摘要
Abstract
Objective To investigate the effects of psychological,family and social factors on the frailty in community-dwelling older people,in order to provide individualized interventions for delaying the frailty,and to minimize the occurrence of disability and rehospitalization due to frailty in such a population.Methods This cross-sectional study was conducted in 2016.Using multistage sampling,we sampled 794 people aged 60 or over from Jinfuli and Qianfuli communities in Hexi District,Tianjin and surveyed them with self-developed Demographic Questionnaire,Chinese version of Frailty Phenotype,Self-rating Depression Scale,Chinese version of Connor-Davidson Resilience Scale,Social Support Rating Scale and Family APGAR.The frail state and associated factors in the elderly were analyzed.Results Seven hundred and eighty-nine questionnaires were returned and of which 778 were responsive,the response rate was 98.0％(778/794).Of the participants,378 cases(48.6％) showed decreased gait speed,303 cases (38.9％) demonstrated grip strength decline,284 (36.5％) had significant self-assessed fatigue,134 (17.2％) had decreased physical activity,and 69 (8.9％) demonstrated weight loss;82(10.5％) were frail,334 (42.9％) were pre-frail and 362 (46.5％) were healthy.Multivariate Logistic regression analysis showed that advanced age,prevalence of multiple chronic diseases,smoking,severe depression,and poor family functioning were the risk factors for frailty in the community-dwelling older people(P<0.05),while increased resilience and social support were the protective factors for frailty in this population(P<0.05).Conclusion Psychological,family and social factors are associated with the frailty in community-dwelling older people.In order to delay the frailty in this population to the most extent,healthcare providers should encourage the elderly to treat the primary disease as early as possible,develop good habits,use positive ways to cope with mental health problems,improve family functioning,and increase the social support.关键词
蛋白质能量营养不良/社会支持/家庭功能/老年人Key words
Protein-energy malnutrition/Social support/Family function/Aged分类
医药卫生
