Geriatric nursing (New York, N.Y.) · 2026
Efficacy of a nurse-led frailty prevention program on frailty reduction and functional health improvement in community-dwelling older adults in Taiwan: a quasi-experimental longitudinal study.
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Lin Chia-Hui, Liu Ming-Yi
Аннотация
OBJECTIVES: Frailty negatively impacts quality of life and increases pressure on healthcare systems. This study aimed to evaluate the effects of a nurse-led Frailty Prevention Care Management Program (FPCMP-Old Age), based on the Chronic Care Model (CCM), on frailty and functional health in community-dwelling older adults. The program integrated participants performed total resistance exercise (TRX) exercises, nutrition support, and self-management strategies within a community nursing framework.
METHODS: A quasi-experimental, single-blind design with a non-equivalent control group was used. Seventy participants aged 60 years or older were initially recruited, with 30 in each group completing the study due to attrition. The intervention group participated in a 3-month program that included suspension training, nutritional support, and self-management education delivered by trained nurses. Data were analyzed using generalized estimating equations.
CLINICALTRIALS: gov (NCT05883423).
RESULTS: The intervention group showed significant improvements in upper limb strength (biceps curl) and cardiopulmonary endurance (2-minute step test), along with a downward trend in overall frailty scores. No statistically significant changes were observed in lower-limb strength, balance, or flexibility.
CONCLUSION: The nurse-led FPCMP-Old Age improved upper limb strength and cardiopulmonary endurance in older adults. Although overall frailty scores did not change significantly, the program shows promise as a feasible community strategy for functional health and frailty prevention. Future studies should confirm these results, assess long-term effects, and enhance balance and lower limb training.
METHODS: A quasi-experimental, single-blind design with a non-equivalent control group was used. Seventy participants aged 60 years or older were initially recruited, with 30 in each group completing the study due to attrition. The intervention group participated in a 3-month program that included suspension training, nutritional support, and self-management education delivered by trained nurses. Data were analyzed using generalized estimating equations.
CLINICALTRIALS: gov (NCT05883423).
RESULTS: The intervention group showed significant improvements in upper limb strength (biceps curl) and cardiopulmonary endurance (2-minute step test), along with a downward trend in overall frailty scores. No statistically significant changes were observed in lower-limb strength, balance, or flexibility.
CONCLUSION: The nurse-led FPCMP-Old Age improved upper limb strength and cardiopulmonary endurance in older adults. Although overall frailty scores did not change significantly, the program shows promise as a feasible community strategy for functional health and frailty prevention. Future studies should confirm these results, assess long-term effects, and enhance balance and lower limb training.