Volume 21 Issue 7
Jul.  2023
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Article Navigation >  Chinese Journal of General Practice  > 2023  >  21(7): 1188-1191
SHA Wenna, CHEN Meihong, NING Li, JIN Jianfen, FU Qiuyan, ZHANG Qixiu. Construction and application of health management program based on HAPA for elderly patients with sarcopenia[J]. Chinese Journal of General Practice, 2023, 21(7): 1188-1191. doi: 10.16766/j.cnki.issn.1674-4152.003081
Citation: SHA Wenna, CHEN Meihong, NING Li, JIN Jianfen, FU Qiuyan, ZHANG Qixiu. Construction and application of health management program based on HAPA for elderly patients with sarcopenia[J]. Chinese Journal of General Practice, 2023, 21(7): 1188-1191. doi: 10.16766/j.cnki.issn.1674-4152.003081
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Construction and application of health management program based on HAPA for elderly patients with sarcopenia

doi: 10.16766/j.cnki.issn.1674-4152.003081
  • 1.

    Department of Geriatrics, Hangzhou First People ' s Hospital, Affiliated to Zhejiang University School of Medicine, Hangzhou, Zhejiang 310000, China

Funds:

 2022KY957

  • Received Date: 2023-02-20
    Available Online: 2023-08-28
    Abstract
  •   Objective  To construct health management program based on health action process approach (HAPA) for elderly patients with sarcopenia, and explore its application effects through prospective and randomized studies.  Methods  A total of 100 participants were recruited in the Geriatric Department of Hangzhou First People ' s Hospital using a convenient sampling method from October 2021 to July 2022. According to the admission time, they were divided into control group and observation group, 50 cases in each group. After intervention, 45 cases were included in the observation group and 47 cases were included in the control group, eventually. The patients in the control group were provided normal care and the patients in the observation group were provided health management program based on HAPA. The outcomes were evaluated by the self-rated abilities for health practices scale (SRAHP), electronic grip, short physical performance battery (SPPB), hemoglobin (Hb) and serum albumin (ALB).  Results  After intervention, scores for muscle strength and physical function, as well as Hb and ALB were (23.79±2.02) points, (9.00±0.97) points, (126.06±3.82) g/L, (34.64±2.85) g/L in the observation group and (21.14±1.49) points, (7.47±1.39) points, (123.12±2.88) g/L, (33.12±2.88) g/L in the control group, the difference was statistically significant (all P < 0.05). The total score of health behavior self-efficacy and the score of exercise, health responsibility were (63.80±5.05) points, (18.42±2.18) points, (15.66±2.45) points in the observation group and (60.38±6.52) points, (16.91±3.36) points, (13.85±2.83) points in the control group, the difference was statistically significant (all P < 0.05).  Conclusion  The health management program based on HAPA for elderly patients with sarcopenia has a positive effect on self-efficacy of health behavior, muscle strength, physical function and Hb and ALB among elderly patients with sarcopenia.

     

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