【摘要】 目的探究社区老年人衰弱与机构养老需求的关系。方法采用Fried身体表型对848名社区老年人评测衰弱。结果老年人衰弱率与机构养老需求率分别为5.0%和3.9%,衰弱者需求率(21.4%)高于衰弱前期(4.9%)与健康者(1.5%);衰弱者ADL/IADL障碍、认知障碍与抑郁比例也较高;多元Logistic回归结果表明,ADL障碍与抑郁是衰弱老年人机构养老需求增加的主要因素。结论衰弱增加机构养老需求,因此,早期识别与管理衰弱可减少不良健康结局风险,从而减缓老年人入住机构。更多还原

【Abstract】 Objective To examine the association between frailty and the demand for nursing home care in Chinese communitydwelling older adults.Methods A total of 848 community-dwelling older adults were recruited from a Chinese city and surveyed with questionnaire.Results The prevalence of frailty was 5. 0% among the 848 community-dwelling older adults. The prevalence of the demand for nursing home care was 3.9% in the total sample,and 21.4% in frail older adults,4.9% in pre-frailty,1.5% in the robust sample,respectively.Compared with non-frail older adults,frail older adults were more likely to have ADL/IADL impairment,cognitive impairment and depressive symptom. Multivariate logistic regression analysis showed that ADL impairment and depressive symptom were the main functional disorders linking frailty with demand for nursing home care.Conclusions Frailty is the risk factor of increasing demand for nursing home care. It is essential to emphasize the early recognition and management of frailty to reduce adverse health outcomes( such as ADL impairment and depressive symptom) for the reduction or delay of institutionalization among older adults.更多还原