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目的:探讨护士主导的多学科管理模式采用国际居民评估工具（internation resident assessment instrument，interRAI）对老年代谢综合征患者身体成分和代谢指标的影响。方法:选择北京某三甲医院体检的60～74岁符合代谢综合征诊断的老年人100例，随机分为对照组和研究组各50例。对照组常规体检后门诊随访；研究组以护士主导的基于inter RAI护理评估，整合老年内科、临床营养科、心理科和物理康复科等进行个体化干预。研究为期12周，测定并比较入院第1天和12周后两组人体成分指标［机体蛋白量、体脂肪量（body fat mass，BFM）、骨骼肌量、体重指数、腰臀比值（waist-hip ratio，WHR）］及生化指标［甘油三酯（triglyceride，TG）、高密度脂蛋白胆固醇和糖化血红蛋白（glycosylated hemoglobin A1c，HbA1c）］。结果:干预12周后，与对照组比较，研究组机体蛋白量［（10.48±2.02）kg比（9.72±1.65）kg，n P=0.043）］和骨骼肌量［（29.61±6.07）kg比（27.36±4.96）kg，n P=0.046）］显著增加，BFM［（17.86±3.42）kg比（19.64±5.07）kg，n P=0.042）］、WHR（0.88±0.05比0.89±0.03，n P=0.021）和TG［（2.31±0.42）mmol/L比（2.95±0.52）mmol/L，n P=0.014）］显著降低。体重指数（25.06±3.41比24.40±2.48，n P=0.272）、高密度脂蛋白胆固醇［（0.94±0.10）mmol/L比（0.91±0.31）mmol/L，n P=0.246）］和HbA1c［（6.11%±0.51%）比（6.37%±0.42%），n P=0.185）］差异无统计学意义。干预12周后，研究组 BFM［（17.86±3.42）kg比（20.71±5.98）kg，n P=0.004）］、WHR（0.88±0.05比0.91±0.05，n P=0.001）、TG［（2.30±0.42）mmol/L比（2.75±0.37）mmol/L，n P=0.032）］和HbA1c［（6.11±0.51）mmol/L比（6.35±0.63）mmol/L，n P=0.015）］较初始显著降低；对照组各指标与初始数据差异无统计学意义。n 结论:护士主导的基于inter RAI多学科管理模式有效改善代谢综合征老年人身体成分和部分代谢指标。“,”Objective:To investigate the effects of nurse-led interRAI-based multidisciplinary team management on body composition and metabolic parameters among elderly patients with metabolic syndrome.Methods:100 elderly patients aged 60-74 with the diagnosis of metabolic syndrome were randomized into control group (n n=50) and study group (n n=50). The control group was followed up after routine physical examination. Based on interRAI assessment, the study group received nurse-led individualized intervention which integrated management regarding geriatric internal medicine, clinical nutrition, psychology and physical rehabilitation. This 12-week study measured body composition indexes body protein, body fat mass (BFM), skeletal muscle mass (SMM), body mass index (BMI), waist-to-hip ratio (WHR) and biochemical indexes [triglycerides (TG), high density lipoprotein cholesterol (HDL-C) and glycosylated hemoglobin (HbA1c)] on the first day and 12 weeks after enrollment and compared those parameters between the two groups.n Results:After 12 weeks of intervention, compared with the control group, the study group showed significantly increased body protein [(10.48±2.02) kg n vs (9.72±1.65) kg, n P=0.043], SMM [(29.61±6.07) kg n vs (27.36±4.96) kg, n P=0.046], BFM [(17.86±3.42) kg n vs (19.64±5.07)kg, n P=0.042], WHR (0.88±0.05 n vs 0.89±0.03, n P=0.021) and TG [(2.31±0.42) mmol/L n vs (2.95±0.52) mmol/L, n P=0.014]. There was no significant difference in BMI [(25.06±3.41) kg/mn 2vs (24.40±2.48) kg/mn 2, n P=0.272], HDL-C [(0.94±0.10) mmol/L n vs (0.91±0.31) mmol/L, n P=0.246] and HbA1c [(6.11±0.51)% n vs (6.37±0.42)%, n P=0.185]. After 12 weeks of intervention, body fat [(17.86±3.42) kg n vs (20.71±5.98) kg, n P=0.004], WHR (0.88±0.05 n vs 0.91±0.05, n P=0.001), TG [(2.30±0.42)mmol/L n vs (2.75±0.37) mmol/L, n P=0.032] and HbA1c [(6.11±0.51) mmol/L n vs (6.35±0.63) mmol/L, n P=0.015] in the study group were significantly lower compared with baseline and there was no difference in those parameters at baseline and 12 weeks after enrollment in the control group.n Conclusion:The nurse-led multidisciplinary management model based on interRAI assessment can effectively improve the body composition and certain metabolic indexes of the elderly with metabolic syndrome.