Objectives:This study aimed to develop a mobile frailty management platform for Chinese communitydwelling older adults and evaluate its effectiveness,usability and safety.Methods:Based on literature research,the resea...Objectives:This study aimed to develop a mobile frailty management platform for Chinese communitydwelling older adults and evaluate its effectiveness,usability and safety.Methods:Based on literature research,the research team combined the frailty cycle and integration models,self-determination theory,and technology acceptance models and determined the frailty interventions through expert discussion,then transformed it into multimedia resources,finally,engineers developed the mobile management platform.A cluster sampling,parallel,single-blind,controlled quasiexperimental trial was conducted.Sixty older adults from two community health service centers were recruited from March to August 2023.The control group received routine community care,while the intervention group used the mobile frailty management platform.The incidence of frailty,scores of quality of life,depression,sleep quality,and grip strength within 12 weeks were compared between the two groups,and the availability and safety of the platform were assessed.Results:A total of 52 participants completed the study,27 in the intervention group and 25 in the control group.At 12 weeks after the intervention,the frailty state of the intervention group was reversed to prefrailty.There were no significant differences in the scores of quality of life,depression,sleep quality,and grip strength between the two groups before and 4 weeks after intervention.At 8 weeks and 12 weeks after the intervention,the quality of life,depression,and grip strength of the intervention group were improved with statistical significance(P<0.05).Sleep quality was statistically significant only 12 weeks after the intervention(P<0.05).System Usability Scale score for the platform was(87.96±5.88),indicating a highly satisfactory user experience.Throughout the intervention,no adverse events were reported among the older adults.Conclusions:The mobile frailty management platform effectively improved frailty status,depressive mood,sleep quality,grip strength,and quality of life for Chinese community-dwelling older adults.It holds clinical application value and is an effective tool for strengthening frailty management among Chinese community-dwelling older adults.展开更多
目的 探讨重复经颅磁刺激(repetitive transcranial magnetic stimulation,rTMS)联合吞咽功能训练在脑卒中吞咽功能障碍患者中的应用效果。方法 选取2020年3月—2022年2月在邹城市人民医院诊治的84例脑卒中吞咽功能障碍患者,随机分为对...目的 探讨重复经颅磁刺激(repetitive transcranial magnetic stimulation,rTMS)联合吞咽功能训练在脑卒中吞咽功能障碍患者中的应用效果。方法 选取2020年3月—2022年2月在邹城市人民医院诊治的84例脑卒中吞咽功能障碍患者,随机分为对照组和研究组各42例。对照组采用吞咽功能训练进行干预;研究组在吞咽功能训练的基础上联合rTMS进行干预。比较两组干预后的吞咽功能、神经功能、生活质量及满意度。结果 两组干预后吞咽功能量表(standardized swallowing assessment,SSA)评分、血清神经元特异性烯醇化酶(neuron-specific enolase,NSE)、神经肽Y(neuropeptide tyrosing,NPY)、视锥蛋白样蛋白1(visinin-like protein-1,VILIP-1)水平均降低,且研究组低于对照组,差异有统计学意义(P<0.05);而改良曼恩吞咽能力评估表(modified Mann assessment of swallowing ability,MMASA)评分、生活质量问卷(generic quality of life inventoy-74,GQOLI-74)各项评分均升高,且研究组高于对照组,差异有统计学意义(P<0.05)。研究组满意度为97.62%,高于对照组的78.57%,差异有统计学意义(P<0.05)。结论 rTMS联合吞咽功能训练可有效促进脑卒中吞咽功能障碍患者吞咽功能恢复,减轻神经功能损伤,改善生活质量,提升满意度。展开更多
目的分析积极共情反馈联合兴趣诱导用于白血病合并焦虑抑郁患儿的价值。方法选取2021年1月~2023年1月本院收治符合标准的白血病患儿80例,随机数表法分为观察组和对照组,各40例。在常规干预基础上,对照组进行兴趣诱导干预,观察组进行积...目的分析积极共情反馈联合兴趣诱导用于白血病合并焦虑抑郁患儿的价值。方法选取2021年1月~2023年1月本院收治符合标准的白血病患儿80例,随机数表法分为观察组和对照组,各40例。在常规干预基础上,对照组进行兴趣诱导干预,观察组进行积极共情反馈联合兴趣诱导干预。比较两组患儿儿童抑郁障碍自评量表(Depression Self-rating Scale for Children,DSRSC)和儿童焦虑性情绪障碍筛查量表(Screen for Child Anxiety Related Emotional Disorders,SCARED)评分、家属满意度和儿童生存质量普适性核心量表评分。结果观察组干预后DSRSC评分为(8.87±2.73)分,与对照组的[(15.65±4.72)分]比较有差异(t=7.864,P=0.000)。观察组干预后SCARED各项评分低于对照组(P<0.05)。观察组患儿家属满意度高于对照组(P<0.05)。观察组干预后生活功能、情感功能、生理功能、学校功能等评分均高于对照组(P<0.05)。结论积极共情反馈联合兴趣诱导用于白血病合并焦虑抑郁患儿,可有效缓解焦虑、抑郁情绪,提高其生存质量。展开更多
