江苏省宝应县山阳镇农村空巢老人握力与内在能力的相关性研究  

Correlation between handgrip strength and intrinsic capacity among the rural empty-nested elderly in Shanyang Town,Baoying County,Jiangsu Province

作　　者：李新宇 吉妍蓉 王怡姮 刘小勤 陶花 周武 LI Xinyu;JI Yanrong;WANG Yiheng;LIU Xiaoqin;TAO Hua;ZHOU Wu(School of Marxism,Kunming Medical University,Kunming,Yunnan 650500,China;The Second People’s Hospital of Huai’an City,Huai’an,Jiangsu 223022,China;School of Medicine,Southeast University,Nanjing,Jiangsu 210003,China)

机构地区：[1]昆明医科大学马克思主义学院,云南昆明650500 [2]淮安市第二人民医院,江苏淮安223022 [3]东南大学医学院,江苏南京210003

出　　处：《实用预防医学》2024年第12期1444-1449,共6页Practical Preventive Medicine

基　　金：云南省教育厅科学研究基金项目(2023Y0803);昆明医科大学硕士研究生创新基金项目(2023S032);昆明医科大学“教师素质提升行动项目:名师工作室项目(刘小勤名师工作室)”(601221503)阶段性研究成果

摘　　要：目的 探讨农村空巢老人内在能力与握力之间的相关性,为及早预测内在能力下降风险提供防治依据。方法于2023年3—8月随机多阶段抽样选取江苏省宝应县山阳镇344名农村空巢老人进行横断面研究,收集内在能力与握力的相关指标和数据。采用Excel 2013、SPSS 27.0软件对数据进行整理和分析,运用多元回归模型及线性趋势检验分析内在能力与握力之间的关系。结果 344名农村空巢老人平均年龄为(73.99±7.53)岁,优势手平均握力值为(21.05±7.33)kg,非优势手平均握力值为(19.24±7.05)kg,内在能力下降患病率为79.65%。农村空巢老人双手握力均与内在能力存在相关性(均P<0.05)。在校正年龄等因素后,握力最高组比最低组内在能力得分高(男性优势手OR值为:2.304;女性优势手OR值为:2.780;男性非优势手OR值为:2.229;女性非优势手OR值为:2.945;均P<0.05)。进行线性趋势检验后发现,不同性别农村空巢老人内在能力与双手握力的水平变化趋势相同(P_(趋势)<0.05)。结论 农村空巢老人双手握力与内在能力有关联,且无性别差异。握力可作为农村空巢老人内在能力下降高危人群早期识别及辅助筛查的手段,用于评估内在能力下降的风险。Objective To explore the correlation of handgrip strength with intrinsic capacity among rural elderly empty-nesters,and to provide a basis for early prediction of the risk of intrinsic capacity decline.Methods A multi-stage random sampling method was used to select 344 rural elderly empty-nesters in Shanyang Town,Baoying County,Jiangsu Province in March-August 2023.A cross-sectional study was performed,and indicators and data about intrinsic capacity and handgrip strength were collected.Excel 2013 and SPSS 27.0 software were employed to sort out and analyze the data.The relationship between intrinsic capacity and handgrip strength was analyzed using a multivariate logistic regression model and the linear trend test.Results The average age of the 344 rural elderly empty-nesters was(73.99±7.53)years old.The mean grip strength of the dominant hand and the non-dominant hand was(21.05±7.33)kg and(19.24±7.05)kg respectively,and the prevalence rate of intrinsic capacity decline was 79.65%.The rural elderly empty-nesters’two-handed grip strength was correlated with intrinsic capacity(both P<0.05).After correcting for age and other factors,the score of intrinsic capacity was higher in the highest grip strength group than in the lowest grip strength group(OR for the grip strength of the dominant hand in males:2.304;OR for the grip strength of the dominant hand in females:2.780;OR for the grip strength of the non-dominant hand in males:2.229;OR for the grip strength of the non-dominant hand in females:2.945;all P<0.05).After performing the linear trend test,we observed the same changing trends in the levels of intrinsic capacity and two-handed grip strength between rural empty-nesters of different sexes(P_(trend)<0.05).Conclusion The rural empty-nesters’two-handed grip strength is associated with intrinsic capacity,and no gender differences are found.Grip strength can be used as a means for early identification and adjunctive screening of group at high risk of intrinsic capacity decline and assessment of the risk of

关 键 词：农村 空巢老人 握力 内在能力 相关性 

分 类 号：R195[医药卫生—卫生统计学]