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Journal of Nursing ›› 2024, Vol. 31 ›› Issue (12): 1-6.doi: 10.16460/j.issn1008-9969.2024.12.001

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Potential profile analysis of social participation ability of elderly people and its influence on frailty

WANG Pei1, GAO Hui2, ZHANG Li-hua1, ZHANG Lan-fang1, YANG Hao-shuang1, ZHANG Yin-ling1   

  1. 1. Department of Nursing, Air Force Military Medical University, Xi’an 710032, China;
    2. Outpatient Department, Xi’an International Medical Center Hospital, Xi’an 710119,China
  • Received:2024-01-20 Online:2024-06-25 Published:2024-07-10

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Abstract: Objective To understand the potential profile characteristics of social participation ability of elderly people, to analyze the characteristics differences between different profiles of social participation ability, and explore the influence of different social participation ability profiles on the elderly’s frailty, so as to provide reference for formulating corresponding measures to promote active aging. Method A total of 308 elderly people who received physical examination in three community health service centers in Shaanxi Province were investigated by using a General Information Questionnaire, Capacity Assessment of the Elderly (MZ/T039-2013), Tilburg Debility Questionnaire and Social Support Rating Scale. Mplus 8.3 was used to analyze the potential profile, and the influencing factors of different profiles were analyzed using binary Logistic regression analysis. Results Among 308 elderly people, 44.8% had impaired social participation. Through the analysis of the potential profile, social participation ability of the elderly can be divided into high social participation ability group (91.6%) and low social participation ability group (8.4%). Age, the number of diseases and the level of social support were the influencing factors of the potential profile of social participation ability of the elderly. The elderly with low social participation ability scored higher in frailty. Conclusion Social participation ability of the elderly has obvious classification characteristics, so individual intervention can be carried out according to different categories. We should focus on the elderly with advanced age, being sick or having low social support, and improve their social participation ability. Moreover, low social participation ability is significantly related to the frailty of the elderly, so improving social participation ability should be considered as a new starting point to improve the frailty of the elderly.

Key words: aged people, social participation ability, latent profile analysis, frailty

CLC Number: 

