医养结合型养老机构老年人内在能力现状及影响因素分析  

Current status of intrinsic capacity of the elderly in medical-nursing combined institutions and its influencing factors

作　　者：张利 于卫华 任影[1] 张海燕 徐芳芳 ZHANG Li;YU Weihua;REN Ying;ZHANG Haiyan;XU Fangfang(School of Nursing,Anhui Medical University,Hefei 230032,China;Nursing Department,Hefei First People's Hospital,Hefei 230000,China)

机构地区：[1]安徽医科大学护理学院,安徽合肥230032 [2]合肥市第一人民医院护理部,安徽合肥230000

出　　处：《安徽医学》2024年第9期1165-1171,共7页Anhui Medical Journal

基　　金：2023年度安徽医科大学护理学院研究生青苗培育项目(编号:hlqm12023036);中华医学会杂志社护理学科研究课题(编号:CMAPHNRG2022043)

摘　　要：目的调查合肥市医养结合型养老机构老年人内在能力现状,并分析其影响因素。方法通过便利抽样法选取2023年6~10月在合肥市4家医养结合型养老机构居住的361名老年人,采用一般资料调查表、WHO推荐的内在能力调查表(ICOPE)、简易衰弱量表(Frail)、肌肉减少症五条目量表(SARC-F)进行调查。采用二元logistic回归分析医养结合型养老机构老年人内在能力的影响因素。结果361名医养结合型养老机构老年人内在能力得分为(3.27±1.28)分,衰弱得分为(1.4±1.25)分,肌肉减少症筛查阳性发生率为32.1%(116/361),肌肉减少症五条目平均得分为(3.04±1.58)分。二元logistic回归分析发现,女性、高龄、每周运动时间小于3小时、服用药物、最近一年发生跌倒、处于衰弱前期及衰弱期、SARC-F评分阳性是影响医养结合型养老机构老年人内在能力的危险因素(P<0.05)。结论合肥市4家医养结合型养老机构中有超过半数的老年人内在能力未能达到较好水平,医护人员应重视其影响因素的评估,采取个性化的护理措施进行干预,维持老年人内在能力在较好的水平,共同构建健康老龄化社会。Objective To investigate the intrinsic capacity of the elderly in medical-nursing combined institutions in Hefei,and ana‑lyze the influencing factors.Methods From June to October in 2023,361 elderly people living in four medical-nursing combined institutions in Hefei were selected by convenient sampling method,and the general information questionnaire,the Intrinsic capacity Questionnaire(ICOPE)recommended by WHO,Frail Scale and the SARC-F Scale were used for investigation.Binary logistic regression was used to analyze the influencing factors of the intrinsic capacity of the elderly in medical-nursing combined institutions.Results The scores of the old people’s intrinsic capacity in medical-nursing combined institutions was(3.27±1.28),the frailty score was(1.4±1.25),the positive rate of screening for sarcopenia was 116(32.1%),and the score of five items of sarcopenia was(3.04±1.58).Binary logistic regression analysis showed that female,old age,exercise time less than 3 hours per week,taking drugs,falling in the last year,pre-frailty and frailty and positive SARC-F score were the risk factors for the intrinsic capacity of the elderly in medical-nursing combined institutions(P<0.05).Conclusion More than half of the elderly in Hefei’s medical-nursing combined institutions fail to reach a good level of intrinsic capacity.Medical staff should attach importance to the evaluation of its influencing factors,and the staff of pension institutions should cooperate with medical staff and take targeted nursing measures to intervene,so as to maintain the intrinsic capacity of the elderly at a good level,delay the decline of their Intrinsic capacity and jointly build a healthy and aging society.

关 键 词：医养结合型养老机构 老年人 内在能力 衰弱量表 肌肉减少症五条目量表 

分 类 号：R161.7[医药卫生—公共卫生与预防医学]