[1]王九瑞,刘健,延泽萍,等.老年人社会衰弱发生率及影响因素的系统评价和Meta分析[J].军事护理,2023,40(03):10-14.[doi:10.3969/j.issn.2097-1826.2023.03.003]
　WANG Jiurui,LIU Jian,YAN Zeping,et al.Incidence and Influencing Factors of Social Frailty among the Elderly:A Systematic Review and Meta-Analysis[J].Nursing Journal Of Chinese People's Laberation Army,2023,40(03):10-14.[doi:10.3969/j.issn.2097-1826.2023.03.003]
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老年人社会衰弱发生率及影响因素的系统评价和Meta分析
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《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
40
期数:
2023年03期
页码:
10-14
栏目:
老年护理专栏
出版日期:
2023-03-15

文章信息/Info

Title:
Incidence and Influencing Factors of Social Frailty among the Elderly:A Systematic Review and Meta-Analysis
文章编号:
2097-1826(2023)03-0010-05
作者:
王九瑞1; 刘健1; 延泽萍1; 刘梦琪1; 汪晓丽1; 栾晓嵘2
(1.山东大学 护理与康复学院,山东 济南 250012; 2.山东大学齐鲁医院 医院感染管理处,山东 济南 250012)
Author(s):
WANG Jiurui1; LIU Jian1; YAN Zeping1; LIU Mengqi1; WANG Xiaoli1; LUAN Xiaorong2
(1.School of Nursing and Rehabilitation,Shandong University,Jinan 250012,Shandong Province,China; 2.Infection Management Office,Qilu Hospital of Shandong University,Jinan 250012,Shandong Province,China)
关键词:
老年人;  社会衰弱;  危险因素;  系统评价;  Meta分析
Keywords:
the elderly;  social frailty;  risk factor;  systematic review;  meta-analysis
分类号:
R473.59
DOI:
10.3969/j.issn.2097-1826.2023.03.003
文献标志码:
A
摘要:
目的 系统评价老年人社会衰弱发生率及其影响因素。方法 计算机检索Cochrane Library、Embase、Web of Science、PubMed、CINAHL、知网、万方、维普、中国生物医学文献数据库,搜集老年人社会衰弱发生率及其影响因素的相关文献,检索时间为建库至2021年11月。采用Stata 14.0软件进行系统评价。结果 共纳入25篇文献、47 041例老年人。老年人社会衰弱的发生率为20%,社会衰弱前期的发生率为34%。老年人社会衰弱的影响因素包括运动功能障碍(OR=2.79)、身体衰弱(OR=2.09)、低体力活动(OR=1.52)和抑郁情绪(OR=7.61)。结论 老年人社会衰弱发生率较高,社会衰弱前期的发生率更高,运动功能障碍、身体衰弱、低体力活动和抑郁情绪为其影响因素。本研究中纳入的文献异质性较高且大多数研究来自国外。因此,我国医护人员应重视老年人社会衰弱的早期筛查并开展综合干预措施,预防老年人社会衰弱的发生,从而推动健康老龄化发展。
Abstract:
Objective To systematically review the incidence and influencing factors of social frailty among the elderly.Methods The databases of Cochrane Library,Embase,Web of Science,PubMed,CINAHL,CNKI,Wanfang,VIP,and CBM were searched to retrieve literature on the incidence and influencing factors of social frailty among the elderly.The retrieval time frame was from inception to November,2021.The Stata 14.0 software was used for systematic review.Results A total of 25 articles were selected,involving 47 041 senior citizens.The incidence of social frailty among the elderly was 20%,and the incidence of early-stage social frailty was 34%.The influencing factors of social frailty among the elderly included motor dysfunction(OR=2.79),physical frailty(OR=2.09),low physical activity(OR=1.52)and depressive emotions(OR=7.61).Conclusions The incidence of social frailty among the elderly was high,with that of early-stage social frailty even higher.Motor dysfunction,physical frailty,low physical activity and depressive emotions are its influencing factors.Articles involved in this study are of high heterogeneity and most are from abroad.Therefore,medical staff in China should pay attention to the early screening of social frailty among the elderly and carry out comprehensive interventions,so as to prevent the occurrence of social frailty and promote healthy aging.

