[1]李春玉,唐琳熙,金锦珍,等.社区老年人的内在能力及外环境因素对健康老龄化的影响[J].解放军护理杂志,2021,38(12):22-25.[doi:10.3969/j.issn.1008-9993.2021.12.006]
　LI Chunyu,TANG Linxi,JIN Jinzhen,et al.The Influence of Intrinsic Capacity and External Environment on Healthy Aging among Community Elders[J].Nursing Journal Of Chinese People’s Laberation Army,2021,38(12):22-25.[doi:10.3969/j.issn.1008-9993.2021.12.006]
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社区老年人的内在能力及外环境因素对健康老龄化的影响()
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《解放军护理杂志》[ISSN:2097-1826/CN:31-3186/R]

卷:
38
期数:
2021年12期
页码:
22-25
栏目:
论著
出版日期:
2021-12-15

文章信息/Info

Title:
The Influence of Intrinsic Capacity and External Environment on Healthy Aging among Community Elders
文章编号:
1008-9993(2021)12-0022-04
作者:
李春玉1; 唐琳熙2; 金锦珍3; 周丽3
1.郑州西亚斯学院 护理学院,河南 新郑 451100; 2.延边大学 护理学院,吉林 延吉133000; 3.延边大学 医学院,吉林 延吉 133000
Author(s):
LI Chunyu1; TANG Linxi2; JIN Jinzhen3; ZHOU Li3
1.School of Nursing, Zhengzhou Sias University,Xinzheng,451100,Henan Province, China; 2.School of Nursing,Yanbian University, Yanji133000 Jilin Province, China; 3.School of Medicine,Yanbian University
关键词:
老年人;  健康老龄化;  内在能力;  社区护理
Keywords:
the elderly;  healthy aging;  intrinsic capacity;  community care
分类号:
R473.2
DOI:
10.3969/j.issn.1008-9993.2021.12.006
文献标志码:
A
摘要:
目的 了解社区老年人内在能力、外环境对健康老龄化的影响,为针对性干预提供参考。方法 2020年5-8月,随机分层抽样法选取济宁市817例老年人为研究对象,采用巴氏指数评定量表、康奈尔医学指数、简易精神状态评估量表、正性负性情绪量表、生活质量量表、健康老龄化量表等工具对其的内在能力、外环境和健康老龄化进行调查。结果 社区老年人内在能力(167.56±18.43)分、外环境(87.25±11.25)分,健康老龄化(117.98±18.31)分,均处于较低水平; 内在能力、外环境与健康老龄化呈正相关(均P<0.05),内在能力与外环境分别独立解释健康老龄化水平差异的15.4%和8.1%(均P<0.05)。结论 社区老年人的内在能力水平有待提高,健康老龄化水平较低。内在能力是维持和发展老年人功能性能力和促进其健康老龄化的重要因素,相关护理研究有必要进一步探讨。
Abstract:
Objective To understand the influence of intrinsic capacity and external environment on healthy aging among the community elders,and to provide references for targeted interventions.Methods By the stratified random sampling method,a questionnaire survey(Barthel Index,Cornell Medical Index,Mini-mental State examination,Positive and Negative Affect Scale,Quality of Life Scale, Healthy Aging Scale)was conducted among 817 community elders in Jining from May 2020 to August 2020.Results The score of intrinsic capacity of the community elders was(167.56±18.43)while the score of external environment was(87.25±11.25). The score of healthy aging was(117.98±18.31). All the scores are of the lower level. Internal ability and external environment are positively correlated with healthy aging(all P<0.05).Intrinsic capacity and external environment independently explained 15.4% and the difference in the level of healthy aging was 8.1%.Conclusions The intrinsic capacity level of the community elders needs to be improved.Intrinsic capacity and external environment are important factors to maintain and develop the functional capabilities of the elders and promote their healthy aging.

参考文献/References:

[1] World Health Organization.World report on ageing and health.Geneva:World Health Organization[EB/OL].[2021-11-15].https://www.who.int/publications/i/item/9789241565042.
[2] World Health Organization.Integrated care for older people(ICOPE):guidance for person-centred assessment and pathways in primary care.Geneva:World Health Organization,2019[EB/OL].[2021-11-15].https://www.who.int/publications/i/item/WHO-FWC-ALC-19.1.
[3] PARTRIDGE L,DEELEN J,SLAGBOOM P E.Facing up to the global challenges of ageing[J].Nature,2018,561(7721):45-56.
[4] CHARLES A,BUCKINX F,LOCQUET M,et al.Prediction of adverse outcomes in nursing home residents according to intrinsic capacity proposed by the World Health Organization[J].J Gerontol A Biol Sci Med Sci,2020,75(8):1594-1599.
[5] MA L,CHHETRI J K,ZHANG L,et al.Cross-sectional study examining the status of intrinsic capacity decline in community-dwelling older adults in China:prevalence,associated factors and implications for clinical care[J/OL].[2021-06-30].https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7786809/.
[6] FAUL F,ERDFELDER E,BUCHNER A,et al.Statistical power analyses using G*Power 3.1:tests for correlation and regression analyses[J].Behav Res Methods,2009,41(4):1149-1160.
[7] 汪向东,王希林,马弘.心理卫生评定量表手册(增订版)[M].北京:中国心理卫生杂志社,1999:23-30.
[8] 许丽英,李天霖,李淑然,等.康奈尔健康指数的信度和效度研究[J].北京医科大学学报,1993(3):202.
[9] 周小炫.中文版简易智能精神状态检查量表在脑卒中患者中的信效度初步研究[D].福州:福建中医药大学,2015.
[10]黄丽,杨廷忠,季忠民.正性负性情绪量表的中国人群适用性研究[J].中国心理卫生杂志,2003,17(1):54-56.
[11]RUBENSTEIN L Z,HARKER J O,SALVà A,et al.Screening for undernutrition in geriatric practice:developing the short-form mini-nutritional assessment(MNA-SF)[J].J Gerontol A Biol Sci Med Sci,2001,56(6):M366-M372.
[12]方积乾,郝元涛.世界卫生组织生活质量量表中文版的信度与效度[J].中国心理卫生杂志,1999,13(4):203-205.
[13]吴凡,绳宇.健康老龄化量表的汉化及信效度评价[J].护理研究,2019,33(8):1293-1297.
[14]LU S,LIU Y,GUO Y,et al.Neighbourhood physical environment,intrinsic capacity,and 4-year late-life functional ability trajectories of low-income Chinese older population:a longitudinal study with the parallel process of latent growth curve modelling[J/OL].[2021-07-20].https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8219998/.
[15]吴凡,绳宇.城市社区老年人健康老龄化现状及相关因素分析[J].护理学杂志,2018,33(13):84-87.
[16]DE ANDRADE L O,PELLEGRINI FILHO A,SOLAR O,et al.Social determinants of health,universal health coverage,and sustainable development:case studies from Latin American countries[J].Lancet,2015,385(9975):1343-1351.

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备注/Memo

备注/Memo:
【 收稿日期 】 2021-08-01 【 修回日期 】 2021-10-19
【 作者简介 】 李春玉,博士,教授,从事社区护理研究
更新日期/Last Update: 2021-12-20