Concept analysis of the intrinsic capacity of the elderly

doi:10.3761/j.issn.0254-1769.2024.16.017

Abstract

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

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

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.

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.

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