Current status and influencing factors of intrinsic capacity in elderly patients with Parkinson's disease based on health ecology model
10.3760/cma.j.cn115682-20250312-01224
- VernacularTitle:基于健康生态学模型的老年帕金森病患者内在能力现状及影响因素研究
- Author:
Yan ZHANG
1
;
Fan JI
;
Mengya HAN
;
Xinyu ZHAO
;
Ludan XU
;
Huanhuan FENG
;
Ping ZHUANG
;
Wei SHU
;
Binru HAN
Author Information
1. 首都医科大学护理学院，北京 100069
- Publication Type:Journal Article
- Keywords:
Aged;
Parkinson disease;
Health ecology model;
Intrinsic capacity;
Influencing factor
- From:
Chinese Journal of Modern Nursing
2025;31(22):2962-2972
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the current status and influencing factors of intrinsic capacity in elderly patients with Parkinson's disease.Methods:Convenience sampling was used to select 306 elderly patients with Parkinson's disease who attended Xuanwu Hospital of Capital Medical University from March to September 2024 for the study. Influencing factors were screened based on the health ecology model. Elderly patients with Parkinson's disease were surveyed using the General Information Questionnaire, Connor-Davidson Resilience Scale, Family APGAR Scale, Social Support Rating Scale, and Intrinsic Capacity Assessment Tool. Multiple linear regression was used to analyze the factors influencing the total score and the scores of each dimension of intrinsic capacity in elderly patients with Parkinson's disease.Results:A total of 306 questionnaires were distributed and 301 valid questionnaires were recovered, with a valid recovery rate of 98.37% (301/306). The total intrinsic capacity score of 301 elderly patients with Parkinson's disease was (67.21±11.47), of which 297 elderly patients with Parkinson's disease had impaired intrinsic capacity, and the rate of impaired intrinsic capacity was 98.7% (297/301). The dimensions in descending order of impairment were motor [89.7% (270/301) ], mental [76.1% (229/301) ], sensory [70.4% (212/301) ], vitality [38.2% (115/301) ], and cognitive [25.6% (77/301) ]. Multiple linear regression analysis showed that age, Hoehn-Yahr staging, levodopa equivalent dosage, activity of daily living, history of falls, regular exercise, psychological resilience, social support, and monthly income were the factors influencing the total intrinsic capacity score of elderly patients with Parkinson's disease ( P<0.05) and heterogeneity of influencing factors in each dimension. Conclusions:Elderly patients with Parkinson's disease have a high rate of impaired intrinsic capacity, with the motor dimension being the most severely impaired. Healthcare professionals should pay attention to the assessment of the intrinsic capacity of elderly patients with Parkinson's disease, and customize interventions according to the influencing factors to promote the functioning of elderly patients so as to reduce the burden of care on families and society.