参考文献/References:

[1] TSUTSUMIMOTO K,DOI T,MAKIZAKO H,et al.Association of social frailty with both cognitive and physical deficits among older people[J].J Am Med Dir Assoc,2017,18(7):603-607.
[2] BUNT S,STEVERINK N,OLTHOF J,et al.Social frailty in older adults:a scoping review[J].Eur J Ageing,2017,14(3):323-334.
[3] INOUE T,MAEDA K,SATAKE S,et al.Osteosarcopenia,the co-existence of osteoporosis and sarcopenia,is associated with social frailty in older adults[J].Aging Clin Exp Res,2022,34(3):535-543.
[4] HIRASE T,MAKIZAKO H,OKUBO Y,et al.Chronic pain is independently associated with social frailty in community-dwelling older adults[J].Geriatr Gerontol Int,2019,19(11):1153-1156.
[5] 张文雅,范俊瑶,王甜颖,等.湖北省社区老年人社会衰弱与抑郁的相关性[J].实用老年医学,2021,35(5):491-494.
[6] 彭心雨,宋明方,张婉,等.社区老年人社会衰弱现状及影响因素[J].护理研究,2021,35(19):3401-3406.
[7] 范俊瑶,刘玥婷,赵慧敏,等.老年人社会衰弱的研究进展[J].护理学杂志,2020,35(2):106-109.
[8] 曾宪涛,刘慧,陈曦,等.Meta分析系列之四:观察性研究的质量评价工具[J].中国循证心血管医学杂志,2012,4(4):297-299.
[9] USUI N,YOKOYAMA M,NAKATA J,et al.Association between social frailty as well as early physical dysfunction and exercise intolerance among older patients receiving hemodialysis[J].Geriatr Gerontol Int,2021,21(8):664-669.
[10]KO H,JUNG S.Association of social frailty with physical health,cognitive function,psychological health,and life satisfaction in community-dwelling older Koreans[J/OL].[2023-02-04].https://pubmed.ncbi.nlm.nih.gov/33477925/.DOI:10.3390/ijerph18020818.
[11]YE L,ELSTGEEST L,ZHANG X,et al.Factors associated with physical,psychological and social frailty among community-dwelling older persons in Europe:a cross-sectional study of urban health centres Europe(UHCE)[J/OL].[2023-02-04].https://pubmed.ncbi.nlm.nih.gov/34247573/.DOI:10.1186/s12877-021-02364-x.
[12]PEK K,CHEW J,LIM J P,et al.Social frailty is independently associated with mood,nutrition,physical performance,and physical activity:insights from a theory-guided approach[J/OL].[2023-02-04].https://pubmed.ncbi.nlm.nih.gov/32545853/.DOI:10.3390/ijerph17124239.
[13]MAKIZAKO H,KUBOZONO T,KIYAMA R,et al.Associations of social frailty with loss of muscle mass and muscle weakness among community-dwelling older adults[J].Geriatr Gerontol Int,2019,19(1):76-80.
[14]PARK H,JANG I Y,LEE H Y,et al.Screening value of social frailty and its association with physical frailty and disability in community-dwelling older koreans:aging study of pyeongchang rural area[J/OL].[2023-02-04].https://pubmed.ncbi.nlm.nih.gov/31394719/.DOI:10.3390/ijerph16162809.
[15]赵欧,李耘,张亚欣,等.住院患者社会衰弱情况及影响因素分析[J].北京医学,2021,43(8):730-734.
[16]赵欧,李耘,张亚欣,等.老年住院患者社会衰弱与生理衰弱的相关性[J].中华老年多器官疾病杂志,2021,20(6):401-405.
[17]JUJO K,KAGIYAMA N,SAITO K,et al.Impact of social frailty in hospitalized elderly patients with heart failure:a fragile-hf registry subanalysis[J/OL].[2023-02-04].https://pubmed.ncbi.nlm.nih.gov/34472374/.DOI:10.1161/JAHA.120.019954.
