护理学报 ›› 2021, Vol. 28 ›› Issue (1): 22-26.doi: 10.16460/j.issn1008-9969.2021.01.022
姚露1, 陈雪萍2, 刘欣1, 陈姬1, 汪梦鑫1
摘要: 目的 了解运动传感设备在衰弱老年人中的应用进展,为衰弱老年人的智能化护理提供借鉴。方法 检索国内外相关文献,从有效筛查衰弱、辅助实施运动干预、客观监测日常活动3个方面总结运动传感设备的功能和应用效果。结果 通过传感足环、传感腕表等进行步态筛查和非步态替代筛查,可以有效评估衰弱及其程度;通过光传感游戏装置、力传感机器人等进行运动干预,可以提高锻炼的有效性;通过智能家具、智能城市等进行日常行为监测,可以分析疾病进展,减少急性事件的发生。结论 运动传感设备为衰弱老年人筛查诊断、护理干预、疾病管理提供了新的思路,可考虑进一步开发预测不良结局的功能,完善操作者培训等,探索将适于我国衰弱老年人需求的运动传感设备投入护理实践。
中图分类号:
[1] Cheng MH, Chang SF.Frailty as a Risk Factor for Falls among Community Dwelling People: Evidence from a Meta-Analysis[J]. J Nurs Scholarsh, 2017, 49(5):529-536. DOI:10.1111/jnu.12322. [2] 任晶晶,王艳红,薛文俊,等. 459例社区老年人衰弱与认知功能的相关性分析[J]. 护理学报, 2020,27(10):54-56. DOI:10.16460/j.issn1008-9969.2020.10.054. [3] Kojima G, Iliffe S, Walters K.Frailty Index as a Predictor of Mortality: A Systematic Review and Meta-analysis[J]. Age Ageing, 2018, 47(2):193-200. DOI:10.1093/ageing/afx162. [4] Nascimento CM, Ingles M, Salvador-Pascual A, et al.Sarcopenia, Frailty and Their Preventi-on by Exercise[J]. Free Radic Biol Med,2019,132:42-49. DOI:10.1016/j.freeradbiomed.2018.08.035. [5] 刘磊. 微型运动传感器的动作捕捉技术分析及其应用[J]. 微型电脑应用,2018,34(8):125-128. [6] Qiang LS, Chang ZJ, Rong Z.A Wearable Human Motion Tracking Device Using Micro Flow Sensor Incorporating a Micro Accelerometer[J]. IEEE Trans Biomed Eng, 2020, 67(4):940-948. DOI:10.1109/TBME.2019.2924689. [7] Moon KS, Lee SQ, Ozturk Y, et al.Identification of Gait Motion Patterns Using Wearable Inertial Sensor Network[J].Sensors (Basel), 2019, 19(22):5024. DOI:10.3390/s19225024. [8] Mugueta-Aguinaga I, Garcia-Zapirain B.Is Technology Present in Frailty? Technology a Backup Tool for Dealing with Frailty in the Elderly: A Systematic Review[J]. Aging Dis, 2017, 8(2):176-195. DOI:10.14336/AD.2016.0901. [9] Zacharaki EI, Deltouzos K, Kalogiannis S, et al.FrailSafe: An ICT Platform for Unobtrusive Sensing of Multidomain Frailty for Personalized Interventions[J]. IEEE J Biomed Health Inform,2020,24(6):1557-1568. DOI:10.1109/JBHI.2020.2986918. [10] Gokalp H, de Folter J, Verma V, et al. Integrated Telehealth and Telecare for Monitoring Frail Elderly with Chronic Disease[J]. Telemed J E Health, 2018, 24(12):940-957. DOI:10.1089/tmj.2017.0322. [11] Zhou H, Razjouyan J, Halder D, et al.Instrumented Trail-Making Task: Application of Wearable Sensor to Determine Physical Frailty Phenotypes[J]. Gerontology, 2019, 65(2):186-197. DOI:10.1159/000493263. [12] Abril-Jimenez P, Rojo LJ, de Los RPS, et al. Ageing-Friendly Cities for Assessing Older Adults' Decline: Iot-Based System for Continuous Monitoring of Frailty Risks Using Smart City Infrastructure[J].Aging Clin Exp Res, 2020, 32(4):663-671. DOI:10.1007/s40520-019-01238-y. [13] Zhong R, Rau PP, Yan X.Application of Smart Bracelet to Monitor Frailty-related Gait Para-meters of Older Chinese Adults: A Preliminary Study[J]. Geriatr Gerontol Int, 2018, 1-8(9):1366-1371. DOI:10.1111/ggi.13492. [14] Lee H, Joseph B, Enriquez A, et al.Toward Using a Smartwatch to Monitor Frailty in a Hospital Setting:Using a Single Wrist-wearable Sensor to Assess Frailty in Bedbound Inpatients[J]. Gerontology, 2018, 64(4):389-400. DOI:10.1159/000484241. [15] Si H, Jin Y, Qiao X, et al.Comparison of 6 Frailty Screening Tools in Diagnostic Properties among Chinese Community-dwelling Older People[J]. Geriatr Nurs, 2020. DOI:10.1016/j.gerinurse.2020.08.017. [16] 任青卓,高钰琳. 