摘要
目的 探讨养老机构老年人营养状态与其日常生活活动能力的关系及躯体功能的中介作用。 方法 于2016年4-9月选取济南市5个区中的26家养老机构,纳入符合标准的320名老年人。采用标准化量表,由经过培训的研究员一对一评估老年人的躯体功能、日常生活活动能力和营养状态。中介效应采用PROCESS中介模型分析。 结果 320例老年人营养状态、躯体功能及日常生活活动能力的平均得分分别为(11.88 ± 2.27)、(3.61 ± 3.51)、(79.13 ± 26.00)分,其中66.9%的机构老年人存在日常生活活动能力受损。机构老年人的营养状态与躯体功能、日常生活活动能力呈显著正相关,躯体功能与日常生活活动能力呈正相关。躯体功能部分中介了机构老年人营养状态对日常生活活动能力的影响,中介效应占总效应的比例为39.1%。 结论 我国机构老年人日常生活活动能力差,老年人的躯体功能部分中介了营养状态对日常生活活动能力的影响。相关部门可通过制定针对改善老年人营养状态的长期计划和提高其躯体功能的短期目标相结合的策略来促进机构老年人的健康结局。
Objective To explore the relationship between nutrition status and activity of daily livingof elders in nursing homes and the mediating effect of physical activity. Methods From Apr to Sep in 2016, 320 elders in nursing homes were selected and were surveyed using the standardized tools. The mediating effects were analyzed with PROCESS. Results The scores of elders′ nutrition status, physical function and activities of daily living were (11.88±2.27), (3.61±3.51), (79.13±26.00) points, respectively. And there were 66.9% elders suffering from activities of living life impaired. The nutrition status were significantly positive correlated with physical function and activities of daily living of elders, and the physical function were significantly positive correlated with activities of daily living of elders. The physical function partly mediated the association between nutrition status and activities of daily living, and the effect was reached to 39.1%. Conclusions The elders′activities of daily life was poor in nursing home in China. The physical function partly mediated the association between nutrition status and activities of daily living. The related departments could combine the long time and short time plans targeting at improving of nutrition status and physical function respectively, to enhance the outcomes of elders in nursing homes.
作者
黄立群
高洁
牟焕玉
徐东娟
王克芳
Huang Liqun;Gao Jie;Mou Huanyu;Xu Dongjuan;Wang Kefang(Nursing School of Shandong University,Jinan 250012,China;School of Nursing,Purdue University,City of West Lafayette 47907,America)
出处
《中国实用护理杂志》
2019年第2期132-136,共5页
Chinese Journal of Practical Nursing
基金
教育部人文社会科学研究规划基金(14YJAZH076).
