Chao Ying-Yu, Zha Peijia, Yang Kyeongra, Dong XinQi
Clinical Assistant Professor, Rutgers, the State University of New Jersey, School of Nursing, 180 University Avenue, Newark, NJ 07102-1803, USA.
Assistant Professor, Rutgers, the State University of New Jersey, School of Nursing, 180 University Avenue, Newark, NJ 07102-1803, USA.
Am J Aging Sci Res. 2020;1(1):12-19. doi: 10.46439/aging.1.004.
Physical function impairment can cause great stress to older adults. The purpose of the study is to investigate the association between self-reported and directly-observed physical function on perceived stress among U.S. Chinese older adults.
Data were from the Population Study of Chinese Elderly in Chicago (PINE) of 3,157 Chinese older adults who were 60 and above in the Greater Chicago Area. Self-reported and directly-observed physical function measures, and Perceived Stress Scale were used.
Participants had a mean age of 72.8 ± 8.3 years old (range 60-105). Higher scores of Katz activities of daily living impairments (odds ratio [OR]=1.77), Lawton instrumental activities of daily living impartments (OR=1.10, <0.01), Rosow-Breslau index of mobility scale (OR=1.39, <0.05), and Nagi index of basic physical activities scale (OR=1.19, <0.001) were associated with higher levels of perceived stress. In addition, higher scores of directly-observed physical function measurements, including chair stand (OR=0.93), tandem stand (OR=0.71, <0.05), timed walk (OR=0.73, <0.001), and the overall measurement (OR= 0.87, <0.01) were associated with lower level of perceived stress.
Findings suggested that poor physical function was associated with perceived stress among U.S. Chinese older adults. Longitudinal studies are needed to obtain a more comprehensive understanding of the pathways between physical function and perceived stress.
Health care professionals could provide personalized physical activity interventions to encourage older adults to engage in regular exercise in order to maintain and promote older adults' physical function and psychological well-being.
身体功能受损会给老年人带来巨大压力。本研究旨在调查美国华裔老年人自我报告的身体功能与直接观察到的身体功能与感知压力之间的关联。
数据来自芝加哥华裔老年人人口研究（PINE），该研究涉及大芝加哥地区3157名60岁及以上的华裔老年人。使用了自我报告和直接观察的身体功能测量方法以及感知压力量表。
参与者的平均年龄为72.8±8.3岁（范围60 - 105岁）。Katz日常生活活动受损得分较高（优势比[OR]=1.77）、Lawton工具性日常生活活动受损得分较高（OR=1.10，<0.01）、Rosow - Breslau活动能力量表得分较高（OR=1.39，<0.05）以及Nagi基本身体活动量表得分较高（OR=1.19，<0.001）与较高水平的感知压力相关。此外，直接观察的身体功能测量得分较高，包括从椅子上站起（OR=0.93）、前后脚站立（OR=0.71，<0.05）、定时步行（OR=0.73，<0.001）以及总体测量得分较高（OR=0.87，<0.01）与较低水平的感知压力相关。
研究结果表明，身体功能较差与美国华裔老年人的感知压力相关。需要进行纵向研究以更全面地了解身体功能与感知压力之间的路径。
医疗保健专业人员可以提供个性化的身体活动干预措施，鼓励老年人进行定期锻炼，以维持和促进老年人的身体功能和心理健康。