[18]ONO R,MURATA S,UCHIDA K,et al.Reciprocal relationship between locomotive syndrome and social frailty in older adults[J].Geriatr Gerontol Int,2021,21(11):981-984.
[19]CHEN Z,JIANG X,SHI G,et al.Social frailty and longitudinal risk of depressive symptoms in a Chinese population:the rugao longevity and aging study[J].Psychogeriatrics,2021,21(4):483-490.
[20]HUANG C H,OKADA K,MATSUSHITA E,et al.The association of social frailty with intrinsic capacity in community-dwelling older adults:a prospective cohort study[J/OL].[2023-02-04].https://pubmed.ncbi.nlm.nih.gov/34579661/.DOI:10.1186/s12877-021-02466-6.
[21]NAGAI K,TAMAKI K,KUSUNOKI H,et al.Physical frailty predicts the development of social frailty:a prospective cohort study[J/OL].[2023-02-04].https://pubmed.ncbi.nlm.nih.gov/33054731/.DOI:10.1186/s12877-020-01814-2.
[22]OKUMURA M,INOUE T,MELINDA G,et al.Social frailty as a risk factor for new-onset depressive symptoms at one year post-surgery in older patients with gastrointestinal cancer[J].J Geriatr Oncol,2020,11(5):904-907.
[23]TSUTSUMIMOTO K,DOI T,NAKAKUBO S,et al.Impact of social frailty on Alzheimer's disease onset:a 53-month longitudinal cohort study[J].J Alzheimers Dis,2019,70(2):587-595.
[24]TSUTSUMIMOTO K,DOI T,MAKIZAKO H,et al.Social frailty has a stronger impact on the onset of depressive symptoms than physical frailty or cognitive impairment:a 4-year follow-up longitudinal cohort study[J].J Am Med Dir Assoc,2018,19(6):504-510.
[25]MA L,SUN F,TANG Z.Social frailty is associated with physical functioning,cognition,and depression,and predicts mortality[J].J Nutr Health Aging,2018,22(8):989-995.
[26]YAMADA M,ARAI H.Social frailty predicts incident disability and mortality among community-dwelling japanese older adults[J].J Am Med Dir Assoc,2018,19(12):1099-1103.
[27]TEO N,GAO Q,NYUNT M S Z,et al.Social frailty and functional disability:findings from the singapore longitudinal ageing studies[J].J Am Med Dir Assoc,2017,18(7):637.e13-637.e19.
[28]MAKIZAKO H,SHIMADA H,TSUTSUMIMOTO K,et al.Social frailty in community-dwelling older adults as a risk factor for disability[J].J Am Med Dir Assoc,2015,16(11):1003.e7-11.
[29]罗艳艳,杜诣深,姚桂英,等.社区老年人运动功能及自我感知老化与抑郁的结构方程模型构建[J].护理学杂志,2021,36(8):80-83.
[30]ISHIBASHI H.Locomotive syndrome in Japan[J].Osteoporos Sarcopenia,2018,4(3):86-94.
[31]汪晨晨,谢晖,蔡维维.社区老年人衰弱及其影响因素分析[J].中华全科医学,2021,19(4):625-627,683.
[32]张洁,张丹丹,王海妍.衰弱老年人非药物干预的研究进展[J].中华护理杂志,2020,55(10):1588-1593.

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备注/Memo

备注/Memo:
【 收稿日期 】 2022-05-14 【 修回日期 】 2023-02-04
【 基金项目 】 山东省自然科学基金面上项目(ZR2020MG071)
【 作者简介 】 王九瑞,硕士在读,电话:0531-82169535
【 通信作者 】 栾晓嵘,电话:0531-82169535
更新日期/Last Update: 2023-03-15