運用多模式阻力運動改善一位衰弱老人下肢無力之實證照護經驗
蘇貞云、謝佳容
下載PDF檔 ( 已下載次數：17)
中文摘要 衰弱老人常因下肢肌力喪失導致跌倒風險與住院率的增加，然而，阻力運動是增加肌力與肌肉量，改善肌耐力與步行速度，進而延續獨立生活的有效方法之一。本文為探討一位下肢無力跌倒、逐漸出現非刻意的體重減輕、活動力下降之衰弱老人之護理經驗，護理期間運用周全性老年評估與跨專業團隊之出院準備服務概念，評估個案身心靈性與社會性狀況，發現個案的核心主要健康問題為高危險性跌倒/因虛弱、下肢無力所致。藉由實證文獻資料搜尋後，根據評讀結果針對個案及其家庭採取實證照護方案（多模式阻力運動訓練為期8週，每週進行2-3次、每次1小時）結果呈現多模式阻力運動可以改善個案的下肢肌力、步態速度，增加自我執行日常生活活動能力，透過實證健康照護可發揮專業的獨特價值。本案例研討之報告惟外部效度有限，且缺乏長期追蹤，未來建議可採用多個案或準實驗設計以提升實證照護結果的推廣性與信度。
關鍵字：衰弱老人、多模式阻力運動、下肢肌力
文章建立時間：2025-12-08
引用格式(APA)：
蘇貞云、謝佳容(2025)。 運用多模式阻力運動改善一位衰弱老人下肢無力之實證照護經驗。
福祉科技與服務管理學刊， 13(1)， 1-14。
Empirical nursing experience of using multimodal resistance exercise to improve lower limb weakness in one frail elderly
Chen-Yun Su, Chia-Jung Hsieh
English Abstract Frailty in elderly individuals is commonly associated with reduced lower limb muscle strength, leading to increased risks of falls and hospitalization. However, resistance exercise has been shown to be an effective intervention for improving muscle strength and mass, enhancing muscle endurance and walking speed, thereby prolonging independent living.
This article explored the nursing care experience of a frail elderly individual who experienced falls due to lower limb weakness, gradual unintentional weight loss, and decreased mobility. During the nursing period, Comprehensive Geriatric Assessment (CGA) and interdisciplinary team discharge preparation service concepts were applied to assess the patient's physical, psychological, spiritual, and social conditions. The core health problem identified was high fall risk caused by frailty and lower limb weakness. Based on evidence-based literature review, an intervention was implemented consisting of an 8-week multimodal resistance exercise program (2–3 sessions per week, 1 hour per session) targeted at the patient and family. The intervention resulted in improvements in lower limb muscle strength, walking speed, and the patient's ability to perform activities of daily living independently, demonstrating the unique professional value of evidence-based healthcare. However, this case report has limited external validity and lacks long-term follow-up. Future studies are recommended to employ multiple case studies or quasi-experimental designs to enhance the generalizability and reliability of evidence-based care outcomes.Keywords：Frail elderly, multimodal resistance exercise, lower limb muscle strength