摘要
目的 探讨社区老年人社会衰弱的影响因素及其因素间的网络关系,为开展针对性干预提供参考.方法 采用一般资料调查表、社会衰弱筛查工具、阿森斯失眠量表、衰弱筛查量表、社会支持评定量表、微型营养评估量表、简易精神状态检查表和精简版流调中心抑郁量表对唐山市路北区的1 055名社区老年人进行问卷调查.结果 社区老年人社会衰弱检出率23.70％.logistic回归分析结果显示,年龄、文化程度、慢性病数量、睡眠状况、社会支持、营养状况、体育活动、躯体衰弱、认知功能和抑郁是社会衰弱的影响因素(均P＜0.05).贝叶斯网络模型结果显示,年龄、躯体衰弱、认知功能、抑郁和社会支持与社会衰弱直接相关,体育活动通过慢性病数量、营养状况和抑郁与社会衰弱间接相关;年龄≥70岁,认知障碍且社会支持水平较低,发生躯体衰弱和抑郁的老年人发生社会衰弱的概率最高(达79.0％).结论 社区老年人社会衰弱发生率偏高,医护人员应关注社会衰弱高危人群,需要通过多学科团队协作和综合性的干预措施,以降低其社会衰弱风险.
Abstract
Objective To explore the influencing factors of social frailty of community-dwelling older adults and their network rela-tionships,and to provide a theoretical basis for targeted intervention.Methods The general data questionnaire,the Help,Participa-tion,Loneliness,Financial & Talk Scale(HALFT),the Athens Insomnia Scale,the FRAlL Questionnaire,the Social Support Rating Scale,Mini Nutritional Assessment Short Form(MNA-SF),the Mini Mental State Examination(MMSE)and the Rasch-derived short form of the Center for Epidemiologic Studies-Depression scale(CES-D)were used to investigate 1 055 elderly people in Lubei District of Tangshan city.Results The incidence of social frailty among the community-dwelling older adults was 23.70％.Logistic regression analysis showed that age,education level,number of chronic diseases,sleep status,social support,nutrition status,physical activity,physical frailty,cognitive function and depression were the main influencing factors of social frailty(all P＜0.05).The results of Bayesian network model showed that age,physical frailty,cognitive function,depression and social sup-port were directly associated with social frailty;physical activity was indirectly associated with social frailty through the number of chronic diseases,nutritional status and depression;older adults ≥70 years of age,and those with cognitive impairment and low level of social support,physical frailty and depression had the highest probability of social frailty(79.0％).Conclusion It is com-mon for the community-dwelling older adults to suffer from social frailty.Medical staff should pay attention to the high-risk groups of social frailty,and it is necessary to reduce the risk of social frailty through the collaboration of multidisciplinary teams and comprehensive intervention measures.
维普
万方数据