda:recommendations for future research by the 2020 WHO physical activity and sedentary behavior guidelines development group[J/OL].[2023-07-23].https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7690200/.DOI:10.1186/s12966-020-01042-2.
[6] 宋辛颖,张伟宏,刘艳飞,等.老年人久坐行为与衰弱相关性的系统评价与Meta分析[J].军事护理,2023,40(8):72-76.
[7] 王慧敏.同伴教育对养老机构老年人久坐行为的影响研究[D].太原:山西中医药大学,2021.
[8] CLARK B K,SUGIYAMA T,HEALY G N,et al.Validity and reliability of measures of television viewing time and other non-occupational sedentary behaviour of adults: a review[J].Obes Rev,2009,10(1):7-16.
[9] 余珍.社区老年人久坐行为的影响因素及其干预研究[D].郑州:郑州大学,2019.
[10]倪平,陈京立,刘娜.护理研究中量性研究的样本量估计[J].中华护理杂志,2010,45(4):378-380.
[11]魏洁.农村老年糖尿病患者知识、自我效能感与自我管理行为相关性研究[D]. 杭州:杭州师范大学,2013.
[12]EKELUND U,STEENE-JOHANNESSEN J,BROWN W J,et al.Does physical activity attenuate,or even eliminate,the detrimental association of sitting time with mortality?A harmonised meta-analysis of data from more than 1 million men and women[J].Lancet,2016,388(10051):1302-1310.
[13]CHEN S,CHEN T,KISHIMOTO H,et al.Associations of objectively measured patterns of sedentary behavior and physical activity with frailty status screened by the frail scale in Japanese community-dwelling older adults[J].J Sports Sci Med,2020,19(1):166-174.
[14]STRAIN W D,DOWN S,BROWN P,et al.Diabetes and frailty: an expert consensus statement on the management of older adults with type 2 diabetes[J].Diabetes Ther,2021,12(5):1227-1247.
[15]O'DONOGHUE G,PERCHOUX C,MENSAH K,et al.A systematic review of correlates of sedentary behaviour in adults aged 18-65 years:a socio-ecological approach[J/OL].[2023-07-23].https://www.ncbi.nlm.nih.gov/pmc/articles/PMC47564 64/.DOI:10.1186/s12889-016-2841-3.
[16]ASSAR M E,LAOSA O,RODRíGUEZ M L.Diabetes and frailty[J].Curr Opin Clin Nutr Metab Care,2019,22(1):52-57.
[17]HANSEN B H,KOLLE E,STEENE-JOHANNESSEN J,et al.Monitoring population levels of physical activity and sedentary time in Norway across the lifespan[J].Scand J Med Sci Sports,2019,29(1):105-112.
[18]李红玉,张金梅,古瑞玲,等.社区老年糖尿病患者久坐行为现状及影响因素分析[J].中国护理管理,2023,23(5):698-703.
[19]罗园,邓雨茜,冉海烨等.养老机构老年人跌倒风险评估的研究进展[J].军事护理,2022,39(9):81-84.
[20]SHIBATA A,OKA K,SUGIYAMA T,et al.Perceived neighbourhood environmental attributes and prospective changes in TV viewing time among older Australian adults[J/OL].[2023-07-23].https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4396559/.DOI:10.1186/s12966-015-0208-2.
[21]SUMIMOTO Y,YANAGITA M,MIYAMATSU N,et al.Association between socioeconomic status and prolonged television viewing time in a general Japanese population:NIPPON DATA 2010[J/OL].[2023-07-23].https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8105981/.DOI:10.1186/s12199-021-00978-6.
[22]SMITH G L,BANTING L,EIME R,et al.The association between social support and physical activity in older adults:a systematic review[J/OL].[2023-07-23].https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5408452/.DOI:10.1186/s12966-017-0509-8.
[23]WATANABE D,YOSHIDA T,WATANABE Y,et al.Dose-response relationships between objectively measured daily steps and mortality among frail and nonfrail older adults[J].Med Sci Sports Exerc,2023,55(6):1044-1053.
[24]CUTHBERTSON C C,MOORE C C,SOTRES-ALVAREZ D,et al.Associations of steps per day and step intensity with the risk of diabetes: the Hispanic Community Health Study/Study of Latinos(HCHS/SOL)[J/OL].[2023-07-23].https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9013106/.DOI:10.1186/s12966-022-01284-2.

