Geriatric Nursing最新文献_第7页

Summary of evidence on Traditional Chinese Medicine nursing interventions in hospice care for patients with advanced cancer 晚期癌症患者临终关怀中的中医护理干预证据摘要。

IF 2.5 3区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatric Nursing

Pub Date : 2024-11-19 DOI: 10.1016/j.gerinurse.2024.11.007

Qing Yang , Huiqiong Xu , Huan Chen , Xinyu Chen , Wenting Ji , Minjin Cai , Han Fu , Hang Li , Chaoming Hou , Jing Gao

Background

Patients with advanced cancer experience physical and psychological pain that affects their quality of life. This review aimed to systematically search, evaluate, and summarize the best evidence on Traditional Chinese Medicine (TCM) nursing interventions in hospice care for patients with advanced cancer and to provide an evidence-based foundation for clinical care. The time limit for the search was from 2010 to September 2024.

Methods

A top-down search of relevant literature was conducted according to the "6S" evidence model, including clinical decisions, guidelines, best practices, evidence summaries, systematic reviews, expert consensus, and randomized controlled trials (RCTs). The literature was evaluated, and evidence was extracted independently by two researchers. The evidence was appraised using the Appraisal of Guidelines Research and Evaluation (AGREE) tool and integrated with an evidence-based team consisting of six members.

Results

Thirty-three publications were included, including four guidelines, two expert consensus, two clinical decisions, two evidence summaries, twenty-one systematic reviews, and two RCTs. Thirty-six indicators of best evidence were summarized from eight areas: TCM therapy, acupuncture therapy, moxibustion therapy, acupressure therapy, music therapy, traditional Chinese exercise therapy, auricular therapy, and aromatherapy.

Conclusion

This review summarizes the best evidence for TCM nursing interventions in hospice care for patients with advanced cancer, which can be used by clinical healthcare professionals to develop appropriate TCM nursing interventions in combination with the actual situation and with full consideration of the needs and wishes of the patients and their families to improve the patients' quality of life in advanced stages.

背景：晚期癌症患者会经历生理和心理上的痛苦，从而影响他们的生活质量。本综述旨在系统检索、评估和总结晚期癌症患者临终关怀中的中医护理干预的最佳证据，为临床护理提供循证基础。检索时限为 2010 年至 2024 年 9 月：方法：根据 "6S "证据模型对相关文献进行自上而下的检索，包括临床决策、指南、最佳实践、证据摘要、系统综述、专家共识和随机对照试验（RCT）。由两名研究人员对文献进行评估，并独立提取证据。使用指南研究与评估（AGREE）工具对证据进行评估，并与由六名成员组成的循证团队进行整合：结果：共纳入 33 篇出版物，包括 4 份指南、2 份专家共识、2 份临床决定、2 份证据摘要、21 份系统综述和 2 份研究性试验。从八个方面总结了 36 项最佳证据指标：结论：本综述总结了中医疗法、针灸疗法、艾灸疗法、穴位按摩疗法、音乐疗法、传统中医运动疗法、耳穴疗法和芳香疗法的最佳证据：本综述总结了晚期癌症患者临终关怀中中医护理干预的最佳证据，可供临床医护人员结合实际情况，充分考虑患者及其家属的需求和意愿，制定合适的中医护理干预措施，提高晚期患者的生活质量。

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引用次数: 0

Health emergency preparedness behavior and its influencing factors among elderly people in the community of Qiqihar 齐齐哈尔市社区老年人的健康应急准备行为及其影响因素。

IF 2.5 3区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatric Nursing

Pub Date : 2024-11-18 DOI: 10.1016/j.gerinurse.2024.10.057

Weilan Xu RN, PhD , Qiang Li PhD , Jing Ma , Jing Wang RN , Qiuyue Xu , Xiaomin Wu , Yue Dong , Min Zhang RN , Fang Mao (RN)

Objective

To facilitate targeted interventions for elderly individuals, we investigated the current status of health emergency preparedness behavior of elderly people in the community of China Qiqihar and analyzed its influencing factors.

Methods

From October 2019 to January 2020, 700 elderly people living in Qiqihar, were selected by a stratified quota sampling method for face-to-face investigation. The research tool was the Questionnaire on Health Emergency Preparedness Level of the old people in the Community, which was revised based on previous studies.

Results

Approximately 40 % of elderly individuals in the community had good health emergency preparedness behavior. The results showed that a safe home environment (β=7.171, p < 0.001), a high level of emergency knowledge (β=2.257, p = 0.024), emergency knowledge education (β=3.405, p = 0.001), emergency knowledge through network channels (β=2.960, p = 0.003) and higher risk response self-efficacy (β=6.253, p < 0.001) were promoters of emergency preparedness behavior among elderly individuals in the community.

