Li Weitong, Yin Haiyan, Song Yulei, Tu Wenjing, Wang Lulu, Liang Yongqi, Bai Yamei, Xu Guihua
School of Nursing, Nanjing University of Chinese Medicine, Nanjing, People's Republic of China.
Nanjing University of Chinese Medicine, Nanjing, People's Republic of China.
Risk Manag Healthc Policy. 2023 Jan 30;16:79-92. doi: 10.2147/RMHP.S383031. eCollection 2023.
Social isolation is a serious and pervasive health issue among older people, and it is difficult to identify and assess effectively. Based on a thorough and scientific evaluation index system, AHP-Fuzzy comprehensive evaluation could be a valuable technique.
It is crucial to establish interventions that focus on risk factors for the prevention of social isolation in order to give a strong scientific foundation for enhancing older people's health habits. This can be achieved by using a fuzzy comprehensive evaluation method to assess the risk of social isolation in older people.
A hundred community members over 60 from Nanjing were selected as the evaluation subjects in China. After the element layer was split into three categories of "social risk, economic risk, and cultural risk" using the analytic hierarchy process approach, a total of 22 assessment indicators were picked to develop a risk evaluation index system.
The risk level of social isolation belonging to the "low risk, relatively low risk, medium risk, relatively high risk, high risk" of membership degree are respectively "0.3392, 0.2632, 0.2257, 0.1069, 0.0650". Fuzzy comprehensive evaluation analysis showed that social relations (0.4934), monthly income (0.4654), health status (0.5960) were significant factors of social isolation risk in older people. The results showed that factors related to social risk had the most significant impact on social isolation.
It is scientific and feasible to construct the risk evaluation index model of social isolation risk for the elderly by using AHP-Fuzzy comprehensive evaluation method. In preventing social isolation of older people in the future, we should pay attention to the impact of social and cultural factors on them, and provide practical intervention programs and references from the government, community, family.
社会隔离是老年人中一个严重且普遍存在的健康问题，且难以有效识别和评估。基于全面科学的评估指标体系，层次分析法 - 模糊综合评价可能是一种有价值的技术。
建立针对预防社会隔离风险因素的干预措施至关重要，以便为增强老年人健康习惯提供有力的科学依据。这可以通过使用模糊综合评价方法来评估老年人社会隔离风险来实现。
选取中国南京100名60岁以上社区成员作为评估对象。运用层次分析法将因素层划分为“社会风险、经济风险和文化风险”三类后，共选取22个评估指标构建风险评估指标体系。
社会隔离风险水平属于“低风险、较低风险、中等风险、较高风险、高风险”的隶属度分别为“0.3392、0.2632、0.2257、0.1069、0.0650”。模糊综合评价分析表明，社会关系（0.4934）、月收入（0.4654）、健康状况（0.5960）是老年人社会隔离风险的显著因素。结果表明，与社会风险相关的因素对社会隔离影响最为显著。
运用层次分析法 - 模糊综合评价方法构建老年人社会隔离风险评估指标模型科学可行。在未来预防老年人社会隔离方面，应关注社会文化因素对他们的影响，并从政府、社区、家庭层面提供切实可行的干预方案及参考。
