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预测老年人未来不良健康结局的内在能力:一项范围综述。

Intrinsic Capacity to Predict Future Adverse Health Outcomes in Older Adults: A Scoping Review.

作者信息

Zhou Jia, Chang Hui, Leng Minmin, Wang Zhiwen

机构信息

School of Nursing, Peking University, Beijing 100191, China.

School of Nursing, Guizhou Medical University, Guiyang 550025, China.

出版信息

Healthcare (Basel). 2023 Feb 4;11(4):450. doi: 10.3390/healthcare11040450.

Abstract

OBJECTIVE

Intrinsic capacity is recognized as an important determinant of healthy aging and well-being of older adults; however, relatively little is known about the intrinsic capacity of older adults to predict adverse health outcomes. The study aimed to examine which adverse health outcomes of older adults can be predicted by intrinsic capacity.

METHODS

The study was conducted using the scoping review methodological framework of Arksey and O'Malley. A systematic literature search of nine electronic databases (i.e., Pubmed, Embase, Cochrane library, Web of science, CINAHL, China National Knowledge Infrastructure, VIP, Wanfang, and the Chinese Biological Medical Literature Database) were performed from the database's inception to 1 March 2022.

RESULTS

Fifteen longitudinal studies were included. A series of adverse health outcomes were assessed, including physical function ( = 12), frailty ( = 3), falls ( = 3), mortality ( = 6), quality of life ( = 2) and other adverse health outcomes ( = 4).

CONCLUSIONS

Intrinsic capacity could predict some adverse health outcomes of different follow-up times for older adults; however, due to the small number of studies and sample size, more high-quality studies are necessary to explore the longitudinal relationships between intrinsic capacity and adverse health outcomes in the future.

摘要

目的

内在能力被认为是老年人健康老龄化和幸福生活的重要决定因素;然而,关于老年人内在能力对不良健康结局的预测作用,我们所知甚少。本研究旨在探讨内在能力能够预测老年人的哪些不良健康结局。

方法

本研究采用了阿克西和奥马利的范围综述方法框架。从各数据库建库至2022年3月1日,对九个电子数据库(即PubMed、Embase、Cochrane图书馆、科学网、护理学与健康领域数据库、中国知网、维普、万方和中国生物医学文献数据库)进行了系统的文献检索。

结果

纳入了15项纵向研究。评估了一系列不良健康结局,包括身体功能(n = 12)、衰弱(n = 3)、跌倒(n = 3)、死亡率(n = 6)、生活质量(n = 2)以及其他不良健康结局(n = 4)。

结论

内在能力可以预测老年人不同随访时间的一些不良健康结局;然而,由于研究数量和样本量较少,未来需要更多高质量的研究来探索内在能力与不良健康结局之间的纵向关系。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4aa3/9957180/5bc9722c08fd/healthcare-11-00450-g001.jpg

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