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目的 探讨久坐行为干预在降低老年2型糖尿病患者跌倒中的应用效果。方法 采取前瞻性类试验研究设计，按时间先后将2024年1—4月我院内分泌科收治的35例老年2型糖尿病久坐行为患者纳入对照组，2024年5—8月收治的35例老年2型糖尿病久坐行为患者纳入观察组。对照组给予常规干预，观察组在对照组的基础上实施久坐行为护理干预。比较2组患者干预前、干预1个月、3个月后每日久坐时间、运动步数、移动能力及平衡能力，干预前、干预3个月后衰弱、糖化血红蛋白(HbA1c)以及出院6个月后跌倒发生率。结果 干预1个月、3个月后，观察组每日久坐时间、移动能力时间均短于对照组(P<0.05),观察组每日运动步数及平衡能力时间均高于对照组(P<0.05);干预3个月后，观察组衰弱评分、HbA1c以及出院后6个月跌倒发生率均低于对照组(P<0.05)。结论 久坐行为干预可减少老年2型糖尿病患者每日久坐时间，增加运动步数，加快步速，提升移动能力及平衡能力水平，促进血糖控制水平达标，延缓衰弱进展，降低跌倒发生率。
Abstract：Objective To explore the application effectiveness of sedentary behavior intervention in preventing falls among elderly patients with type 2 diabetes mellitus(T2DM).Methods A prospective quasi-experimental study design was adopted. According to chronological order of admission, 35 older patients with T2DM diabetes mellitus and sedentary behavior admitted to the Department of Endocrinology of our hospital from January to April 2024 were assigned to the control group, and 35 patients admitted from May to August 2024 were assigned to the intervention group. The control group received routine intervention measures, while the observation group was additionally given continued nursing intervention for sedentary behavior. The daily sedentary time, step count, mobility, and balance ability before the intervention, as well as at 1 and 3 months after the intervention, were compared between 2 groups. Additionally, frailty, glycated hemoglobin(HbA1c) levels before and 3 months after the intervention, and the incidence of falls 6 months after discharge were assessed.Results At 1 and 3 months after the intervention, the observation group showed significantly shorter daily sedentary time and mobility time compared to the control group(P<0.05), while their daily step count and balance ability time were significantly higher(P<0.05). After 3 months of intervention, the observation group had lower frailty scores, HbA1c levels, and 6-month post-discharge fall incidence than the control group(P<0.05).Conclusion Sedentary behavior intervention reduces daily sedentary time, increases step count, improves walking speed, enhances mobility and balance ability, promotes achievement of better glycemic control targets, delays frailty progression, and lowers the incidence of falls in elderly T2DM patients.
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基本信息:
DOI：10.16821/j.cnki.hsjx.2026.09.008
中图分类号:R473.5
引用信息:
[1]岳明,方萍,王玲,等.久坐行为干预在降低老年2型糖尿病患者跌倒发生率中的应用研究[J].护士进修杂志,2026,41(09):947-952.DOI:10.16821/j.cnki.hsjx.2026.09.008.
基金信息:
安徽省教育厅高校自然科学研究一般项目(编号：2023YJZR006)
2026-05-15
2026-05-15