社区老年人体质虚弱的现状及影响因素

中华行为医学与脑科学杂志 Pub Date : 2019-11-20 DOI:10.3760/CMA.J.ISSN.1674-6554.2019.11.012

Yan-zhang Li, Mei-Jia Xiong, Yuping Zhang

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引用次数: 0

摘要

目的探讨社区老年人体质虚弱的现状及预测因素。方法采用自制的一般状况量表、Tilburg虚弱指数（TFI）、短体力测试量表（SPPB）、康纳·戴维森10项弹性量表（CD-RISC-10）、简易精神状态检查量表（MMSE）和老年抑郁量表（GDS-15）对四川省1012名65岁及以上社区老年人进行调查。结果（1）社区老年人虚弱的患病率为30.73%，（3）虚弱（3.72±2.88）与抑郁呈正相关（2.69±2.58；r=0.58，P<0.01），与平衡能力（3.28±1.01）、步行速度（2.92±1.05）、椅子抬高试验（2.92士1.27）呈负相关，恢复力（13.99±3.57）和MMSE（23.71±5.55）（r=-0.33-0.43，P<0.01），综合解释方差为45.9%。结论社区老年人体弱率高，受生理、心理和社会因素的影响。因此，有必要采用多学科合作的综合模式在社区中进行虚弱干预。关键词：脆弱；影响因素；居住在社区的老年人

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The current status and influencing factors of frailty among community-dwelling old adults

Objective To explore the current status and predictive factors of frailty among community-dwelling old adults. Methods A total of 1 012 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 P<0.05). (3) The frailty (3.72±2.88) was significantly positively correlated with depression (2.69±2.58; r=0.58, P<0.01), 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, P<0.01). (4) Depression (β=0.416, P<0.001), the number of chronic diseases(β=0.219, P<0.001), balance ability(β=-0.166, P<0.001), spousal support(β=-0.089, P<0.01), strength of resilience(β =-0.097, P<0.01), family economic status(β=0.093, P<0.01) 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 community-dwelling 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. Key words: Frailty; Influencing factor; Community-dwelling old adults

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中华行为医学与脑科学杂志

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8131

期刊介绍： "Chinese Journal of Behavioral Medicine and Brain Science" (CN 37-1468/R, ISSN 1674-6554) is a national academic journal under the supervision of the National Health Commission, sponsored by the Chinese Medical Association and Jining Medical College. The journal was founded in June 1992 and was formerly known as "Chinese Journal of Behavioral Medicine" (1992-1993) and "Chinese Behavioral Medical Science" (1994-2008). In 2009, it was renamed "Chinese Journal of Behavioral Medicine and Brain Science" with the approval of the State Administration of Press, Publication, Radio, Film and Television. The purpose of "Chinese Journal of Behavioral Medicine and Brain Science" is to implement the health and health policies of the Party and the State, implement the principle of combining theory with practice and popularization and improvement, and reflect the major progress in the theory and practical application of behavioral medicine and brain science in my country. It publishes academic papers and scientific research results in the field of behavioral medicine and brain science in my country, and has columns such as monographs/reviews, basic research, clinical research, health prevention, methods and techniques, psychological behavior and evaluation, and systematic evaluation.