Journal of Internal Medicine Concepts & Practice ›› 2023, Vol. 18 ›› Issue (03): 177-182.doi: 10.16138/j.1673-6087.2023.03.008
• Original article • Previous Articles Next Articles
BAI Tingting1, LI Feika1, XU Gang2, JIANG Qianwen1, WU Fang1()
Received:
2022-06-09
Online:
2023-06-30
Published:
2023-08-07
CLC Number:
BAI Tingting, LI Feika, XU Gang, JIANG Qianwen, WU Fang. A simple prediction model for risk of functional impairment in elderly[J]. Journal of Internal Medicine Concepts & Practice, 2023, 18(03): 177-182.
相关因素 | β | SE | Walds | OR(95% CI) | P |
---|---|---|---|---|---|
性别 | -1.014 | 0.335 | 9.176 | 0.363(0.186~0.692) | 0.002 |
年龄(岁) | |||||
60~64 | 41.070 | 0.000 | |||
65~69 | 1.674 | 0.761 | 4.840 | 5.335(1.273~25.287) | 0.028 |
70~74 | 1.455 | 0.803 | 3.281 | 4.285(0.923~21.731) | 0.070 |
75~79 | 2.205 | 0.764 | 8.321 | 9.072(2.152~43.352) | 0.004 |
80~84 | 2.534 | 0.743 | 11.625 | 12.602(3.122~57.762) | 0.001 |
≥85 | 3.805 | 0.746 | 25.991 | 44.940(11.273~210.941) | 0.000 |
社交活动频率(次) | |||||
>每周3 | 11.947 | 0.003 | |||
每周1~3 | 0.539 | 0.360 | 2.242 | 1.715(0.847~3.494) | 0.134 |
每周<1 | 1.308 | 0.378 | 11.940 | 3.698(1.774~7.866) | 0.001 |
脑卒中 | 0.841 | 0.353 | 5.678 | 2.320(1.166~4.677) | 0.017 |
糖尿病 | 0.976 | 0.319 | 9.354 | 2.654(1.432~5.026) | 0.002 |
焦虑 | 2.058 | 0.607 | 11.511 | 7.830(2.480~27.343) | 0.001 |
认知障碍 | 0.858 | 0.425 | 4.064 | 2.358(1.036~5.542) | 0.044 |
衰弱 | 2.799 | 0.336 | 69.319 | 16.434(8.708~32.717) | 0.000 |
白蛋白(g/L) | -0.116 | 0.038 | 9.313 | 0.891(0.825~0.958) | 0.002 |
[1] | 童玉芬. 中国人口的最新动态与趋势——结合第七次全国人口普查数据的分析[J]. 中国劳动关系学院学报, 2021, 35(4): 15-25. |
[2] | 张良文, 方亚. 2020-2050年我国城乡老年人失能规模及其照护成本的预测研究[J]. 中国卫生统计, 2021, 38(1): 39-42. |
[3] |
Beard JR, Officer A, de Carvalho IA, et al. The world report on ageing and health: a policy framework for healthy ageing[J]. Lancet, 2016, 387(10033): 2145-2154.
doi: S0140-6736(15)00516-4 pmid: 26520231 |
[4] | 石婧, 高超, 于普林. 老年人失能预防核心信息解读[J]. 中华老年医学杂志, 2019, 38(10): 1077-1078. |
[5] | World Health Organization. International Classification of Functioning, Disability and Health(ICF)[G]. Geneva: World Health Organization, 2001. |
[6] | 张亚欣, 汤哲, 杨茗, 等. 老年人功能受损评估正式量表的建立[J]. 中华老年多器官疾病杂志, 2021, 20(4): 265-269. |
[7] | 陈习琼. 中国老年人口失能现状及地区差异[J]. 中国老年学杂志, 2022, 42(5): 1197-1201. |
[8] |
白金文, 马潇斌, 陈长香. 社区老年人失能状况及慢性病对其影响研究[J]. 中国全科医学, 2019, 22(1): 43-47.
doi: 10.12114/j.issn.1007-9572.2019.01.009 |
[9] | 廖少宏, 王广州. 中国老年人口失能状况与变动趋势[J]. 中国人口科学, 2021, 1: 38-49. |
[10] |
冯青青, 边萌, 杜毓锋. 社区老年人衰弱情况及其影响因素研究[J]. 中国全科医学, 2021, 24(24): 3032-3038.
doi: 10.12114/j.issn.1007-9572.2021.00.530 |
[11] | 黄改荣, 刘祥. 老年人衰弱与失能[J]. 中华老年医学杂志, 2019, 38(10): 1085-1087. |
[12] |
Fong JH. Disability incidence and functional decline among older adults with major chronic diseases[J]. BMC Geriatr, 2019, 19(1): 323.
doi: 10.1186/s12877-019-1348-z pmid: 31752701 |
[13] | 欧阳美娟, 郑丽燕, 谢永娴, 等. 居家老年人常见慢性病与失能关系的分析[J]. 中国医药科学, 2020, 10(10): 149-151. |
[14] |
王述寒, 田庆丰, 张涵, 等. 老年人综合能力现状及其与慢性病的相关性研究[J]. 中国全科医学, 2021, 24(36): 4569-4573.
doi: 10.12114/j.issn.1007-9572.2021.02.063 |
[15] |
Dong L, Freedman VA, Mendes de Leon CF. The association of comorbid depression and anxiety symptoms with disability onset in older adults[J]. Psychosom Med, 2020, 82(2): 158-164.
doi: 10.1097/PSY.0000000000000763 pmid: 31688675 |
[16] | 白金文, 郝习君, 李朝征, 等. 中高龄罹患慢病老年人社交回避与苦恼现状及其影响因素[J]. 中国老年学杂志, 2021, 41(17): 3810-3813. |
[17] | 江文静, 单培彦. 老年人失智与失能[J]. 中华老年医学杂志, 2019, 38(10): 1094-1096. |
[18] | Torres JL, Castro-Costa E, Mambrini JVM, et al. Depressive symptoms, emotional support and activities of daily living disability onset[J]. Cad Saude Publica, 2018, 34(7): e00141917. |
[19] | 曾斌, 梁桂英, 张鸣生. 老年人失能与康复[J]. 中华老年医学杂志, 2019, 38(10): 1101-1103. |
[20] |
Calderón-Larrañaga A, Vetrano DL, Ferrucci L, et al. Multimorbidity and functional impairment-bidirectional interplay, synergistic effects and common pathways[J]. J Intern Med, 2019, 285(3): 255-271.
doi: 10.1111/joim.12843 pmid: 30357990 |
[21] | 邝丽琼. 心理疏导疗法在社区失能老人心理干预中的效果观察[J]. 保健文汇, 2021, 22(10): 156-157. |
[22] | 常文红, 宋琼, 陈长香, 等. 家庭、社区、社会三层面综合干预对改善空巢失能老年人身心健康的效果[J]. 中国实用护理杂志, 2019, 35(1): 11-6. |
[23] | 孟亚莉, 郑松柏. 老年人低蛋白血症研究进展[J]. 中华老年医学杂志, 2020, 39(2): 228-232. |
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