摘要
目的了解养老机构衰弱及衰弱前期老年人日常生活能力现状及影响因素,为制订预防和干预措施提高养老机构老年人日常生活能力提供参考依据。方法采用横断面研究方法,采用便利抽样法抽取四川省成都市8所养老机构的436例老年人为调查对象。采用Fried衰弱表型量表评估老年人的衰弱状况,采用自行设计的一般情况调查表收集老年人的社会人口学资料、生活方式及健康相关资料,采用日常生活能力量表、简易营养评估量表、社会支持量表分别评估老年人日常生活能力、营养状况、社会支持的情况,并分析其对日常生活能力的影响因素。结果养老机构衰弱及衰弱前期老年人躯体生活自理能力受损率为48.6%,工具性日常生活能力受损率为81.0%,总日常生活能力受损率81.9%。Logistic回归分析结果显示,年龄、居住环境、自评健康状况、体育锻炼、营养状况、社会支持是养老机构衰弱及衰弱前期老年人日常生活能力受损的影响因素(均P<0.05)。结论养老机构衰弱及衰弱前期老年人的日常生活能力受损情况较严重,应针对危险因素采取有效措施,提高养老机构老年人的健康水平和生活质量。
Objective To investigate the current situations and influencing factors of pre-and intra-frail daily living activity of the elderly in pension institutions.Methods By using the method of cross-sectional study,436 elderly people from 8 pension institutions in Chengdu,Sichuan Province were enrolled in the study according to the inclusion and exclusion criteria.The frailty phenotype scale was used to evaluate the frailty of the elderly,and the self-designed questionnaire was used to collect the social demographic data,lifestyle and health-related data of the elderly.The activity of daily living scale,short-from mini-nutritional assessment and social support rating scale were used to evaluate the ability of daily living,nutritional status and social support of the elderly.Results The impairment rate of physical self-maintenance scale of the elderly was 48.6%,the impairment rate of instrumental activities of daily living was 81.0%,and the total impairment rate of activity of daily living scale was 81.9%.The binary Logistic regression analysis showed that age,living environment,self-rated health status,physical exercise,nutritional status and social support were the factors influencing the impairment of the daily living activities of the elderly.Conclusions The daily living ability of the elderly is seriously impaired in the early stage of the frailty and in the process of frailty of pension institutions.Effective measures should be taken to improve the health level and quality of life of the elderly in pension institutions.
作者
廖琴
高静
钟懿珠
柏丁兮
刘锐芮
张浩
伍侨
Liao Qin;Gao Jing;Zhong Yizhu;Bai Dingxi;Liu Ruirui;Zhang Hao;Wu Qiao(School of Nursing,Chengdu University of TCM,Chengdu,611137,China)
出处
《现代临床护理》
2020年第7期16-23,共8页
Modern Clinical Nursing
基金
四川省卫生和计划生育委员会科研课题,项目编号为18PJ302。
关键词
养老机构
衰弱
老年人
日常生活能力
institutionalization
frailty
the old
daily living activity
