中华护理杂志 ›› 2023, Vol. 58 ›› Issue (1): 68-73.DOI: 10.3761/j.issn.0254-1769.2023.01.009
收稿日期:
2022-08-15
出版日期:
2023-01-10
发布日期:
2022-12-30
通讯作者:
孙超,E-mail:sunchaobjyy@163.com作者简介:
胡慧秀:女,硕士,主管护师,护理部科长,E-mail:18610145247@163.com
基金资助:
HU Huixiu(), SUN Chao(), ZHAO Yajie, LI Lei, LI Jingnan
Received:
2022-08-15
Online:
2023-01-10
Published:
2022-12-30
摘要:
目的 调查中国老年人身体及认知功能状况,并对其特征进行分析。 方法 借助老年人功能评估平台,调查来自中国华东、华南、华中、华北、西南地区共9个省市,12 141名老年人的功能状况,包含身体功能和认知功能,其中身体功能包含日常生活活动能力、平衡、步速、肌力、跌倒风险和视听功能,并对不同场所、年龄、性别和居住地的老年人进行差异分析。 结果 老年人基本和工具性日常生活活动能力依赖发生率分别为45.9%和80.5%,39.5%的老年人为低平衡功能,68.1%的老年人为慢步速,64.5%的老年人为低肌力,32.7%的老年人有跌倒风险,41.0%的老年人自我报告视力障碍,17.6%的老年自我报告有听力障碍,30.0%的老年人有认知功能障碍。不同机构、年龄、性别和居住地会影响老年人的功能状况。 结论 老年人功能状况有待提高,护理人员应重点关注养老机构、高龄、女性和农村老年人,早期监测与干预高危人群,满足老年人差异化、多样化的长期照护服务需求。
胡慧秀, 孙超, 赵雅洁, 李磊, 李京南. 我国9个省份老年人身体及认知功能状况的调查研究[J]. 中华护理杂志, 2023, 58(1): 68-73.
HU Huixiu, SUN Chao, ZHAO Yajie, LI Lei, LI Jingnan. Investigestion and character analysis of function of 12 141 older people in 9 provinces[J]. Chinese Journal of Nursing, 2023, 58(1): 68-73.
表5 不同居住地类别老年人功能状况的比较[n=12 141,名(百分率,%)]
Table 5 The difference of impaired function of older people among different resident areas[n=12 141,cases(percent,%)]
[1] | 民政部. 2021年民政事业发展统计公报[EB/OL]. (2022-08-26)[2022-09-10]. https://images3.mca.gov.cn/www2017/file/202208/2021mzsyfztjgb.pdf. |
Ministry of Civil Affairs. 2021 statistical bulletin on development of civil affairs[EB/OL].(2022-08-26)[2022-09-10]. https://images3.mca.gov.cn/www2017/file/202208/2021mzsyfztjgb.pdf. | |
[2] | Luo Y, Su B, Zheng X. Trends and challenges for population and health during population aging-China,2015-2050[J]. China CDC Wkly, 2021, 3(28):593-598. |
[3] |
Wang LJ, Tang Y, Farnaz R, et al. The Health status transition and medical expenditure evaluation of elderly population in China[J]. Int J Environ Res Public Health, 2021, 18(13):6907.
DOI URL |
[4] | 国家卫生健康委, 国家发展改革委, 教育部, 等. 关于建立完善老年健康服务体系的指导意见[EB/OL]. (2019-10-28)[2022-09-10]. http://www.nhc.gov.cn/lljks/s7785/201911/cf0ad12cb0ec4c96b87704fbbeb5bbde.shtml. |
National Health Commission, National Development and Reform Commission, Ministry of Education, et al. Guidelines on establi-shment and improvement of a health service system for the older people[EB/OL]. (2019-10-28)[2022-09-10]. >http://www.nhc.gov.cn/lljks/s7785/201911/cf0ad12cb0ec4c96b87704fbbeb5b-bde.shtml. | |
[5] |
Rajan KB, Hebert LE, Scherr P, et al. Cognitive and physical functions as determinants of delayed age at onset and progression of disability[J]. J Gerontol A Biol Sci Med Sci, 2012, 67(12):1419-1426.
DOI URL |
[6] |
陈申, 崔焱, 郑静, 等. 养老机构与居家失能老年人日常生活活动需求未满足状况的差异性研究[J]. 中华护理杂志, 2019, 54(3):434-438.
DOI |
Chen S, Cui Y, Zheng J, et al. The differences in unmet needs of activities of daily living between disabled elderly people living in nursing homes and in families[J]. Chin J Nurs, 2019, 54(3):434-438.
DOI |
|
[7] | 陈艳秋, 宗敏, 李士捷, 等. 上海社区老年人简易身体能力评估及其影响因素的研究[J]. 中华老年医学杂志, 2020, 39(4):467-468. |
Chen YQ, Zong M, Li SJ, et al. An investigation of short physical performance battery score and its influencing factors among the elderly in communities of Shanghai[J]. Chin J Geria-tr, 2020, 39(4):467-468. | |
[8] |
Zhang PD, Lü YB, Li ZH, et al. Age,period,and cohort effects on activities of daily living,physical performance,and cognitive functioning impairment among the oldest-old in China[J]. J Gerontol A Biol Sci Med Sci, 2020, 75(6):1214-1221.