文摘Objectives:This study aimed to develop a mobile frailty management platform for Chinese communitydwelling older adults and evaluate its effectiveness,usability and safety.Methods:Based on literature research,the research team combined the frailty cycle and integration models,self-determination theory,and technology acceptance models and determined the frailty interventions through expert discussion,then transformed it into multimedia resources,finally,engineers developed the mobile management platform.A cluster sampling,parallel,single-blind,controlled quasiexperimental trial was conducted.Sixty older adults from two community health service centers were recruited from March to August 2023.The control group received routine community care,while the intervention group used the mobile frailty management platform.The incidence of frailty,scores of quality of life,depression,sleep quality,and grip strength within 12 weeks were compared between the two groups,and the availability and safety of the platform were assessed.Results:A total of 52 participants completed the study,27 in the intervention group and 25 in the control group.At 12 weeks after the intervention,the frailty state of the intervention group was reversed to prefrailty.There were no significant differences in the scores of quality of life,depression,sleep quality,and grip strength between the two groups before and 4 weeks after intervention.At 8 weeks and 12 weeks after the intervention,the quality of life,depression,and grip strength of the intervention group were improved with statistical significance(P<0.05).Sleep quality was statistically significant only 12 weeks after the intervention(P<0.05).System Usability Scale score for the platform was(87.96±5.88),indicating a highly satisfactory user experience.Throughout the intervention,no adverse events were reported among the older adults.Conclusions:The mobile frailty management platform effectively improved frailty status,depressive mood,sleep quality,grip strength,and quality of life for Chinese community-dwelling older adults.It holds clinical application value and is an effective tool for strengthening frailty management among Chinese community-dwelling older adults.
文摘目的 探讨重复经颅磁刺激(repetitive transcranial magnetic stimulation,rTMS)联合吞咽功能训练在脑卒中吞咽功能障碍患者中的应用效果。方法 选取2020年3月—2022年2月在邹城市人民医院诊治的84例脑卒中吞咽功能障碍患者,随机分为对照组和研究组各42例。对照组采用吞咽功能训练进行干预;研究组在吞咽功能训练的基础上联合rTMS进行干预。比较两组干预后的吞咽功能、神经功能、生活质量及满意度。结果 两组干预后吞咽功能量表(standardized swallowing assessment,SSA)评分、血清神经元特异性烯醇化酶(neuron-specific enolase,NSE)、神经肽Y(neuropeptide tyrosing,NPY)、视锥蛋白样蛋白1(visinin-like protein-1,VILIP-1)水平均降低,且研究组低于对照组,差异有统计学意义(P<0.05);而改良曼恩吞咽能力评估表(modified Mann assessment of swallowing ability,MMASA)评分、生活质量问卷(generic quality of life inventoy-74,GQOLI-74)各项评分均升高,且研究组高于对照组,差异有统计学意义(P<0.05)。研究组满意度为97.62%,高于对照组的78.57%,差异有统计学意义(P<0.05)。结论 rTMS联合吞咽功能训练可有效促进脑卒中吞咽功能障碍患者吞咽功能恢复,减轻神经功能损伤,改善生活质量,提升满意度。
文摘目的分析积极共情反馈联合兴趣诱导用于白血病合并焦虑抑郁患儿的价值。方法选取2021年1月~2023年1月本院收治符合标准的白血病患儿80例,随机数表法分为观察组和对照组,各40例。在常规干预基础上,对照组进行兴趣诱导干预,观察组进行积极共情反馈联合兴趣诱导干预。比较两组患儿儿童抑郁障碍自评量表(Depression Self-rating Scale for Children,DSRSC)和儿童焦虑性情绪障碍筛查量表(Screen for Child Anxiety Related Emotional Disorders,SCARED)评分、家属满意度和儿童生存质量普适性核心量表评分。结果观察组干预后DSRSC评分为(8.87±2.73)分,与对照组的[(15.65±4.72)分]比较有差异(t=7.864,P=0.000)。观察组干预后SCARED各项评分低于对照组(P<0.05)。观察组患儿家属满意度高于对照组(P<0.05)。观察组干预后生活功能、情感功能、生理功能、学校功能等评分均高于对照组(P<0.05)。结论积极共情反馈联合兴趣诱导用于白血病合并焦虑抑郁患儿,可有效缓解焦虑、抑郁情绪,提高其生存质量。