相似文献/References:

[1]朱佳露,牟绍玉,黄雨萱,等.养老机构志愿者预立医疗照护计划培训内容的构建[J].军事护理,2021,38(07):25.[doi:10.3969/j.issn.1008-9993.2021.07.006]
　ZHU Jialu,MU Shaoyu,HUANG Yuxuan,et al.Construction of Content of Advance Care Planning Courese for Volunteers in Nursing Homes[J].Nursing Journal Of Chinese People's Laberation Army,2021,38(12):25.[doi:10.3969/j.issn.1008-9993.2021.07.006]
[2]胡惠菊,郭雪琪,唐启群,等.养老机构老年人跌倒警觉度现状及其影响因素研究[J].军事护理,2021,38(11):17.[doi:10.3969/j.issn.1008-9993.2021.11.005]
　HU Huiju,GUO Xueqi,TANG Qiqun,et al.The Self-Awareness of Falls and Its Correlates among the Elderly in Nursing Home[J].Nursing Journal Of Chinese People's Laberation Army,2021,38(12):17.[doi:10.3969/j.issn.1008-9993.2021.11.005]
[3]刘璟,肖明朝,侯春秀,等.养老机构老年人营养信息获取体验的质性研究[J].军事护理,2022,39(01):55.[doi:10.3969/j.issn.1008-9993.2022.01.014]
　LIU Jing,XIAO Mingzhao,HOU Chunxiu,et al.The Experience of Obtaining Nutrition Information among the Elderly in Pension Institutions: A Qualitative Research[J].Nursing Journal Of Chinese People's Laberation Army,2022,39(12):55.[doi:10.3969/j.issn.1008-9993.2022.01.014]
[4]李凌云,王盼盼,焦佳伟,等.养老机构护理员照顾失能老人获益体验的质性研究[J].军事护理,2022,39(06):1.[doi:10.3969/j.issn.1008-9993.2022.06.001]
　LI Lingyun,WANG Panpan,JIAO Jiawei,et al.Qualitative Study on the Benefit Finding of Nursing Staff for the Disabled Elders in Nursing Homes[J].Nursing Journal Of Chinese People's Laberation Army,2022,39(12):1.[doi:10.3969/j.issn.1008-9993.2022.06.001]
[5]罗园,邓雨茜,冉海烨,等.养老机构老年人跌倒风险评估的研究进展[J].军事护理,2022,39(09):81.[doi:10.3969/j.issn.1008-9993.2022.09.021]
[6]罗迪,王俊,柏若男,等.养老机构老年人社会活动参与障碍因素的质性研究[J].军事护理,2022,39(11):25.[doi:10.3969/j.issn.2097-1826.2022.11.007]
　LUO Di,WANG Jun,BAI Ruonan,et al.Barriers to Social Activity Participation among the Elderly Living in Care Institutions: A Qualitative Study[J].Nursing Journal Of Chinese People's Laberation Army,2022,39(12):25.[doi:10.3969/j.issn.2097-1826.2022.11.007]
[7]韩月华,李婷婷,安若楠,等.唐山市养老机构老年人痴呆恐惧现状及其影响因素分析[J].军事护理,2023,40(08):10.[doi:10.3969/j.issn.2097-1826.2023.08.003]
　HAN Yuehua,LI Tingting,AN Ruonan,et al.Current Status and Influencing Factors of Fear of Dementia of the Elderly in Tangshan Institutions Offering Services for the Elderly[J].Nursing Journal Of Chinese People's Laberation Army,2023,40(12):10.[doi:10.3969/j.issn.2097-1826.2023.08.003]

备注/Memo

备注/Memo:
【收稿日期】2023-08-22【修回日期】2023-11-07
【基金项目】国家自然科学基金(72064038); 河南省高校科技创新团队(22IRTSTHN027)
【作者简介】宋辛颖,硕士在读,电话:0371-865650014
【通信作者】张伟宏,电话:0371-865650014
更新日期/Last Update: 2023-12-15