Beijing University of Chinese Medicine, Beijing, China.
Inquiry. 2024 Jan-Dec;61:469580241273120. doi: 10.1177/00469580241273120.
To investigate the status quo and influencing factors of overall frailty and its 3 domains among rural community-dwelling older adults. This is a cross-sectional study. A convenience sample of 195 older adults from 6 villages in Bashang Area of Zhangjiakou City, Hebei Province, China, were recruited from August to September, 2022. The demographic characteristics, the Chinese version of Tilburg Frailty Indicator, Charlson Comorbidity Scale and Hospital Anxiety and Depression Scale were used to investigate frailty and its influencing factors. Univariate analysis and multiple linear regression analysis were employed. The prevalence of overall frailty among the older adults in Bashang Area was 85.13%. Multiple linear regression analysis showed that age, gender, marital status, regular exercise, comorbidity, and anxiety were the influencing factors of overall frailty. While anxiety was the only shared influencing factor for physical frailty, psychological frailty, and social frailty, age, gender, marital status, financial burden, the comorbidity, and regular exercise were factors which influenced 1 or 2 domains of frailty. The prevalence of overall frailty among the older adults in rural areas, Zhangjiakou City is high. It is influenced by many factors. Medical staff and policy makers should work hand in hand to improve frailty among rural community-dwelling older adults in China.
本研究旨在调查农村社区老年人整体虚弱及其三个领域的现状和影响因素。这是一项横断面研究。2022 年 8 月至 9 月，我们从河北省张家口市坝上地区的 6 个村庄中抽取了 195 名年龄在 60 岁及以上的老年人作为便利样本。使用人口统计学特征、中文版蒂尔堡虚弱指标、Charlson 合并症量表和医院焦虑抑郁量表来调查虚弱及其影响因素。采用单因素分析和多元线性回归分析。坝上地区老年人整体虚弱的患病率为 85.13%。多元线性回归分析表明，年龄、性别、婚姻状况、规律运动、合并症和焦虑是整体虚弱的影响因素。而焦虑是身体虚弱、心理虚弱和社会虚弱的唯一共同影响因素，年龄、性别、婚姻状况、经济负担、合并症和规律运动是影响虚弱一个或两个领域的因素。张家口市农村地区老年人整体虚弱的患病率较高。它受到许多因素的影响。医护人员和政策制定者应携手合作，改善中国农村社区老年人的虚弱状况。
