老年人内在能力的范围综述
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女,硕士在读,学生

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山西省中医药管理局科研课题(2023ZYYB2037);山西中医药大学优硕创新项目(2024YS027)


Intrinsic capacity in older adults: a scoping review
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    摘要:

    目的 对老年人内在能力的研究进行范围审查,为深入开展后续研究提供参考。方法 遵循范围综述报告规范,计算机检索国内外数据库中有关老年人内在能力研究的文献,检索时限为建库至2024年8月9日,并由2名研究者独立进行文献筛选、汇总和分析。结果 最终纳入37篇文献。老年人内在能力减退的发生率为19.23%~98.00%;影响因素分为人口学特征、社会经济因素、疾病状况、心理行为因素和生物标志物5个方面;37篇文献共使用了3种老年人内在能力评估工具;干预措施包括运动训练、多领域干预和饮食管理。结论 老年人内在能力减退的发生率呈现高度异质性,且受多种因素影响。未来应开发本土化优质评估工具,精准识别老年人内在能力减退;融合跨学科多领域进行长期干预,全面改善老年人内在能力。

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    Objective To conduct a scoping review of studies on intrinsic capacity in older adults, and to provide references for further studies. Methods This scoping review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews guidelines. We searched international and domestic databases for papers written in English and Chinese regarding intrinsic capacity in older adults, from database inception until August 9, 2024. Two independent reviewers retrieved, summarized, and analyzed these papers. Results We included 37 papers. The incidence of intrinsic capacity decline in older adults ranged from 19.23% to 98.00%. The influencing factors of intrinsic capacity in older adults were divided into five categories including demographic characteristics, socioeconomic factors, disease conditions, psychological and behavioral factors, and biomarkers. Three tools were used to assess intrinsic capacity in older adults. Interventions included exercise training, multidomain interventions and diet management. Conclusion The incidence of intrinsic capacity decline in older adults exhibits high heterogeneity and is influenced by multiple factors. Future researchers should develop indigenous high-quality assessment tools to accurately identify this decline. Additionally, long-term intervention using multidisciplinary and cross-sectoral approaches should be provided to improve intrinsic capacity of the elderly.

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李鸿雁,杨支兰,赵慧敏,翟艳萍,杜淼,宋泽雨,王丹晨.老年人内在能力的范围综述[J].护理学杂志,2025,(14):110-115

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  • 收稿日期:2025-01-12
  • 最后修改日期:2025-04-10
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  • 在线发布日期: 2025-08-13