该iCope内在能力选工具:测量结构和依赖和住院预测有效性
Á Rodríguez-Laso1, F J García-García, L Rodríguez-Mañas
1Leocadio Rodríguez-Mañas, Geriatric Department, Hospital Universitario de Getafe, Ctra de Toledo Km12,5. 28905 Getafe. Madrid, Spain, Phone number: (34) 916839360 (ext. 6412), leocadio.rodriguez@salud.madrid.org.
The journal of nutrition, health & aging
|November 14, 2023
概括
国际初级保健分类 (ICPC) 对内在能力的选工具 (IST) 需要改进,特别是其认知领域. 全球IST得分不能比其单个组成部分更好地预测不良健康结果.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 内在能力对于健康的衰老至关重要.
- 国际初级保健分类 (ICPC) 查工具 (IST) 评估了老年人的内在能力.
- 评估IST的测量结构和预测有效性对于其临床应用至关重要.
研究的目的:
- 评估ICPC选工具 (IST) 的测量结构.
- 确定IST作为全球衡量标准是否比其个别领域更好地预测不良健康结果 (依赖,住院).
- 评估IST在社区老年人群中的实用性.
主要方法:
- 托莱多健康衰老研究队列的二次分析.
- 结构方程建模 (SEM) 用于评估IST的测量结构和预测关联.
- 分析包括1032个社区居住的老年人在三年期间.
主要成果:
- 由于测量性能差,IST的感觉和认知领域需要进行项目修剪.
- 全球IST得分没有显著预测依赖或住院治疗.
- 流动性领域与基本和工具活动的依赖有着显著的关联.
结论:
- IST的认知领域可能需要重新制定.
- 全球IST得分并不能增强对个别领域的预测能力.
- 建议对IST发现进行确认性评估,与世卫组织的ICOPE战略保持一致.
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