医养结合型养老机构的老年人久坐行为及影响因素分析

doi:10.16460/j.issn1008-9969.2022.15.001

摘要/Abstract

摘要： 目的调查合肥市医养结合型养老机构入驻老人久坐行为情况,并探讨其影响因素。方法 2021年5—8月便利抽取合肥市3所医养结合型养老机构中的210名老年人为研究对象,使用一般资料调查表、害怕跌倒评估、简易衰弱量表（FRAIL）、中文版老年抑郁量表（GDS-30）、国际体力活动短问卷（IPAQ-SF）进行调查,并采用多元线性回归分析机构内老年人久坐行为的影响因素。结果合肥市医养结合型养老机构老年人平均每日总久坐时间为（7.09±1.66）h/d,久坐时间≥6 h/d 的老年人为153名（72.9%）。多元线性回归分析结果显示,性别、年龄、有无久坐爱好、衰弱状态、害怕跌倒、健康自评、抑郁程度是医养结合型养老机构老年人久坐行为的影响因素（均P<0.05）,共解释 62.2%的变异量。结论医养结合型养老机构老年人久坐行为现状不容忽视。今后应重点关注男性、高龄、有久坐爱好、衰弱、害怕跌倒、健康自评差、中重度抑郁的老年人,并制定针对性强、可行性高的久坐行为干预策略改善其久坐行为现状,达到改善晚年生活质量、促进健康老龄化的目的。

关键词: 老年人, 医养结合, 久坐行为, 影响因素

Abstract: Objective To investigate the current status and explore its influencing factors of sedentary behavior of the elderly in medical-nursing combined institutions in Hefei. Methods A total of 210 elderly people in 3 medical-nursing combined institutions in Hefei from May to August 2021 were selected by convenience sampling, and they completed the demographic characteristic questionnaire, Fear of Falling Assessment, Simple Frailty Questionnaire (FRAIL), Geriatric Depression Scale (GDS-30) and International physical Activity Questionnaire Short Form Questionnaire((IPAQ-SF). Multiple linear regression analysis was used to analyze the factors influencing the sedentary behavior of the elderly. Results The sedentary time of the elderly in medical-nursing combined institutions in Hefei was 7.09±1.66 h/d, and 153 (72.9%) of the elderly had a sedentary time≥6 h/d. Multivariate linear regression analysis showed that sex, age, with the hobby of sedentary behavior or not, frailty, fear of falling, self-rated health, and depression influenced the sedentary behavior of the elderly in medical-nursing combined institutions（P<0.05）, explaining 62.2% of the total variance. Conclusion The average daily total sedentary time of the elderly in medical-nursing combined institutions is shorter than that in common nursing home, but the problem still should not be ignored. More attention should be paid to elderly men, those with older age, those with the hobby of sedentary behavior, weak elderly people, those with fear of falling, those with poor self-assessment of health, and severe depression. Targeted and feasible intervention strategies should be considered to improve the status of sedentary behavior, so as to improve the quality of life of the elderly and promote healthy aging.

Key words: the elderly, medical-nursing combined service, sedentary behavior, influencing factor

中图分类号:

R473.2

郑俊俊, 于卫华, 闫亭. 医养结合型养老机构的老年人久坐行为及影响因素分析[J]. 护理学报, 2022, 29(15): 1-6.

ZHENG Jun-jun, YU Wei-hua, YAN Ting. Current Status of Sedentary Behavior of the Elderly in Medical-nursing Combined Institutions and Its Influencing Factors[J]. Journal of Nursing, 2022, 29(15): 1-6.

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