摘要
目的考察社区老年人的衰弱状况及其影响因素。方法采用自编一般情况调查问卷.Tilburg衰弱量表、简易体能状况量表、心理弹性量表简版、简易精神状态检查量表和老年抑郁量表简版对1012名四川省65岁及以上的城乡社区老年人进行调查。采用£检验和方差分析比较差异,并用多元逐步回归分析探讨衰弱的影响因素。结果(1)社区老年人的衰弱率为30.73%。(2)社区老年人的衰弱得分在性别、文化程度、婚姻状况、居住情况、夫妻支持、子女支持、家庭经济状况、自觉健康状况、慢性疾病数量、体质指数、近1年跌倒次数、锻炼情况和晚上睡眠时间方面组间差异有统计学意义(均PvO.05)。(3)社区老年人衰弱[(3.72±2.88)分]与抑郁[(2.69±2.58)分]呈显著正相关(r=0.58,P<0.01),与体能量表中的平衡能力[(3.28±1.07)分]、步行速度[(2.93±1.05)分]、5次坐站测试[(2.92±1.27)分],心理弹性的力量性[(13.99±3.57)分]、坚韧性维度[(14.12±3.55)分]和MMSE[(23.71±5.55)分]呈显著负相关(r=-0.33^-0.43,均PvO.Ol)。(4)抑郁(r=0.416,P<0.001)、慢性疾病数量(β=0.219,P<0.001)、平衡能力(β=-0.166,PvO.001)、夫妻支持(β=-O.O89,PvO.Ol)、心理弹性力量性维度(B=-0.097,PvO.01)、家庭经济状况(β=0.093,Pv 0.01)和性别(0=0.082,PvO.01)显著影响衰弱,联合解释变异量为45.9%。结论社区老年人衰弱率较高,衰弱受生理、心理、社会等多因素的影响,因此需要采用多学科合作的整合模式来开展社区衰弱干预。
Objective To explore the current status and predictive factors of frailty among community-dwelling old adults.Methods A total of 1012 community-dwelling older adults aged 65 years and above in Sichuan Province were enrolled and investigated by self-made general condition scale,Tilburg Frailty Indicator(TFI),Short Physical Performance Battery(SPPB),10-item Connor-Davidson Resilience Scale(CD-RISC-10),Mini-Mental State Examination(MMSE)and Geriatric Depression Scale Short-form(GDS-15).Results(1)The prevalence of frailty was 30.73%.(2)There were significant differences in the frailty scores of community-dwelling older adults in terms of gender,education,marital status,living condition,spouse support,children support,family economic conditions,self-perceived health status,number of chronic diseases,body mass index,number of falls in the past year,exercise state and sleep time at night(all PvO.05).(3)The frailty(3.72±2.88)was significantly positively correlated with depression(2.69±2.58;r=0.58,PvO.01),and negatively correlated with the scores of balance ability(3.28±1.01),walking speed(2.92±1.05),chair rise test(2.92±1.27),strength of resilience(13.99±3.57)and MMSE(23.71±5.55)(r=-0.33-0.43,PvO.01).(4)Depression(0=0.416,P<0.001),the number of chronic diseases(/3=0.219,P<0.001),balance ability(β=-0.166,P<0.001),spousal support(/3=-0.089,PvO.01),strength of resilience(β=-0.097,P<0.01),family economic status(β=0.093,P<O.01)and gender(β=0.082,P<0.01)significantly influenced frailty,with a combined explanation variance of 45.9%.Conclusions The rate of frailty of communitywelling old adults is high,which is influenced by physiological,psychological and social factors.Therefore,it is necessary to adopt a comprehensive model of multi-disciplinary cooperation to carry out frailty intervention in community.
作者
李彦章
熊梅
张玉平
苏艺篮
Li Yanzhang;Xiong Mei;Zhang Yuping;Su Yilan(School of Psychology,Chengdu Medical College,Chengdu 610500,China)
出处
《中华行为医学与脑科学杂志》
CAS
CSCD
北大核心
2019年第11期1020-1024,共5页
Chinese Journal of Behavioral Medicine and Brain Science
基金
国家社会科学基金一般项目(17BSH127)。
关键词
衰弱
影响因素
社区老年人
Frailty
Influencing factor
Community-dwelling old adults
