摘要
目的 将循证护理结合抗阻训练用于老年肌少症患者中，探究其对患者四肢骨骼肌质量指数和心理状况的影响。方法 选取2024年6月-2025年6月本院收治的90例老年肌少症患者，随机分组，对照组45例行常规护理，观察组45例行循证护理结合抗阻训练，对两组干预结果进行比较。结果 干预前，两组SAS、SDS评分比较，不具显著差异（P>0.05），干预后，观察组各评分更低（P<0.05）；干预前，两组SMI、握力比较，不具显著差异（P>0.05），干预后，观察组SMI、握力更大（P<0.05）；干预前，两组POMA评分（平衡、步态）比较，不具显著差异（P>0.05），干预后，观察组该评分更高（P<0.05）。结论 对老年肌少症患者来说，应用循证护理结合抗阻训练既能改善患者心理状况，缓解负面情绪，还可改善四肢骨骼肌质量指数，提高握力及活动能力，具有较高应用价值。
关键词： 老年；肌少症；循证护理；抗阻训练
Abstract
Objective To apply evidence-based nursing combined with resistance training in elderly patients with sarcopenia and explore its impact on the skeletal muscle mass index of the limbs and psychological status of the patients. Methods A total of 90 elderly patients with sarcopenia admitted to our hospital from June 2024 to June 2025 were selected and randomly divided into groups. 45 patients in the control group received routine care, and 45 patients in the observation group received evidence-based care combined with resistance training. The intervention results of the two groups were compared. Results Before the intervention, there was no significant difference in the SAS and SDS scores between the two groups (P>0.05). After the intervention, the scores of each group in the observation group were lower (P<0.05). Before the intervention, there was no significant difference in SMI and grip strength between the two groups (P>0.05). After the intervention, SMI and grip strength were greater in the observation group (P<0.05). Before the intervention, there was no significant difference in the POMA scores (balance and gait) between the two groups (P>0.05). After the intervention, the score of the observation group was higher (P<0.05). Conclusion For elderly patients with sarcopenia, the application of evidence-based nursing combined with resistance training can not only improve the psychological status of patients, relieve negative emotions, but also improve the skeletal muscle mass index of the limbs, enhance grip strength and activity ability, and has high application value.
Key words： Old age; Sarcopenia; Evidence-based nursing; Resistance training
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