内在能力在社区老年人外环境与生活空间 移动性间的中介效应研究
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Mediating effect of intrinsic capacity between external environment and life-space mobility in community-dwelling older adults
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    摘要:

    目的 探讨内在能力在社区老年人外环境与生活空间移动性间的中介效应,为制订针对性干预措施提供参考。方法 2024年4-6月,采用整群随机抽样法选取延吉市12个社区的517名老年人作为研究对象,并采用一般资料调查表、生活空间评价量表、内在能力评估工具(康奈尔医学指数、简易精神状态评估量表、巴氏指数评定量表、简易营养评价精法、正性负性情绪量表)、外环境测评工具进行调查。结果 社区老年人生活空间移动性受限发生率为61.51%,得分为(54.07±30.38)分,内在能力得分为(194.58±27.73)分,外环境得分为(80.60±11.69)分;生活空间移动性与外环境、内在能力呈正相关,外环境与内在能力呈正相关(均P<0.05);外环境可正向影响生活空间移动性,内在能力在外环境和生活空间移动性之间起部分中介作用,中介效应为0.240,占总效应的43.40%。结论 社区老年人生活空间移动性处于中等偏低水平,内在能力在外环境和生活空间移动性之间发挥部分中介效应。社区医护人员可将内在能力作为靶点进行干预,结合外环境特点基于内在能力发展的不同时期因地制宜地制订个性化方案,促进老年人社会参与。

    Abstract:

    Objective To explore the mediating effect of intrinsic capacity on the relationship between external environment and life-space mobility in community-dwelling older adults, in order to provide a reference for developing targeted intervention. Methods From April to June 2024, a cluster random sampling method was employed to select 517 older adults from 12 communities in Yanji City, then they were investigated by using a general information questionnaire, the Life Space Assessment (LSA), and various Intrinsic Capacity Assessment tools, including the Cornell Medical Index, Mini-Mental State Examination, Barthel Index, Mini Nutritional Assessment, and the Positive and Negative Affect Schedule, as well as an external environment assessment tool. Results The incidence of limited life-space mobility in the participants was 61.51%, with an average score of (54.07±30.38) points in LSA. The score for intrinsic capacity was (194.58±27.73) points, and it was(80.60±11.69) points for external environment. Life-space mobility was positively correlated with both external environment and intrinsic capacity, and external environment was positively correlated with intrinsic capacity (all P<0.05). External environment positively influenced life-space mobility, intrinsic capacity served as a partial mediator between external environment and life-space mobility, with a mediating effect of 0.240, accounting for 43.40% of the total effect. Conclusion Life-space mobility among community-dwelling older adults is at a moderate to low level, and intrinsic capacity serves as a partial mediator between external environment and life-space mobility. Community healthcare personnel should prioritize enhancing intrinsic capacity through targeted interventions, and develop perso-nalized program based on the characteristics of their external environment and various stages of intrinsic capacity development, so as to promote social participation of the older adults.

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王贵猛,于文婧,任慧,邢鑫洋,滕梦圆,崔香淑.内在能力在社区老年人外环境与生活空间 移动性间的中介效应研究[J].护理学杂志,2025,(2):85-89

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  • 收稿日期:2024-08-20
  • 最后修改日期:2024-10-26
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  • 在线发布日期: 2025-03-03