- 期刊
糖尿病門診高齡長者肌力不足之改善專案
Improvement of Muscle Strength Deficiency Among Older Adult Patients in Diabetes Outpatient Clinics
摘要
高齡長者的肌肉量隨年齡增長而減弱，如能儘早篩檢並適度介入肌力訓練對策可減緩衰弱。本專案以樂齡寶貝機檢測糖尿病門診61位長者上、下肢肌力，有75.4%肌力不足。經現況分析發現原因為長者無動力運動、缺乏健身場地資訊、對肌力運動的認知不足、有營養攝取不足的風險、肌力訓練衛教工具不足、無肌力訓練檢測規範與營養追蹤機制。透過健康跳進來LINE群組、長者運動生活紀錄卡、使用運動地圖GoGoGo、肌力運動輕鬆學海報及運動飲食套餐自己選在家使用、健康識能餐盤、定期肌力與營養檢測等對策，門診高齡長者上肢肌力共增加7.8公斤、下肢肌力秒數平均降低9.8秒，達目標設定。建議門診長者定期肌力檢測及營養追蹤，並鼓勵運動及適當營養攝取，以延緩失能與衰弱。
並列摘要
Muscle mass decreases with aging, but muscle strength deficiency can be mitigated through timely intervention and early testing (Health Promotion Administration, 2019). Thus, this project, implemented a "vital information recording system" for the assessment of upper and lower limb muscle strength. The system was implemented with 61 older adult patients attending diabetes outpatient clinics and revealed that 75.4% of these patients had muscle strength deficiency. According to this study's data analysis, muscle weakness stemmed from a lack of motivation to exercise, an unawareness of nearby exercise facilities, insufficient knowledge of muscle-strengthening exercise, inadequate nutritional intake, lack of personalized muscle training education, and insufficient monitoring of the effects of muscle training and nutrition. To address these problems, the Health Promotion LINE group was used to facilitate patient communication and enable the sharing and discussion of exercise progress. Patients recorded their activities using on a card, identified nearby exercise venues with the GoGoGo map, and received muscle exercise posters along with meal plans for home use. Additionally, patients were encouraged to recognize and prepare healthy meals, and they underwent regular assessments of muscle strength and nutritional status. Due to these interventions, the patients had a 7.8 kg increase in upper limb muscle strength and took 9.8 s less to complete lower limb exercises. Thus, the proposed system improves upper and lower limb muscle strength in older adult patients.