城乡老年人社会衰弱现状及对比研究
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女,硕士在读,护师

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新疆维吾尔自治区区域协同创新专项-科技援疆计划(2022E02119);新疆医科大学2024年科研创新团队项目(XYD2024C06);新疆医科大学大学生创新训练计划项目(X20231076071)


Current status and comparative study of social frailty among older adults in urban and rural areas
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    目的 调查城乡老年人社会衰弱现状并分析影响因素,为制订针对性干预措施提供参考。方法 于2023年7月至2024年9月采用多阶段分层整群随机抽样法,抽取新疆维吾尔自治区的13个农村社区、9个城市社区的1 826名老年人作为研究对象,采用问卷调查收集老年人的一般人口学特征、生理健康状况、心理健康状况及社会支持状况,并通过身体测量收集老年人身体功能状况,对城乡老年人社会衰弱状况及影响因素进行调查。结果 新疆城乡老年人社会衰弱发生率为62.3%,其中农村老年人为76.0%,城市老年人为45.0%。性别、文化程度、家庭人均月收入、抑郁状况、营养状况及躯体能力是城市老年人社会衰弱的影响因素(均P<0.05);是否吸烟、经济来源、吞咽功能及共病程度是农村老年人社会衰弱的影响因素(均P<0.05)。结论 新疆城乡老年人社会衰弱发生率较高,农村老年人高于城市老年人;城乡老年人社会衰弱主要影响因素有差异性,医务人员需针对性地进行干预,从而有效降低社会衰弱发生率,改善生活质量,助力实现健康老龄化目标。

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    Objective To investigate the current status of social frailty among older adults in urban and rural areas, to analyze influencing factors, and to provide references for the development of targeted intervention strategies.Methods From July 2023 to September 2024, a multi-stage stratified cluster random sampling method was employed to select 1,826 older adults from 13 rural communities and 9 urban communities in Xinjiang Uygur Autonomous Region.Data were collected through questionnaires on demographic characteristics, physiological health, mental health, and social support, along with physical measurements to assess physical functional status.The study aimed to investigate the prevalence and influencing factors of social frailty among older adults in both urban and rural settings.Results The prevalence of social frailty among older adults in Xinjiang was 62.3%, with rural older adults showing a higher rate of 76.0% compared to 45.0% among urban counterparts.Gender, education level, monthly family income, depression, nutritional status, and physical capacity were identified as influencing factors for social frailty in urban older adults (all P<0.05).Among the rural older adults, smoking status, sources of income, swallowing function, and multimorbidity were significant influencing factors (all P<0.05).Conclusion The prevalence of social frailty among older adults in Xinjiang is relatively high, with rural older adults exhibiting a higher rate than their urban counterparts.The main influencing factors differ between urban and rural older adults populations.Healthcare professionals should implement targeted interventions to effectively reduce the incidence of social frailty, improve quality of life, and promote healthy aging.

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于珊,车雅洁,苏比伊努尔·麦麦提,吾克勒阿依·阿吾塔力甫,郭楷扬,苗苗,颜萍.城乡老年人社会衰弱现状及对比研究[J].护理学杂志,2025,(15):6-12

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  • 收稿日期:2025-03-01
  • 最后修改日期:2025-05-10
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  • 在线发布日期: 2025-08-25