衰弱筛查工具在社区老年人中的应用进展[J]. 中国老年学杂志,2019,39(13):3316-3319. DOI:10.3969/j.issn.1005-9202.2019.13.071. [17] 吴梦余,于卫华. 步行速度在老年衰弱相关不良事件中的应用进展[J]. 护理学报,2018, 25(17):21-24. DOI:10.16460/j.issn1008-9969.2018.17.021. [18] García AN, Ródenas IH, Molina RG, et al.Gait Plasticity Impairment as an Early Frailty Biomarker[J]. Exp Gerontol, 2020:111137. DOI:10.1016/j.exger.2020.111137. [19] Pradeep KD, Toosizadeh N, Mohler J, et al.Sensor-based Characterization of Daily Walkin-g:a New Paradigm in Pre-Frailty/Frailty Assessment[J]. BMC Geriatr, 2020, 20(1):164. DOI:10.1186/s12877-020-01572-1. [20] Rahemi H, Nguyen H, Lee H, et al.Toward Smart Footwear to Track Frailty Phenotypes—using Propulsion Performance to Determine Frailty[J]. Sensors, 2018, 18(6):1763. DOI:10.3390/s18061763. [21] Angulo J, El Assar M, álvarez-Bustos A, et al.Physical Activity and Exercise:Strategies to Manage Frailty[J]. Redox Biol, 2020:101513. DOI:10.1016/j.redox.2020.101513. [22] 倪洁,葛兆霞. 衰弱前期老年患者运动衰弱干预试验效果观察[J]. 护理学报,2019,26(15):65-69. DOI:10.16460/j.issn1008-9969.2019.15.065. [23] 中华医学会老年医学分会. 老年患者衰弱评估与干预中国专家共识[J]. 中华老年医学杂志, 2017,36(3):251-256. DOI:10.3760/cma.j.issn.0254-9026.2017.03.007. [24] Hladek MD, Gill J, Bandeen-Roche K, et al.High Coping Self-Efficacy Associated with Lower Odds of Prefrailty/Frailty in Older Adults with Chronic Disease[J].Aging Ment Health, 2019:1-7. DOI:10.1080/13607863.2019.1639136. [25] Doba N, Tokuda Y, Saiki K, et al.Assessment of Self-Efficacy and its Relationship with Frailty in the Elderly[J]. Intern Med, 2016, 55(19):2785-2792. DOI:10.2169/inte-rnalmedicine.55.6924. [26] Ozaki K, Kondo I, Hirano S, et al.Training with a Balance Exercise Assist Robotis More Effective than Conventional Training for Frail Older Adults[J]. Geriatr Gerontol Int, 2017, 17(11):1982-1990. DOI:10.1111/ggi.13009. [27] Liao Y, Chen IH, Wang R.Effects of Kinect-based Exergaming on Frailty Status and Physical Performance in Prefrail and Frail Elderly: A Randomized Controlled Trial[J]. Sci Rep, 2019,9(1):9353. DOI:10.1038/s41598-019-45767-y. [28] Cadore EL, Sáez De Asteasu ML, Izquierdo M. Multicomponent Exercise and the Hallmarks of Frailty: Considerations on Cognitive Impairment and Acute Hospitalization[J]. Exp Gerontol, 2019,122:10-14. DOI:10.1016/j.exger.2019.04.007. [29] Pedroli E, Greci L, Colombo D, et al.Characteristics, Usability, and Users Experience of a System Combining Cognitive and Physical Therapy in a Virtual Environment: Positive Bike[J]. Sensors (Basel), 2018, 18(7):2343. DOI:10.3390/s18072343. [30] Garcia R, Costa S, Garcia E, et al.Does Home-based Exercise Improve Physical Function of Prefrail Older Women?