老年人内在能力的概念分析

doi:10.3761/j.issn.0254-1769.2024.16.017

摘要/Abstract

摘要：

目的分析并阐明老年人内在能力的概念内涵。方法系统检索PubMed、Cochrane Library、CINAHL、Web of Science、Embase、中国生物医学文献服务系统、中国知网、万方数据库、维普数据库中与老年人内在能力相关的研究，检索时限为建库至2023年7月，依据纳入标准筛选文献，应用Rodgers演化概念分析法对文献进行分析。结果共纳入30篇文献。老年人内在能力包括4个概念属性：以实现健康老龄化目标为导向、个体固有的生理储备能力、维度丰富且交互影响、具有动态可逆转的发展轨迹；其前置因素包括人口学因素、社会经济因素、健康相关特征、外部环境等因素；后置影响包括早期识别老年人内在能力下降并及时采取针对性的干预措施对提高老年人生命质量和促进健康老龄化具有重要意义；内在能力下降与多种不良健康结局密切相关，严重威胁老年人健康状况。结论通过概念分析明确了老年人内在能力的概念属性，未来应基于老年人内在能力的内涵进行研究并开展临床护理实践。

关键词: 老年人, 内在能力, Rodgers演化概念分析法, 健康老龄化, 老年护理学

Abstract:

Objective To analyze and clarify the concept of intrinsic capacity of the elderly. Methods We searched studies on intrinsic capacity of the elderly from websites and databases，including PubMed，Cochrane Library，Web of Science，Embase，CINAHL，China Biomedical Literature Service System databases，CNKI，WanFang databases and VIP. We selected relevant papers from the inception of databases to July 2023 according to inclusion criteria. Rodgers evolutionary method of concept analysis was used. Results A total of 30 articles were retrieved. 4 attributes were identified on intrinsic capacity，including：guided by the goal of achieving healthy aging，inherent physiological reserve capacity of individuals，rich and interactive dimensions，and a dynamic and reversible development trajectory. Its prerequisites include demographic factors，socio-economic factors，health-related charac-teristics，external environment，and other factors；post effects include early identification of declining intrinsic abilities in the elderly and timely adoption of targeted intervention measures，which are of great significance for improving the quality of life of the elderly and promoting healthy aging. The decline in intrinsic capabilities is closely related to various adverse health outcomes，posing a serious threat to the health status of the elderly. Conclusion The concept attributes of intrinsic capacity were identified by concept analysis method. In the future，research and clinical practice should be carried out based on the concept of intrinsic capacity.

Key words: Aged, Intrinsic Capacity, Rodgers’ Evolutionary Concept Analysis, Healthy Aging, Geriatric Nursing

吴婷婷, 魏晓琴, 董建惠, 杨婷婷, 杨翊芳, 陈俊博, 何香, 马玉霞. 老年人内在能力的概念分析[J]. 中华护理杂志, 2024, 59(16): 2037-2043.

WU Tingting, WEI Xiaoqin, DONG Jianhui, YANG Tingting, YANG Yifang, CHEN Junbo, HE Xiang, MA Yuxia. Concept analysis of the intrinsic capacity of the elderly[J]. Chinese Journal of Nursing, 2024, 59(16): 2037-2043.

