社会支持是否能缓解社区老年人的脆弱性和功能能力轨迹之间的关系?
Jiaqi Yu1, Huaxin Si1, Qinqin Liu1
1School of Nursing, Peking University, Beijing, China.
概括
客观的社会支持会影响脆弱性随着时间的推移如何影响功能能力. 它缓解了健壮的老年人的衰退,但在脆弱的个体中使其恶化,突出了它对老化在现场的重要性.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 社会科学 社会科学 社会科学
背景情况:
- 功能能力对于独立生活和老龄化至关重要.
- 它受到内在和外在因素的影响,需要对老年人的健康进行研究.
- 了解脆弱和社会支持是保持老年人功能独立的关键.
研究的目的:
- 检查三种类型的社会支持 (客观,主观,利用) 对脆弱性和功能能力轨迹之间的关系的温和效应.
- 确定不同的社会支持机制如何影响老年人功能能力的进展.
- 为旨在维护功能独立的有针对性的干预提供见解.
主要方法:
- 对777名中国社区老年人的前性三波研究的二次分析.
- 用社会支持评级表来评估社会支持.
- 使用FRAIL尺度测量脆弱性,使用Lawton日常生活工具活动尺度测量功能能力.
- 应用潜增长曲线模型来分析关系.
主要成果:
- 客观支持,与主观支持或支持利用不同,缓和了脆弱性和功能能力斜率之间的关系.
- 目标支持缓冲了功能能力的下降随着时间的推移在健壮的老年人.
- 相反,客观支持加剧了 (前) 脆弱个体的功能能力下降.
结论:
- 社会支持对功能能力轨迹的缓解作用因支持类型而异.
- 客观社会支持是一个有希望的干预目标,用于保持功能独立,特别是在脆弱的个体.
- 干预措施应侧重于客观支持和赋予脆弱的老年人权力,以优化他们的功能能力结果.
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