DOI URL |
[9] | Mahoney FI, Barthel DW. Functional evaluation:the barthel index[J]. Md State Med J, 1965, 14:61-65. |
[10] |
Lawton MP, Brody EM. Assessment of older people:self-maintaining and instrumental activities of daily living[J]. Gerontologist, 1969, 9(3):179-186.
PMID |
[11] | National Institute on Aging. Short Physical Performance Battery(SPPB)[EB/OL]. [2022-05-10] https://www.nia.nih.gov/research/labs/leps/short-physical-performance-battery-sppb. |
[12] |
Podsiadlo D, Richardson S. The timed "Up & Go":a test of basic functional mobility for frail elderly persons[J]. J Am Geriatr Soc, 1991, 39(2):142-148.
DOI PMID |
[13] | Kim JH. Fall experience and cognitive function in middle aged and elderly population[J]. Medicine(Baltimore), 2020, 99(18):e19203. |
[14] |
American Geriatrics Society and British Geriatrics Society. Summary of the updated American Geriatrics Society/British Geriatrics Society clinical practice guideline for prevention of falls in older persons[J]. J Am Geriatr Soc, 2011, 59(1):148-157.
DOI PMID |
[15] |
Folstein MF, Folstein SE, Mchugh PR. "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician[J]. J Psychiatr Res, 1975, 12(3):189-198.
DOI PMID |
[16] | 王征宇, 张明园. 中文版简易智能状态检查(MMSE)的应用[J]. 上海精神医学, 1989, 7(3):108-111. |
Wang ZY, Zhang MY. Application of the Chinese version of Mini-Mental State Examination(MMSE)[J]. J Shanghai Psychiatry, 1989, 7(3):108-111. | |
[17] | 王振杰, 刘蓓, 郭占元, 等. 中国老年人失能情况Meta分析[J]. 中国老年学杂志, 2020, 40(8):1671-1674. |
Wang ZJ, Liu P, Guo ZY, et al. Meta-analysis of disability in the elderly in China[J]. Chin J Gerontol, 2020, 40(8):1671-1674. | |
[18] | 田鹏, 杨宁, 郝秋奎, 等. 中国老年衰弱患病率的系统评价[J]. 中国循证医学杂志, 2019, 19(6):656-664. |
Tian P, Yang N, Hao QK, et al. Epidemiological characteristics of frailty in Chinese elderly population:a systematic review[J]. Chin J Evid Based Med, 2019, 19(6):656-664. | |
[19] | 贾改珍, 袁丽凤, 韩春蕾. 农村老年人认知功能障碍及其影响因素[J]. 中国老年学杂志, 2014, 34(21):6163-6165. |
Jia GZ, Yuan LF, Han CL. Cognitive dysfunction of rural elderly and its influencing factors[J]. Chin J Gerontol, 2014, 34(21):6163-6165. | |
[20] | 李思齐. 养老机构老年人社会资本、抑郁与认知功能的相关性研究[D]. 沈阳: 辽宁中医药大学, 2021. |
Li SQ. A study on the correlation between social capital,depression and cognitive function of the aged in institutions[D]. Shenyang: Liaoning University of Traditional Chinese Medicine, 2021. | |
[21] |
Ahrenfeldt LJ, Lindahl-Jacobsen R, Rizzi S, et al. Comparison of cognitive and physical functioning of Europeans in 2004-05 and 2013[J]. Int J Epidemiol, 2018, 47(5):1518-1528.
DOI PMID |
[22] |
Vetrano DL, Villani ER, Grande G, et al. Association of polypharmacy with 1-year trajectories of cognitive and physical function in nursing home residents:results from a multicenter European study[J]. J Am Med Dir Assoc, 2018, 19(8):710-713.
DOI URL |
[23] |
陈颖勇, 张正敏, 左倩倩, 等. 社区老年人认知衰弱风险预测模型的构建及验证[J]. 中华护理杂志, 2022, 57(2):197-203.
DOI |
Chen YY, Zhang ZM, Zuo QQ, et al. Construction and validation of a prediction model for the risk of cognitive frailty among the elderly in a community[J]. Chin J Nurs, 2022, 57(2):197-203.
DOI |
|
[24] |
Tolea MI, Galvin JE. Sarcopenia and impairment in cognitive and physical performance[J]. Clin Interv Aging, 2015, 10:663-671.
DOI PMID |
[25] |
Lövdén M, Fratiglioni L, Glymour MM, et al. Education and cognitive functioning across the life span[J]. Psychol Sci Public Interest, 2020, 21(1):6-41.
DOI URL |
[26] |
Soma Y, Tsunoda K, Kitano N, et al. Relationship between built environment attributes and physical function in Japanese community-dwelling older adults[J]. Geriatr Gerontol Int, 2017, 17(3):382-390.
DOI PMID |
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