[J].Rejuvenation Res,2020,2292. DOI:10.1089/rej.2019.2292. [31] Santos GOR, Wolf R, Silva MM, et al.Does Exercise Intensity Increment in Exergame Promote Changes in Strength, Functional Capacity and Perceptual Parameters in Prefrail Older Women? A Randomized Controlled Trial[J]. Exp Gerontol,2019,116:25-30. DOI:10.1016/j.exger.2018.12.009. [32] Kojima G.Frailty as a Predictor of Nursing Home Placement among Community-dwelling Older Adults[J].J Geriatr Phys Ther,2018, 41(1):42-48. DOI:10.1519/JPT.0000000000000097. [33] Wai JL, Yu DS.The Relationship between Sleep-Wake Disturbances and Frailty among Older Adults: A Systematic Review[J]. J Adv Nurs, 2020, 76(1):96-108. DOI:10.1111/jan.14231. [34] 余静雅,高静,刘洁,等. 老年人睡眠障碍与衰弱关系的meta分析[J]. 中国心理卫生杂志,2019,33(4):289-295. DOI:10.3969/j.issn.1000-6729.2019.04.010. [35] Fhon JR, Rodrigues RA, Neira WF, et al.Fall and Its Association with the Frailty Syndrome in the Elderly: Systematic Review with Meta-Analysis[J].Rev Esc Enferm USP,2016,50(6):1005-1013. DOI:10.1590/S0080-623420160000700018. [36] Xi X, Tang M, Miran SM, et al.Evaluation of Feature Extraction and Recognition for Activity Monitoring and Fall Detection Based on Wearable sEMG Sensors[J]. Sensors (Basel), 2017, 17(6):1229. DOI:10.3390/s17061229. [37] 中华人民共和国科学技术部. 关于对国家重点研发计划“主动健康和老龄化科技应对”重点专项2018年度项目申报指南征求意见的通知[EB/OL]. [2020-05-10]. http://www.most.gov.cn/tztg/201802/t20180214_138178.htm. [38] Boulifard DA, Ayers E, Verghese J.Home-based Gait Speed Assessment: Normative Data and Racial/Ethnic Correlates among Older Adults[J].J Am Med Dir Assoc, 2019, 20(10):1224-1229. DOI:10.1016/j.jamda.2019.06.002. |
[1] | 杜易梅, 刘莉, 郭立丽, 卢吉, 付苗苗, 刘杰. 妇科恶性肿瘤患者性健康研究进展[J]. 护理学报, 2025, 32(4): 28-33. |
[2] | 李垚, 陈小敏, 夏敏, 吴茜, 张琳, 陈叡喆, 葛莉丽, 吴逸梅. 肿瘤患者衰弱评估工具应用的范围综述[J]. 护理学报, 2025, 32(4): 48-52. |
[3] | 王小叶, 安俊红, 刘倩, 任琴, 高瑞琴, 范丽红. 共享决策在糖尿病足患者中应用的研究进展[J]. 护理学报, 2025, 32(3): 32-37. |
[4] | 焦雪萍, 王志稳, 韩舒羽. ICU老年患者躁动行为的干预研究进展[J]. 护理学报, 2025, 32(3): 38-42. |
[5] | 陈恩琳, 莫丰菱, 庄泽明, 张明哲, 周佳坤, 黄丽芳, 纪龙飞, 张莉芳. 脑卒中单侧空间忽略评估工具的范围综述[J]. 护理学报, 2025, 32(3): 43-49. |
[6] | 陈玉英, 王海彦, 陈思颖, 杨雪娟. 老年人自立支援照护模式的照护技巧及启示[J]. 护理学报, 2025, 32(2): 31-36. |
[7] | 朱天顺, 朱可可, 薛会元, 焦聪聪, 魏长慧, 王贺. 信息框架效应理论在健康管理领域应用的范围综述[J]. 护理学报, 2025, 32(2): 44-49. |
[8] | 刘硕怡, 熊莉娟, 李凌, 王玉梅, 何嘉, 李鑫, 袁淑蕾, 郭雪琴, 王暘婧, 张慧娟. 老年住院患者衰弱预防及管理临床实践指南的质量评价及内容分析[J]. 护理学报, 2025, 32(2): 50-55. |
[9] | 闫亚铃, 乐美妮, 姚桃琴, 王雪莲, 姜建玲, 辛艺. 老年胃肠肿瘤患者围手术期衰弱管理方案的构建[J]. 护理学报, 2025, 32(2): 74-78. |
[10] | 刘畅, 张维, 王翠雪, 岳鹏. ICU实施非限制性探视制度的影响因素研究进展[J]. 护理学报, 2025, 32(1): 34-38. |
[11] | 李珂, 贺雨琼, 李雨蔚, 常颖. 脑卒中患者跌倒恐惧干预研究的范围综述[J]. 护理学报, 2025, 32(1): 50-55. |
[12] | 谭丘羽, 邓一芯, 冀婉倩, 王冬华. 农村老年人自我刻板化与主观记忆抱怨在自我感知老化与痴呆恐惧间的链式中介效应[J]. 护理学报, 2025, 32(1): 56-61. |
[13] | 方雅婷, 王岩, 王哲芸, 余云, 徐婷婷. 经口气管插管患者口腔功能减退的研究进展[J]. 护理学报, 2024, 31(9): 28-31. |
[14] | 李丁丁, 王帅有, 朱杉杉, 郭鑫, 张会敏, 王宏茹, 潘勤. 脑卒中患者支持性照护需求评估工具的范围综述[J]. 护理学报, 2024, 31(9): 48-53. |
[15] | 丁心舒, 孙乐菲, 高伟, 鲁琦, 闫畅, 刘德山. 矛盾年龄歧视量表在社区老年人中的信效度检验[J]. 护理学报, 2024, 31(7): 12-16. |
|