参考文献 37

[1]	Fang EF, Xie CL, Schenkel JA, et al. A research agenda for ageing in China in the 21st century(2nd edition):focusing on basic and translational research,long-term care,policy and social networks[J]. Ageing Res Rev, 2020,64:101174.
[2]	刘媛, 陈菲菲, 费文海, 等. 老年慢性病患者出院准备服务的研究进展[J]. 中华护理杂志, 2021, 56(9):1420-1425. DOI
	Liu Y, Chen FF, Fei WH, et al. Research progress on discharge planning for hospitalized elderly patients with chronic diseases[J]. Chin J Nurs, 2021, 56(9):1420-1425. DOI
[3]	孙亮, 黎健. 中国人类健康长寿相关因素的研究进展[J]. 中国基础科学, 2021, 23(5):1-9.
	[Sun L, Li J. Research progress on factors related to human healthy longevity in China[J]. China Basic Sci, 2021, 23(5):1-9.
[4]	Beard JR, Officer A, de Carvalho IA, et al. The world report on ageing and health:a policy framework for healthy ageing[J]. Lancet, 2016, 387(10033):2145-2154. DOI PMID
[5]	唐琳熙, 李春玉, 于玲玲, 等. 老年人内在能力的研究进展[J]. 中国卫生产业, 2021, 18(2):183-187,191.
	Tang LX, Li CY, Yu LL, et al. Research progress on the intrinsic ability of the elderly[J]. China Health Ind, 2021, 18(2):183-187,191.
[6]	WHO. World report on ageing and health[R]. Geneva: World Health Organization, 2015.
[7]	Rezaei-Adaryani M, Salsali M, Mohammadi E. Nursing image:an evolutionary concept analysis[J]. Contemp Nurse, 2012, 43(1):81-89. DOI PMID
[8]	Tofthagen R, Fagerstrom LM. Rodgers’ evolutionary concept ana-lysis:a valid method for developing knowledge in nursing science[J]. Scand J Caring Sci, 2010, 24(1):21-31.
[9]	李晴歌, 胡嘉乐, 郑窑文, 等. 概念分析方法及在护理研究中的应用[J]. 护理学杂志, 2018, 33(4):100-102.
	Li QG, Hu JL, Zheng YW, et al. Concept analysis and its application in nursing[J]. J Nurs Sci, 2018, 33(4):100-102.
[10]	李加敏, 李学靖, 杨丹, 等. 低价值护理的概念分析及研究现状[J]. 中华护理杂志, 2022, 57(17):2171-2176. DOI
	Li JM, Li XJ, Yang D, et al. Concept analysis and research progress of low-value care[J]. Chin J Nurs, 2022, 57(17):2171-2176. DOI
[11]	Rubinstein B. Characteristics of hook formation by bean seed-lings[J]. Plant Physiol, 1972, 49(4):640-643. DOI PMID
[12]	Garfield CA. Peak performers:the new heroes of American business[M]. New York: W·Morrow,1986:333
[13]	Gonzalez-Bautista E, Andrieu S, Gutiérrez-Robledo LM, et al. In the quest of a Standard Index of Intrinsic Capacity. A critical literature review[J]. J Nutr Health Aging, 2020, 24(9):959-965. DOI PMID
[14]	Cesari M, Araujo de Carvalho I, Amuthavalli Thiyagarajan J, et al. Evidence for the domains supporting the construct of intrinsic capacity[J]. J Gerontol A Biol Sci Med Sci, 2018, 73(12):1653-1660.
[15]	Beard JR, Jotheeswaran AT, Cesari M, et al. The structure and predictive value of intrinsic capacity in a longitudinal study of ageing[J]. BMJ Open, 2019, 9(11):e026119.
[16]	Ma LN, Chhetri JK, Zhang L, et al. Cross-sectional study exami-ning the status of intrinsic capacity decline in community-dwelling older adults in China:prevalence,associated factors and implications for clinical care[J]. BMJ Open, 2021, 11(1):e043062.
[17]	张洁, 张丹丹, 吴娟, 等. 老年人内在能力下降与日常生活活动能力的关系[J]. 中华现代护理杂志, 2020, 26(32):4466-4469.
	Zhang J, Zhang DD, Wu J, et al. Relationship between decline of intrinsic capacity and activity of daily living of elderly patients[J]. Chin J Mod Nurs, 2020, 26(32):4466-4469.
[18]	梁叶田, 安兰茹, 高亚暄, 等. 老年人内在能力研究进展[J]. 护理研究, 2022, 36(19):3481-3484.
	Liang YT, An LR, Gao YX, et al. Research progress on intrinsic capacity of the elderly[J]. Chin Nurs Res, 2022, 36(19):3481-3484.
[19]	Rodgers BL, Knafl KA. Concept analysis:an evolutoinary view. Concept development in nursing:foundations,techniques and applications[M]. Philadelphia:Saunders,2000:77-102.
[20]	张洁, 沈姞, 李晶. 老年人内在能力概念解读与研究进展[J]. 中华老年医学杂志, 2021, 40(4):524-527.
