住院相关性失能老年患者内在能力特征的潜在剖面分析
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女,硕士在读,学生

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北京市医院管理中心青年人才培养“青苗”计划(QML20230815)


Latent profile analysis of intrinsic capacity characteristics in elderly patients with hospitalization-associated disability
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    摘要:

    目的 探讨住院相关性失能老年患者内在能力的潜在类别及影响因素,为制订针对性干预措施提供依据。方法 采用便利抽样法,选取504例住院相关性失能老年患者作为调查对象。采用一般资料调查表、Barthel指数评定量表、Fried衰弱表型、社会支持评定量表、内在能力评估工具进行调查。使用潜在剖面分析识别住院相关性失能老年患者内在能力的类别特征,采用无序多分类logistic回归分析不同类别间的影响因素。结果 住院相关性失能老年患者的内在能力得分为61.34(52.79,68.39)分,可分为低内在能力组(46.4%)、低运动中内能组(24.2%)、高认知中运动组(17.5%)、高认知低感官组(11.9%)4个类别。婚姻、Barthel指数得分、衰弱、自评健康状况、血清白蛋白是住院相关性失能老年患者内在能力归属类别的影响因素(均P<0.05)。结论 住院相关性失能老年患者内在能力水平存在明显的异质性且运动维度受损较为严重,建议护理人员实施针对性干预,提升内在能力、延缓功能下降,从而达到失能预防的目的。

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    Objective To explore the latent categories and influencing factors of intrinsic capacity in elderly patients with hospitalization-associated disability, and to provide basis for formulating targeted intervention measures. Methods By convenience sampling method, 504 elderly patients with hospitalization-associated disability were selected. General information questionnaire, the Barthel index(BI), the Frailty Phenotype(FP), the Social Support Rating Scale(SSRS), and intrinsic capacity assessment tools were used to investigate. Latent profile analysis was used to identify the categorical characteristics of intrinsic capacity in elderly patients with hospitalization-associated disability, and multinomial logistic regression was used to analyze the influencing factors among different categories. Results The intrinsic capacity score of elderly patients with hospitalization-associated disability was 61.34(52.79,68.39), and they were divided into four categories, namely low intrinsic capacity group (46.4%), low locomotion and moderate intrinsic capacity group (24.2%), high cognition and moderate locomotion group (17.5%), and high cognition and low sensory group (11.9%). The results of multinomial logistic regression analysis showed that marital status, Barthel IndexI, frailty, self-reported health status, and serum albumin were the influencing factors of intrinsic capacity category in elderly patients with hospitalization-associated disability(all P<0.05). Conclusion There is obvious heterogeneity in the level of intrinsic capacity in elderly patients with hospitalization-associated disability, and the impairment is more serious in the dimension of locomotion. It is suggested that nursing staff implement targeted intervention to improve intrinsic capacity and delay functional decline, so as to achieve the purpose of disability prevention.

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韩梦雅,赵鑫宇,徐琰,刘雨骅,罗玉红,王燕秋,李秋萍,韩斌如.住院相关性失能老年患者内在能力特征的潜在剖面分析[J].护理学杂志,2025,(12):84-89

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  • 收稿日期:2025-01-10
  • 最后修改日期:2025-03-18
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  • 在线发布日期: 2025-07-18