  • R473.2
[1] 国家统计局印发《第七次全国人口普查公报解读》[EB/OL]. (2021-05-12)[2023-07-26]. http://www.stats.gov.cn/sj/sjjd/202302/t20230202_1896484.html.
[2] 中华人民共和国中央人民政府印发《中共中央国务院关于加强新时代老龄工作的意见》[EB/OL].(2021-11-25)[2023-07-26]. https://www.gov.cn/zhengce/2021-11/25/content_5653252.htm.
[3] 中华人民共和国民政部.老年人能力评估标准:MZ/T039-2013[S]. 北京:中国标准出版社, 2014.
[4] Andrew C, John Y, Steve I, et al.Frailty in elderly people[J].The Lancet,2013,381(9868):752-762. DOI:10.1016/S0140-6736(12)62167-9.
[5] Mai S, Cai J, Zheng W, et al.Path analysis of social engagement, loneliness and cognitive function among Chinese older adults[J]. Psychol Health Med,2023,28(4):1087-1099. DOI:10.1080/13548506.2022.2151635.
[6] 尹奎,彭坚,张君. 潜在剖面分析在组织行为领域中的应用[J]. 心理科学进展,2020,28(7):1056-1070. DOI:10.3724/SP.J.1042.2020.01056.
[7] 李峥,刘宇.护理学研究方法[M].北京:人民卫生出版社,2018.
[8] 曹蒙. 老年人常见慢性病共病及其对社会参与能力影响研究[D]. 郑州:郑州大学,2022.
[9] 王孟成. 潜变量建模与Mplus应用-进阶篇[M].重庆:重庆大学出版社,2018.
[10] Gobbens RJ, van Assen MA, Luijkx KG, et al.The Tilburg Frailty Indicator: psychometric properties[J].J Am Med Dir Assoc,2010,11(5):344-355. DOI:10.1016/j.jamda.2009.11.003.
[11] 奚兴,郭桂芳,孙静. 中文版Tilburg衰弱评估量表的信效度研究[J]. 护理学报,2013,20(16):1-5. DOI:10.3969/j.issn.1008-9969.2013.
[12] 夏玮涛,吴佳其,阙家雯,等. 浙江省城乡老年人衰弱比较[J].护理学杂志,2023,38(12):111-116.DOI:10.3870/j.issn.1001-4152.2023.12.111.
[13] 肖水源. 《社会支持评定量表》的理论基础与研究应用[J].临床精神医学杂志,1994,4(2):98-101.
[14] 师小勤, 朱春燕, 郑鹏远,等. 河南农村老年人社会参与能力现状及影响因素[J]. 郑州大学学报(医学版),2021,56(4):568-572. DOI:10.13705/j.issn.1671-6825.2021.01.099.
[15] 李琳杰, 许明慧, 程明慧,等. 甘肃省少数民族地区农村老年人社会参与能力及影响因素分析[J]. 中国社会医学杂志,2023,40(4):399-402.DOI:10.3969/j.issn.1673-5625.2023.04.006.
[16] 赵迪, 赵梦璐, 王娜,等. 青岛市592名社区老年人社会隔离现状及影响因素研究[J]. 护理学报,2020,27(11):6-10. DOI:10.16460/j.issn1008-9969.2020.11.006.
[17] Ren P, Emiliussen J, Christiansen R, et al.Filial piety, generativity and Older Adults’ wellbeing and loneliness in Denmark and China[J]. Appl Res Qual Life, 2022,17(5): 3069-3090.DOI:10.1007/s11482-022-10053-z.
[18] 胡佳惠. 脑卒中患者社会支持、心理弹性与社会参与的相关性研究[D]. 长春:长春中医药大学,2022.
[19] Rhubart D, Kowalkowski J.Perceived mental health impacts of the COVID-19 pandemic: The roles of social support and social engagement for working age adults in the United States[J]. Prev Med, 2022, 162:107171. DOI:10.1016/j.ypmed.2022.107171.
[20] Jing T, Zhao X, Xing H, et al.The influence of strong social ties on the choice of long-term care model for middle-aged and older adults in China[J]. Front Public Health, 2023,11:1112422. DOI: 10.3389/fpubh.2023.1112422.
[21] Gallardo-Peralta LP, Sanchez-Moreno E, Herrera S.Aging and family relationships among Aymara,Mapuche and Non-Indigenous People: exploring how social support, family functioning, and self-perceived health are related to quality of life[J]. Int[J] Environ Res Public Health. 2022,19(15):9247. DOI:10.3390/ijerph19159247.
[22] Bernabé E, de Oliveira C, de Oliveira Duarte YA,et al. Social participation and tooth loss, vision, and hearing impairments among older Brazilian adults[J]. J Am Geriatr Soc, 2023,71(10):3152-3162. DOI:10.1111/jgs.18423.
[23] Seifert A, Cotten SR, Xie B.A double burden of exclusion? Digital and social exclusion of older adults in times of COVID-19[J]. J Gerontol B Psychol Sci Soc Sci, 2021,76(3):e99-e103. DOI:10.1093/geronb/gbaa098.
[24] Jiang H, Liu Z.Community home elderly care services, multidimensional health and social participation of chronically ill elderly-empirical analysis based on propensity score matching and multiple mediation analysis[J]. Front Public Health, 2023,11:1121909. DOI:10.3389/fpubh.2023.11 21909.
[25] Zhao F, Tang B, Hu C, et al.The impact of frailty on posttraumatic outcomes in older trauma patients: a systematic review and Meta-analysis[J]. J Trauma Acute Care Surg, 2020,88(4):546-554.DOI:10.1097/TA.0000000000002583.
[26] Ensrud KE, Schousboe JT, Kats AM, et al.Incremental health care costs of self-reported functional impairments and phenotypic frailty in community-dwelling older adults: a prospective cohort study[J]. Ann Intern Med, 2023,176(4):463-471. DOI:10.7326/M22-2626.
[27] Larsen RT, Turcotte LA, Westendorp R, et al.Frailty index status of Canadian home care clients improves with exercise therapy and declines in the presence of polypharmacy[J]. J Am Med Dir Assoc, 2020,21(6):766-771. DOI:10.1016/j.jamda.2020.01.004.
[28] Dury S, Dierckx E, Van Der Vorst A, et al. Detecting frail, older adults and identifying their strengths: results of a mixed-methods study[J]. BMC Public Health,2018,18(1):191. DOI:10.1186/s12889-018-5088-3.
[29] Lozupone M, La Montagna M, Di Gioia I, et al.Social frailty in the COVID-19 pandemic era[J]. Front Psychiatry,2020,11:577113.DOI:10.3389/fpsyt.2020.577113.eCollection2020.
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