中华护理杂志 ›› 2025, Vol. 60 ›› Issue (3): 261-265.DOI: 10.3761/j.issn.0254-1769.2025.03.001

• 老年人健康照护专题 •    下一篇

老年人内在能力评估与维护指南

中华护理学会老年护理专业委员会, 北京医院 国家老年医学中心, 中国医学科学院老年医学研究院, 北京大学护理学院(执笔:刘文静 王志稳 余跃琳 任欣 琚慧 陈宏 王君鑫 陈闪闪 周佳 伊默 王文霞 张玲娟 陈思烨 杨宇帆 王小萌 孙红)   

  1. 100730 北京市 北京医院保健医疗部 国家老年医学中心 中国医学科学院老年医学研究院(刘文静,余跃琳,任欣,琚慧,陈宏,王君鑫,陈闪闪),护理部(孙红);北京大学护理学院(王志稳,周佳,伊默,王文霞,陈思烨,杨宇帆,王小萌);海军军医大学第一附属医院临床护理学教研室(张玲娟)
  • 收稿日期:2024-10-23 出版日期:2025-02-10 发布日期:2025-01-22
  • 通讯作者: 孙红,E-mail:13911696069@163.com
  • 作者简介:刘文静:女,本科,副主任护师,护理部副主任,E-mail:wenjing0717@126.com
  • 基金资助:
    中央高水平医院临床科研业务费(BJ-2023-150);中央高水平医院临床科研业务费(BJ-2022-188)

Guideline for assessment and maintenance of intrinsic capacity in older adults

Chinese Nursing Association Geriatric Nursing Committee, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine,Chinese Academy of Medical Sciences, School of Nursing,Peking University(Writing Committee:LIU Wenjing,WANG Zhiwen,YU Yuelin,REN Xin,JU Hui,CHEN Hong WANG Junxin,CHEN Shanshan,ZHOU Jia,YI Mo,WANG Wenxia,ZHANG Lingjuan,CHEN Siye,YANG Yufan,WANG Xiaomeng,SUN Hong)   

  • Received:2024-10-23 Online:2025-02-10 Published:2025-01-22

摘要:

目的 构建老年人内在能力评估与维护指南,为专业人员提供老年人内在能力评估及维护的推荐意见,促进专业人员在社区、医院、养老机构等老年医疗与照护场所实施基于证据的临床实践。方法 以循证方法学为指导,通过文献回顾收集问题;系统检索国内外指南网、专业学会网站和数据库,形成初步推荐意见;通过1轮专家共识会和3轮专家函询对推荐意见进行修改并达成共识,形成最终版指南。结果 构建的指南包括评估和维护2个方面,5个维度,涉及28个问题,39条推荐意见。其中,认知维度形成6个问题和9条推荐意见,身体活动维度形成5个问题和7条推荐意见,活力维度形成6个问题和7条推荐意见,心理维度形成6个问题和9条推荐意见,感觉维度形成5个问题和7条推荐意见。34条推荐意见为强推荐,5条为弱推荐。结论 该指南形成的推荐意见具有良好的科学性、可接受性和可读性,能够为专业人员维护老年人的内在能力提供决策依据。

关键词: 老年人, 内在能力, 指南, 循证护理学

Abstract:

Objective This study aims to develop a guideline for assessing and maintaining intrinsic capacity in older adults,offer recommendations to professionals regarding these assessments,and encourage the implementation of evidence-based clinical practices across various settings,including communities,hospitals,nursing homes,and other geriatric care environments. Methods An evidence-based approach guided the collection of questions through a literature review. Preliminary recommendations were developed through a systematic search of domestic and international guideline networks,professional association websites,and comprehensive databases. Subsequently,the recommendations were revised,and the consensus was achieved through a round of expert consensus meetings and 3 rounds of expert correspondence,culminating in the formation of the guidelines. Results The developed guideline encompasses 2 aspects and 5 dimensions of assessment and maintenance,comprising a total of 28 questions and 39 recommendations. Specifically,6 questions and 9 recommendations were formulated for the cognitive dimension,5 questions and 7 recommendations for the locomotion dimension,6 questions and 7 recommendations for the vitality dimension,6 questions and 9 recommendations for the psychological dimension,and 5 questions and 7 recommendations for the sensory dimension. Among these,34 are classified as strong recommendations,while 5 are categorized as weak recommendations. Conclusion The guideline offers scientifically robust,acceptable,and comprehensible recommendations that equip the professionals with a foundation for decision-making aiming at preserving the intrinsic capacity of older adults.

Key words: Aged, Intrinsic Capacity, Guideline, Evidence-Based Nursing