	Zhang J, Shen J, Li J. Interpretation of intrinsic capacity in the elderly and research progress[J]. Chin J Geriatr, 2021, 40(4):524-527.
[21]	Wei XQ, Chen YJ, Qin JX, et al. Factors associated with the intrinsic capacity in older adults:a scoping review[J]. J Clin Nurs, 2024, 33(5):1739-1750.
[22]	Jia SL, Zhao WY, Ge ML, et al. Associations between transi-tions of intrinsic capacity and frailty status,and 3-year disability[J]. BMC Geriatr, 2023, 23(1):96.
[23]	López-Ortiz S, Lista S, Peñín-Grandes S, et al. Defining and assessing intrinsic capacity in older people:a systematic review and a proposed scoring system[J]. Ageing Res Rev, 2022,79:101640.
[24]	赵迪, 王爱敏, 赵梦璐, 等. 社区老年人社会隔离研究进展[J]. 护理学杂志, 2019, 34(23):90-94.
	Zhao D, Wang AM, Zhao ML, et al. Social isolation in com-munity-dwelling seniors:a literature review[J]. J Nurs Sci, 2019, 34(23):90-94.
[25]	Giudici KV, de Souto Barreto P, Guerville F, et al. Associa-tions of C-reactive protein and homocysteine concentrations with the impairment of intrinsic capacity domains over a 5-year follow-up among community-dwelling older adults at risk of cognitive decline(MAPT Study)[J]. Exp Gerontol, 2019, 127:110716.
[26]	Sánchez-Sánchez JL, Rolland Y, Cesari M, et al. Associations between intrinsic capacity and adverse events among nursing home residents:the INCUR study[J]. J Am Med Dir Assoc, 2022, 23(5):872-876.e4.
[27]	Lu SY, Liu YQ, Guo YQ, et al. Neighbourhood physical envi-ronment,intrinsic capacity,and 4-year late-life functional ability trajectories of low-income Chinese older population:a longitudinal study with the parallel process of latent growth curve modelling[J]. EClinicalMedicine, 2021,36:100927.
[28]	Yang YY, Ma GF, Wei SH, et al. Adverse outcomes of intrinsic capacity in older adults:a scoping review[J]. Arch Gerontol Geriatr, 2024,120:105335.
[29]	Chhetri JK, Harwood RH, Ma LN, et al. Intrinsic capacity and healthy ageing[J]. Age Ageing, 2022, 51(11):afac239.
[30]	WHO. Integrated care for older people(ICOPE) implemen-tation framework:guidance for systems and services[R]. Geneva: World Health Organization, 2019.
[31]	Ma LN, Chhetri JK, Zhang YX, et al. Integrated care for older people screening tool for measuring intrinsic capacity:preliminary findings from ICOPE pilot in China[J]. Front Med, 2020,7:576079.
[32]	Rojano I Luque X, Blancafort-Alias S, Prat Casanovas S, et al. Identification of decreased intrinsic capacity:performance of diagnostic measures of the ICOPE screening tool in com-munity dwelling older people in the VIMCI study[J]. BMC Geriatr, 2023, 23(1):106.
[33]	侯晓琳, 高静, 吴晨曦, 等. 养老机构老年人衰弱现状及分析[J]. 中华护理杂志, 2018, 53(1):88-93.
	Hou XL, Gao J, Wu CX, et al. Prevalence and factors associa-ted with frailty among institutional older adults[J]. Chin J Nurs, 2018, 53(1):88-93.
[34]	刘硕, 刘晓红. 老年人内在能力的研究现状[J]. 中华老年多器官疾病杂志, 2022, 21(5):385-388.
	Liu S, Liu XH. Research progress of intrinsic capacity in the elderly[J]. Chin J Mult Organ Dis Elder, 2022, 21(5):385-388.
[35]	Whitson HE, Duan-Porter W, Schmader KE, et al. Physical resi-lience in older adults:systematic review and development of an emerging construct[J]. J Gerontol A Biol Sci Med Sci, 2016, 71(4):489-495.
[36]	Wang JJ, Boehm L, Mion LC. Intrinsic capacity in older hos-pitalized adults:implications for nursing practice[J]. Geriatr Nurs, 2017, 38(4):359-361.
[37]	田雨同, 张艳, 侯小花, 等. “互联网+护理服务”平台的构建及应用研究[J]. 中华护理杂志, 2020, 55(10):1537-1542. DOI
	Tian YT, Zhang Y, Hou XH, et al. Research on the constru-ction and application of Internet nursing service platform[J]. Chin J Nurs, 2020, 55(10):1537-1542.