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

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