Zhao Yinan, Chen Yifei, Xiao Lily Dongxia, Liu Qingcai, Nan Jiahui, Li Xiaoyang, Feng Hui
Xiangya School of Nursing, Central South University, Changsha, Hunan province, China.
College of Nursing and Health Sciences, Flinders University, Sturt Road, Bedford Park, South Australia, 5042, GPO Box 2100, Adelaide, SA 5001, Australia.
Geriatr Nurs. 2024 Mar-Apr;56:46-54. doi: 10.1016/j.gerinurse.2023.12.022. Epub 2024 Jan 17.
To identify intrinsic capacity trajectories, predictors of intrinsic capacity trajectories and associations between intrinsic capacity trajectories and care dependence in community-dwelling older adults in China.
A retrospective longitudinal study was conducted, and the data were obtained from a five-year national longitudinal cohort study of older adults in China between 2011 and 2015. The social determinants of health framework informed the data analysis and interpretation.
A total of 3893 older adults met the selection criteria and were included in the study. Three intrinsic capacity trajectories were identified: high trajectory (15.7 %), stable trajectory (52.7 %) and declining trajectory (31.6 %). Social determinants contribute to intrinsic capacity decline in older adults. Decreased cognitive function, psychological status, and locomotion at baseline were associated with care dependence.
Approximately thirty percent of the older adults in this cohort study experienced a decline in intrinsic capacity within a 5-year period. Social determinants contributed to this decline in older adults.
识别中国社区居住老年人的内在能力轨迹、内在能力轨迹的预测因素以及内在能力轨迹与护理依赖之间的关联。
进行了一项回顾性纵向研究，数据来自2011年至2015年期间在中国开展的一项为期五年的全国老年人纵向队列研究。健康的社会决定因素框架为数据分析和解释提供了依据。
共有3893名老年人符合入选标准并纳入研究。识别出三种内在能力轨迹：高轨迹（15.7%）、稳定轨迹（52.7%）和下降轨迹（31.6%）。社会决定因素导致老年人内在能力下降。基线时认知功能、心理状态和运动能力下降与护理依赖相关。
在这项队列研究中，约30%的老年人在5年内内在能力出现下降。社会决定因素导致了老年人的这种下降。
