Liu Qingcai, Li Xiaoyang, Hu Mingyue, Zhao Yinan, Wu Shuang, Feng Hui
College of Humanities and Management, Hunan University of Chinese Medicine, Changsha, Hunan, China.
Xiangya School of Nursing, Central South University, Changsha, Hunan, China.
Front Aging Neurosci. 2024 Nov 22;16:1456167. doi: 10.3389/fnagi.2024.1456167. eCollection 2024.
AIMS: This study investigated the current status of intrinsic capacity and self-management abilities and analyzed the factors influencing the self-management abilities of older adults experiencing intrinsic capacity decline. METHODS: We included a sample of 382 older adults, with an average age of 72.92 ± 6.81 years, exhibiting intrinsic capacity decline in 38 communities in China. Questionnaires were administered using the sociodemographic questionnaire, the intrinsic capacity questionnaire, the social support scale, the self-rated health item, the eHealth literacy scale, and the self-management ability scale. The data were analyzed using descriptive statistics, Pearson correlation coefficients, and linear regression analysis. RESULTS: In this study, 43.5% of older people had impairments in three of the five dimensions of intrinsic capacity, the most significant proportion. The self-management ability score of older adults experiencing intrinsic capacity decline was 67.05 ± 12.53 out of 100. There were significant associations between age, perceived social support, and intrinsic ability composite score with self-management abilities (Age: = -0.263; < 0.001; social support: = 0.291; < 0.001; intrinsic capacity composite score: = 0.179; < 0.001). Higher levels of self-management ability were associated with more effective maintenance of psychological capacity, regardless of the type of older adults experiencing IC decline (all < 0.05). For example, among older adults experiencing cognitive decline, maintaining psychological function was positively associated with self-management abilities ( = 0.294; < 0.01). CONCLUSION: The highest prevalence of concurrent impairments across three dimensions of intrinsic capacity was observed among older adults experiencing diminished intrinsic capacity. Fostering self-management abilities through social support and mental health interventions may benefit people experiencing intrinsic capacity decline.
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