Current status and influencing factors of intrinsic capacity in elderly patients with hospitalization-associated disability
10.3760/cma.j.cn115682-20240306-01162
- VernacularTitle:老年住院相关性失能患者内在能力现状及影响因素分析
- Author:
Mengya HAN
1
;
Xinyu ZHAO
;
Yanqiu WANG
;
Ludan XU
;
Yuhua LIU
;
Binru HAN
Author Information
1. 首都医科大学宣武医院护理部，北京 100053
- Keywords:
The aged;
Hospitalization-associated disability;
Intrinsic capacity;
Influencing factors
- From:
Chinese Journal of Modern Nursing
2024;30(19):2533-2538
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the current status of intrinsic capacity in elderly patients with hospitalization-associated disability (HAD) and explore its influencing factors.Methods:From November 2023 to January 2024, convenience sampling was used to select 203 elderly patients with HAD at Xuanwu Hospital of Capital Medical University as the study subjects. A survey was conducted on elderly patients using the General Information Questionnaire, Fried Frailty Phenotype, Barthel Index, Social Support Rating Scale, and Intrinsic Capacity Assessment Tool. Binomial Logistic regression was used to analyze the influencing factors of intrinsic capacity in elderly patients with HAD.Results:A total of 203 questionnaires were distributed, and 199 valid questionnaires were collected, with a valid response rate of 98.03% (199/203). The total score of intrinsic capacity in 199 elderly patients with HAD was 5.00 (4.00, 6.00), with scores for cognitive dimension, psychological dimension, motor dimension, vitality dimension, and sensory dimension being 1.00 (1.00, 2.00), 2.00 (1.00, 2.00), 0 (0, 1.00), 1.00 (1.00, 1.00) and 1.00 (1.00, 1.00), respectively. The binomial Logistic regression showed that department of medicine and surgery, self-rating health status, social support, serum albumin, and Barthel Index were the influencing factors of intrinsic capacity in elderly patients with HAD ( P<0.05) . Conclusions:The intrinsic capacity of elderly patients with HAD is at medium to low level, with the most severe impairment in the motor dimension. Medical and nursing staff should develop personalized rehabilitation measures for elderly HAD patients based on the influencing factors of their intrinsic capacity, enhance their intrinsic capacity, and reduce the burden of care on families and society.
