摘要
目的 了解社区老年人的衰弱程度,探讨社区老年人个体弹性、家庭弹性与衰弱程度的相关性。方法 选用衰弱综合评估工具(The CFAI)、心理弹性量表(CD-RISC)和家庭弹性量表(Walsh-FRQ),于2020年9月-2021年3月采用方便抽样的方法,对上海、云南、贵州、四川、重庆、安徽、江西等研究人员所在地区的社区老年人进行问卷调查。结果 352名社区老年人衰弱总均分为(46.43±9.13)分,轻度衰弱占26.7%,中度衰弱占43.8%,重度衰弱占29.5%。心理弹性(r=-0.235)、家庭弹性(r=-0.058)与社区老年人衰弱呈显著负相关(P<0.01)。有序logistic回归分析结果显示:日常生活自理能力、家庭弹性、文化程度和家庭人均月收入是社区老年人衰弱程度的影响因素(P<0.05)。家庭弹性为社区老年人衰弱的保护性因素(OR=0.518)。结论 社区老年人社会衰弱突出,个体弹性和家庭弹性与衰弱呈显著负相关,未来可以家庭为单位、从增加家庭弹性的角度,加强老年人自身和家庭力量的开发和挖掘,构建社区老年人衰弱干预方案,以促进社区老年人积极健康老龄化。
Objective To investigate the status of frailty of the elderly in community,and explore the correlation of psychological resilience and family resilience with the frailty of the elderly in the community.Methods From September 2020 to March 2021,the elderly in the communities from Shanghai,Yunnan,Guizhou,Sichuan,Chongqing,Anhui,and Jiangxi were selected by the method of convenient sampling and conducted a questionnaire survey by the Comprehensive Frailty Assessment Instrument(The CFAI),Conner-Davidson Resilience Scale(CD-RISC),and the Walsh Family Resilience Questionnaire(Walsh-FRQ).Results The total average score of 352 community elderly was(46.43±9.13)points,with mild frailty accounting for 26.7%,moderate frailty accounting for 43.8%,and severe frailty accounting for 29.5%.The scores of psychological resilience(r=-0.235)and family resilience(r=-0.058)were significantly negatively correlated with the frailty(P<0.01).Ordered logistic regression analysis showed that ability of daily living(ADL),family resilience,education level,and family per capita monthly income were the influencing factors of the frailty of the elderly in community(P<0.05),and family resilience was a protective factor for frailty among community elderly(OR=0.518).Conclusion The social frailty of the elderly in the community is prominent,and there is a significant negative correlation between psychological resilience and family resilience with the frailty of the elderly in community.In the future,from the perspective of increasing family resilience,we can strengthen the development and mining of the strength of the elderly themselves and their families,and construct the frailty intervention program for the elderly in community,so as to promote active and healthy aging of the elderly in community.
作者
况艺
王安妮
KUANG Yi;WANG Anni(Department of Nursing,Fudan University,Shanghai 200032,China)
出处
《护士进修杂志》
2024年第7期691-696,共6页
Journal of Nurses Training
基金
国家社会科学基金项目(编号:20CSH016)
上海市扬帆计划(编号:20YF1401900)
复旦大学护理双一流学科发展项目(编号:FNSYL202008)。
关键词
社区老年人
衰弱
心理弹性
家庭弹性
相关性研究
the elderly in community
frailty
psychological resilience
family resilience
association study
