根据内在能力下降对居住在社区中的老年人进行分组 - - 基于世卫组织在台湾农村的ICOPE框架的集群分析
Heng-Shun Chen1, Kai-Lin Liang2, Meng-Shuo Shen3
1Department of Family Medicine, Puli Christian Hospital, Puli, Taiwan.
International journal of aging & human development
|December 11, 2025
概括
这项研究在老年人中确定了八种不同的内在能力 (IC) 概况,揭示了与衰老和多种健康状况相关的显著下降. 研究结果支持为社区健康规划制定量身定制的护理策略.
科学领域:
- 老年学是指老年学的学科.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 内在能力 (IC) 的下降是衰老的关键指标,影响老年人的健康和独立性.
- 了解IC衰退的模式对于制定有效的干预措施和健康政策至关重要.
- 世界卫生组织的ICOPE框架提供了一种标准化的方法来评估IC.
研究的目的:
- 利用世卫组织ICOPE框架,确定台湾农村社区老年人内在能力下降的明显模式.
- 描述不同IC领域中损伤的流行和同时发生的情况.
- 探索人口因素,多病症和IC下降之间的联系.
主要方法:
- 在台湾农村地区对1,367名65岁以上的成年人进行了横截面调查.
- 利用ICOPE第一步选工具评估六个内在能力领域.
- 应用集群分析 (k-means和层次分析) 来识别不同的IC配置文件.
主要成果:
- 确定了八个不同的IC子组,从强健 (17.0%) 到严重脆弱 (6.9%).
- 感官障碍 (视力49.1%,听力46.0%) 是最常见的,并且经常与认知和情绪障碍同时发生.
- 高龄和多病症与更大的IC下降有显著的关联 (p < .01).
结论:
- 衰老是异质的,在老年人中观察到的内在能力下降的不同模式.
- 建议制定定制的基于集群的护理策略,以加强社区健康规划.
- 结果支持在老龄化政策中实施基于ICOPE的风险分层模型.
相关概念视频
Sampling Plans
861
Sampling is a crucial step in analytical chemistry, allowing researchers to collect representative data from a large population. Common sampling methods include random, judgmental, systematic, stratified, and cluster sampling.
Random sampling is a method where each member of the population has an equal chance of being selected for the sample. It involves selecting individuals randomly, often using random number generators or lottery-type methods. For example, when analyzing the properties of a...
Random sampling is a method where each member of the population has an equal chance of being selected for the sample. It involves selecting individuals randomly, often using random number generators or lottery-type methods. For example, when analyzing the properties of a...
861
Aging
566
Aging is a complex biological phenomenon influenced by various processes that affect cellular and systemic functions. Several prominent theories attempt to explain its mechanisms, highlighting cellular limitations, oxidative damage, and hormonal changes as central factors in aging.
Cellular Clock Theory
The cellular clock theory posits that the human lifespan is closely tied to the finite capacity of cells to divide, a phenomenon governed by telomeres, which are protective caps at the ends of...
Cellular Clock Theory
The cellular clock theory posits that the human lifespan is closely tied to the finite capacity of cells to divide, a phenomenon governed by telomeres, which are protective caps at the ends of...
566
Cluster Sampling Method
13.9K
Appropriate sampling methods ensure that samples are drawn without bias and accurately represent the population. Because measuring the entire population in a study is not practical, researchers use samples to represent the population of interest.
To choose a cluster sample, divide the population into clusters (groups) and then randomly select some of the clusters. All the members from these clusters are in the cluster sample. For example, if you randomly sample four departments from your...
To choose a cluster sample, divide the population into clusters (groups) and then randomly select some of the clusters. All the members from these clusters are in the cluster sample. For example, if you randomly sample four departments from your...
13.9K
Cognitive Development During Adulthood
745
Cognitive development continues throughout adulthood, undergoing significant shifts across early, middle, and late stages. Individual transition occurs from adolescent idealism to pragmatic and adaptable thinking in early adulthood. During this period, individuals learn to integrate personal beliefs with the recognition that other perspectives are equally valid. Exposure to the complexities of modern society, diverse experiences, and higher education contribute to this adaptive thought process,...
745
Continuing Care
1.8K
Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
1.8K
Pharmacodynamics in Geriatric Patients: Effects of Age
175
Age-related pharmacokinetic changes are extensively documented, but understanding age-related pharmacodynamic alterations is relatively limited. This knowledge gap can be partly attributed to the complexity of developing appropriate measures of drug responses compared to bioanalytical methods for determining drug concentrations.Most information regarding age-related differences in human pharmacodynamics originates from cross-sectional studies. However, these studies assume that observed mean...
175


