The status quo and influencing factors of intrinsic capacity among community-dwelling older adults from the perspective of Ecological Systems Theory: A cross-sectional study.

IF 3.4 2区 医学 Q2 GERIATRICS & GERONTOLOGY
Shiya Yu, Jialin Wang, Ying Xia, Qi Tang
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引用次数: 0

Abstract

Background: As intrinsic capacity (IC) declines, older adults are at a significantly increased risk of frailty, care dependency, and death. Currently, the research on IC among older adults in China was still insufficient. We aimed to identify the status quo and influencing factors among community-dwelling older adults in China and explore the relationship between IC, external environment, and social network.

Methods: A convenience sampling method was used to collect 312 older people from May 2023 to February 2024 in five communities in Chengdu, Sichuan Province. Data were collected using the general information questionnaire, Integrated Care of the Elderly (ICOPE) screening tool, World Health Organization Quality of live scale (WHOQOL-100), and Social Network Scale (LSNS-6).

Results: The IC score among Chinese community-dwelling older adults was 3.39 ± 1.60, and the prevalence of IC decline was 86.9%. Marital status, age, number of chronic diseases, social network, and external environment were influencing factors of IC, which explained 35.7% of the total variance. External environment and social network were positively correlated with IC.

Conclusions: Chinese community-dwelling older adults had low IC scores and a high prevalence of IC decline. The government should focus on IC for older adults, especially those who are older, not married or widowed, and suffering from multiple chronic diseases. In addition, the richer the external resources available to older adults, the more social support they received, and the better the IC. These findings could provide a theoretical basis for managing and improving IC in older adults.

从生态系统论的角度看社区老年人内在能力的现状和影响因素:一项横断面研究。
背景:随着固有能力(IC)的下降,老年人体弱、护理依赖和死亡的风险大大增加。目前,中国对老年人内在能力的研究仍然不足。我们的目的是了解中国社区居住老年人的现状和影响因素,并探讨IC、外部环境和社会网络之间的关系:方法:采用方便抽样法,于 2023 年 5 月至 2024 年 2 月在四川省成都市的 5 个社区收集了 312 名老年人。采用一般信息问卷、老年人综合护理(ICOPE)筛查工具、世界卫生组织生活质量量表(WHOQOL-100)和社会网络量表(LSNS-6)收集数据:中国社区老年人的 IC 得分为 3.39 ± 1.60,IC 下降率为 86.9%。婚姻状况、年龄、慢性病数量、社会网络和外部环境是 IC 的影响因素,解释了总方差的 35.7%。外部环境和社会网络与IC呈正相关:结论:中国社区老年人的 IC 评分较低,IC 下降率较高。政府应重视老年人的 IC,尤其是那些年龄较大、未婚或丧偶、患有多种慢性疾病的老年人。此外,老年人可获得的外部资源越丰富,他们获得的社会支持越多,IC 越好。这些发现可以为管理和改善老年人的 IC 提供理论依据。
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来源期刊
BMC Geriatrics
BMC Geriatrics GERIATRICS & GERONTOLOGY-
CiteScore
5.70
自引率
7.30%
发文量
873
审稿时长
20 weeks
期刊介绍: BMC Geriatrics is an open access journal publishing original peer-reviewed research articles in all aspects of the health and healthcare of older people, including the effects of healthcare systems and policies. The journal also welcomes research focused on the aging process, including cellular, genetic, and physiological processes and cognitive modifications.
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