|
|
Study on the comprehensive health assessment of empty-nest elderly in Hunan Province |
WANG Min SHE Jinwen ZHOU Liping HUANG Ling HU Ziyan |
College of Nursing, Changsha Health Vocational College, Hunan Province, Changsha 410600, China |
|
|
Abstract Objective To explore the comprehensive health status and its influencing factors of empty-nest in Hunan Province. Methods From December 2020 to August 2021, a total of 158 empty-nest elderly people in 29 urban communities and 21 villages in Hunan Province were comprehensively evaluated by using the multi-dimensional functional assessment questionnaire in the older American resource and service (OARS) scale. Regression analysis was used to explore the influencing factors of comprehensive health status. Results A total of 167 questionnaires were distributed, and 158 valid questionnaires were recovered, with an effective recovery rate of 94.6%. There were statistically significant differences in the social health scores of the elderly with different empty-nest types and marital status (P < 0.05); there were statistically significant differences in the economic status scores of the elderly with different genders and empty-nest types (P < 0.05). The comprehensive health status of empty nesters was 22.78%, 41.13% was average, and 36.08% was poor. The excellent and good rates of physical health and social health were 24.05% and 31.01%, respectively. The logistic regression results showed that the type of empty-nest and the number of diseased species were the influencing factors of physical health; the type of empty nest was the influencing factor of social health (P < 0.05). Multiple regression analysis found that age and the number of diseases were also influencing factors of comprehensive health status (P < 0.05). Conclusion The comprehensive health status of empty-nest elderly is not optimistic. Attention should be paid to absolute empty-nest elderly who coexist with old age and multiple diseases, and help them establish a positive social support network to promote the construction of healthy aging.
|
|
|
|
|
[1] 王敏,刘宇,陈鹏,等.北京市城市社区空巢老人健康状况综合评估与居家养老服务需求的研究[J].中国实用护理杂志,2014,30(20):19-23.
[2] 国家统计局.第七次全国人口普查公报(第五号)[EB/OL]. (2021-7-31). http://www.stats.gov.cn/tjsj/tjgb/rkpcgb/qgrk pcgb/202106/t20210628_1818824.html.
[3] Xie LQ,Zhang JP,Peng F,et al. Prevalence and related influencing factors of depressive symptoms for empty-nest elderly living in the rural area of Yong Zhou,China [J]. Arch Gerontol Geriatr,2010,50(1):24-29.
[4] 刘娅莉,汪曾子,邱增辉,等.空巢失能老人长期照料现状及影响因素——基于中国老年健康影响因素跟踪调查[J].中国老年学杂志,2019,39(23):5833-5836.
[5] 梁细静,韦良家,李琼莲,等.百色市空巢老人日常生活能力与生活质量的相关性[J].中国老年学杂志,2017,37(9):2275-2277.
[6] Fillenbaum G. Multidimensional functional assessment of older adults:The duke older Americans resources and services procedures [M]. Hillsdale NJ:Lawrence Erlbaum Associates,2005:5-9.
[7] George LK,Fillenbaum GG. OARS methodology:a decade of experience in geriatric assessment [J]. J Am Geriatr Soc,1985,33(9):607-615.
[8] Fillenbaum G,Smyer M. 111e development,validity and reliabihy of the OARS Multidimensional Functional Assessment Questionaire [J]. J Gerontol,1981,36(4):428-434.
[9] Caillet P,Laurent M,Bastuji-Garin S,et al. Optimal management of elderly cancer patients:usefulness of the comprehensive geriatric assessment [J]. Clin Interv Aging,2014,9:1645-1660.
[10] 傅东波,沈贻谔,夏昭林,等.《上海市老年人综合健康功能评估表》的信度分析[J].预防医学情报杂志,1997, 13(4):193-197.
[11] 严静.老年综合评估应用及进展[J].中华保健医学杂志,2015,17(1):1-4.
[12] 朱凯怡,陶红.国内外老年综合健康评估工具及应用[J].中国全科医学,2018,21(22):2760-2767.
[13] Welsh TJ,Gordon AL,Gladman JR. Comprehensive geriatric assessment——a guide for the non-specialist [J]. Int J Clin Pract,2014,68(3):290-293.
[14] 陈先华,卢祖洵,董超群.武汉市社区老年人多维健康功能评价及其影响因素的研究[J].护理研究,2009,23(10A):2620-2621.
[15] 高兆溶,洪壮,胡芳芳,等.老年人居住方式与心理健康状况的关系研究[J].中国卫生统计,2021,38(4):615-621.
[16] 谭建刚,杨涛,曹承建,等.杭州市空巢老人抑郁现状及其影响因素研究[J].中国卫生统计,2021,38(4):593-596.
[17] 陈先华,黄海蓉,张素珍,等.深圳市退休老年人多维健康评价和危险因素研究[J].中国疗养医学.2015,24(7):760-763.
[18] 李倩,林芳,曾小珊,等.福州市16家养老机构老年人综合健康功能现状及其影响因素研究[J].中国护理管理.2016,16(5):602-605.
[19] 夏昭林,钮建中,叶葶葶,等.上海城市社区老年人健康功能多维评定及其影响因素研究[J].中国慢性病预防与控制,1998,6(1):24-27.
[20] Yi Z. Gender Differences in Familial Status,Socioeconomics,Functional Capacities and Wellbeing Among Oldest-Old Aged 80 Years and Above-China 1998—2018 [J]. CCDC Weekly,2021,3(36):757-765
[21] McDowell I. Measuring Health:a Guide to Rating Scales and Questionnaires [M]. New York:Oxford University Press,2006:150-154.
[22] Kamenov K,Cabello M,Caballero FF,et al. Factors related to social support in neurological and mental disorders [J]. PLoS One,2016,11(2):1-13.
[23] Burzynska M,Bryla M,Bryla P,et al. Factors determining the use of social support services among elderly people living in a city environment in Poland [J]. Health Soc Care Community,2016,24(6):758-768.
[24] 张红,王束玫,王丽洁,等.社会健康对老年人慢性病患病影响[J].中国公共卫生,2020,36(10):1425-1428.
[25] Velpen I,Melis R,Perry M,et al. Social Health Is Associated With Structural Brain Changes in Older Adults:The Rotterdam Study [J]. Bio Psychiat:Cog NN,2021(Suppl 1):1-10.
[26] Hu J,Fitzgerald S,Owen A,et al. Social isolation,social support,loneliness and cardiovascular disease risk factors: A cross-sectional study among older adults [J]. Int J Geriatr Psychiatry,2021,36:1795-1809.
[27] 李苗,刘彦慧,程悦,等.我国农村老年人社会健康研究的文献计量学分析[J].中华现代护理杂志,2020,26(23):3151-3155. |
|
|
|