摘要
目的分析新疆维吾尔自治区社区老年人内在能力现况及影响因素,为提升老年人内在能力和功能发挥降低照护依赖提供依据。方法2020年1月—2022年5月,采用多层随机抽样方法,对新疆维吾尔自治区社区≥60岁的老年人进行现场问卷调查、体格检查、评估老年人内在能力及影响因素。结果1072例老年人内在能力下降,患病率73.41%,在听力、视力、移动能力、认知能力、心理和营养维度的患病率分别为8.64%、4.83%、39.64%、47.29%、12.04%、18.84%。校正性别、年龄后,内在能力得分与握力(r=0.38,P<0.01)、受教育程度呈正相关(r=0.284,P<0.01)。内在能力得分与慢性病数量(r=−0.108,P<0.01)、有疼痛(r=−0.085,P<0.01)、焦虑(r=−0.224,P<0.01)自评得分呈负相关。在校正性别、年龄后,上肢握力增加(OR=0.91,95%CI:0.89~0.93)、教育程度高(OR=0.28,95%CI:0.19~0.42)是老年人内在能力下降的保护因素,而焦虑(OR=1.06,95%CI:1.04~1.07)是影响老年人内在能力下降的危险因素,差异有统计学意义(P<0.05)。结论新疆维吾尔自治区社区老年人内在能力下降患病率高,具良好上肢握力及教育程度者内在能力下降的风险降低,而增龄、焦虑者内在能力下降的风险增高。
Objective To investigate the status quo of intrinsic capacity and its influencing factors in community-dwelling elderly adults in Xinjiang Uyghur Autonomous Region,so as to provide evidence for improving the intrinsic capacity and function of the elderly and reducing their care dependence.Methods From January 2020 to May 2022,multilevel random sampling method was used to select community-dwelling adults aged≥60 years in Xinjiang Uyghur Autonomous Region.All the participants underwent questionnaire survey,physical examination and comprehensive geriatric assessment to evaluate their intrinsic capacity and to explore the influencing factors of intrinsic capacity.Results A total of 1072 old adults were included,among whom the prevalence of intrinsic capacity decline was 73.41%.The prevalence of decline in hearing,vision,mobility,cognition,psychology and nutrition were 8.64%,4.83%,39.64%,47.29%,12.04%,and 18.84%,respectively.After adjusting for gender and age,the score of intrinsic capacity was positively correlated with handgrip strength(r=0.38,P<0.01)and education level(r=0.284,P<0.01),and negatively correlated with the number of chronic diseases(r=−0.108,P<0.01),pain(r=−0.085,P<0.01)and self-rated anxiety scale(r=−0.224,P<0.01).After adjusting for gender and age,increased handgrip strength(OR=0.91,95%CI:0.89-0.93)and higher education level(OR=0.28,95%CI:0.19-0.42)were protective factors against the decline of intrinsic capacity in the old adults,while anxiety(OR=1.06,95%CI:1.04-1.07)was a risk factor for the decline of intrinsic capacity in the old adults,all with statistical significance.Conclusions The prevalence of intrinsic capacity decline is high in community-dwelling elderly people in Xinjiang.The old adults with good handgrip strength and high education level are at lower risk of intrinsic capacity decline while those at older age and with anxiety are at higher risk of intrinsic capacity decline.
作者
赛娅热·雪克拉提
卓娅·买买提乌斯满
李杨静
向红
王红梅
Saiyare XUEKELATI;Zhuoya MAIMAITIWUSIMAN;LI Yangjing;XIANG Hong;WANG Hongmei(The Second Department of Cadre Health Care Center of People's Hospital of Xinjiang Uygur Autonomous Region,Urumqi,Xinjiang Uyghur Autonomous Region 830001,China)
出处
《中国预防医学杂志》
CAS
CSCD
北大核心
2023年第10期1074-1079,共6页
Chinese Preventive Medicine
基金
新疆维吾尔自治区卫生健康青年医学科技人才专项科研项目(WJWY-202202)
新疆维吾尔自治区人民医院院内项目(20210237)
关键词
社区
老年人
内在能力
功能发挥
Community
Old Adults
Intrinsic Capacity
Function exertion
