Qin Rixin, Huang Kexin, Li Zhong, Luan Taiyuan, Miao Beibei, Gong Ling, Liu Wei, Chen Li
School of Nursing, Beihua University, Jilin, China.
School of Nursing, Jilin University, Changchun, China.
Front Public Health. 2025 Sep 1;13:1597645. doi: 10.3389/fpubh.2025.1597645. eCollection 2025.
With global population aging, functional disability has become a major public health and social care challenge. The integrated care model, centered on intrinsic capacity, aims to optimize functional abilities and improve health outcomes through systematic interventions. This approach offers innovative insights into long-term care for old patients with disabilities in institutional settings.
To explore the effectiveness of an "Integrated Care for Older People (ICOPE)-Based Long-Term Care Intervention Program" compared to a control group and to assess participants' perceptions of the program.
This mixed-methods study will employ an explanatory sequential design, starting with a quantitative evaluation using a randomized controlled trial (RCT), followed by a supplementary qualitative study. The old patients with disabilities will be randomly allocated in a 1:1 ratio into the intervention group or the control group. The old patients with disabilities in the intervention group will participate in a 12-week "ICOPE-Based Long-Term Care Intervention Program," and in the control group will maintain their routine life and standard care practices. Participant outcomes in both conditions will be assessed at pre-intervention (T, week 0), post-intervention (T, week 12), and 1 month after the intervention (T, week 16), and a generalized linear mixed model will be used for analysis. The primary outcome is the change in intrinsic capacity, with the significance of the mean difference assessed to determine the intervention effect. In the qualitative part of this study, interviews will be conducted with old patients with disabilities from the intervention group at T to explore their experiences of receiving the intervention, and content analysis will be applied to the data collected.
This study will assess the effectiveness of an "ICOPE-Based Long-Term Care Intervention Program" for old patients with disabilities in nursing homes. If effective, it could provide a feasible and structured approach to improving long-term care quality in institutional settings.
Identifier, ChiCTR2400094580.
随着全球人口老龄化，功能残疾已成为一项重大的公共卫生和社会护理挑战。以内在能力为核心的综合护理模式旨在通过系统性干预来优化功能能力并改善健康结局。这种方法为机构环境中残疾老年患者的长期护理提供了创新见解。
探讨基于“老年人综合护理（ICOPE）的长期护理干预计划”相较于对照组的有效性，并评估参与者对该计划的看法。
这项混合方法研究将采用解释性序列设计，首先使用随机对照试验（RCT）进行定量评估，随后进行补充性定性研究。残疾老年患者将按1:1的比例随机分配至干预组或对照组。干预组的残疾老年患者将参与为期12周的“基于ICOPE的长期护理干预计划”，而对照组将维持其日常生活和标准护理做法。两种情况下的参与者结局将在干预前（T，第0周）、干预后（T，第12周）以及干预后1个月（T，第16周）进行评估，并使用广义线性混合模型进行分析。主要结局是内在能力的变化，通过评估平均差异的显著性来确定干预效果。在本研究的定性部分，将在T时间点对干预组的残疾老年患者进行访谈，以探索他们接受干预的经历，并对收集到的数据进行内容分析。
本研究将评估“基于ICOPE的长期护理干预计划”对养老院残疾老年患者的有效性。如果有效，它可为改善机构环境中的长期护理质量提供一种可行且结构化的方法。
标识符，ChiCTR2400094580。