Conclusion

The general health emergency preparedness behavior of elderly people in the community of Qiqihar was moderate. Community nurses should cooperate with workers to conduct targeted emergency knowledge training and practices to improve the home safety environment and rise emergency preparedness awareness and behavior of aged people at home in the community

目的为了便于对老年人进行有针对性的干预，我们调查了中国齐齐哈尔市社区老年人健康应急准备行为的现状，并分析了其影响因素：方法：2019 年 10 月至 2020 年 1 月，采用分层配额抽样方法，选取居住在齐齐哈尔市的 700 名老年人进行面对面调查。研究工具为根据以往研究修订的《社区老年人健康应急准备水平调查问卷》：结果：约 40% 的社区老年人有良好的健康应急准备行为。结果显示，安全的家庭环境（β=7.171，p＜0.001）、较高的应急知识水平（β=2.257，p=0.024）、应急知识教育（β=3.405，p=0.001）、通过网络渠道获得应急知识（β=2.960，p=0.003）和较高的风险应对自我效能感（β=6.253，p＜0.001）是社区老年人应急准备行为的促进因素：齐齐哈尔市社区老年人的健康应急准备行为一般。社区护士应配合工作人员开展有针对性的应急知识培训和实践，改善社区居家老年人的居家安全环境，提高老年人的应急防范意识和行为。

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引用次数: 0

A Causal Model of Health-related Quality of Life Among Pakistani Older Persons with Multimorbidity (HRQL-OPM) 巴基斯坦多病老年人与健康相关的生活质量因果模型 (HRQL-OPM)。

IF 2.5 3区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatric Nursing

Pub Date : 2024-11-18 DOI: 10.1016/j.gerinurse.2024.10.037

Razia Sultana PhD (Scholar), MSN, RN, Dr. Sirirat Panuthai PhD, RN (Assistant Professor), Dr. Jindarat Chaiard PhD, RN (Assistant Professor), Dr. Rojanee Chintanawat PhD, RN (Assistant Professor)

Objectives

Poor health-related quality of life (HRQOL) is common among older persons (OP) with multimorbidity. A model is proposed to examine how different factors influence HRQL-OPM.

Methods

Participants included 410 hospitalized OP ≥ 60 years with multimorbidity. Structural equation modeling assessed hypothesized relationships between factors and HRQOL.

Results

Activities of daily living (ADLs) and social support were directly related to HRQOL, while symptom burden, social support and depressive symptoms had indirect associations with HRQOL via ADLs as a mediator. Model fit was excellent (CMIN/DF = 4.23; TLI = 0.93; CFI = 0.96; RMSEA = 0.08).

Conclusion

Achieving optimum HRQL-OPM requires alleviating depressive symptoms and symptom burden while enhancing social support and improving ADLs. Ultimately, ADLs and social support determines an individual's level of HRQOL. Findings suggest the need to understand what kind of ADLs and ways of social support are required by those coping with multimorbidity.

目的：在患有多种疾病的老年人（OP）中，与健康相关的生活质量（HRQOL）低下的现象很普遍。本文提出了一个模型来研究不同因素如何影响老年人的健康相关生活质量：参与者包括 410 名年龄≥ 60 岁、患有多种疾病的住院老年人。结构方程模型评估了各因素与 HRQOL 之间的假设关系：日常生活活动（ADLs）和社会支持与 HRQOL 直接相关，而症状负担、社会支持和抑郁症状则通过 ADLs 作为中介与 HRQOL 间接相关。模型拟合度非常好（CMIN/DF = 4.23；TLI = 0.93；CFI = 0.96；RMSEA = 0.08）：要达到最佳的 HRQL-OPM 需要在减轻抑郁症状和症状负担的同时加强社会支持和改善日常活动能力。ADL和社会支持最终决定了个人的 HRQOL 水平。研究结果表明，有必要了解应对多病的患者需要什么样的日常活动和社会支持方式。

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引用次数: 0

Rethinking traditional recruitment methods for black men through relationship-based recruitment 通过以关系为基础的招聘，重新思考针对黑人男性的传统招聘方法。

IF 2.5 3区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatric Nursing

Pub Date : 2024-11-18 DOI: 10.1016/j.gerinurse.2024.11.010

Dottington Fullwood EdD, CHES®, Caleb O. Ramirez-Rivera BS, BA

Understanding health outcomes requires robust community relationships with potential research participants. Traditional recruitment methods have led to low engagement, particularly among Black men, negatively impacting their participation in clinical research. The aim of this research was to share how a relationship-based recruitment approach proved successful for recruiting this population.

Black men often face fragmented care due to systemic biases. Despite efforts to improve recruitment, traditional methods prevail, offering minimal context such as travel vouchers resulting in poor response rates. To enhance recruitment, diverse strategies are essential. Engaging Black men in workplaces, sports clubs, community centers, and online platforms can better represent their varied experiences.

A relationship-based approach was proven successful, as demonstrated by enrolling 60 Black men with low back pain in 60 days. We advocate for broader and more inclusive practices utilizing these recruitment strategies to improve health research participation in Black communities.

了解健康结果需要与潜在的研究参与者建立稳固的社区关系。传统的招募方法导致参与度低，尤其是黑人男性，这对他们参与临床研究产生了负面影响。本研究旨在分享基于关系的招募方法是如何成功招募到这一人群的。由于系统性偏见，黑人男性经常面临零散的护理。尽管努力改善招募工作，但传统方法仍占主导地位，提供的旅行券等背景信息极少，导致响应率很低。要加强招募工作，必须采取多样化的策略。让黑人男性参与工作场所、体育俱乐部、社区中心和网络平台，可以更好地代表他们的不同经历。事实证明，以关系为基础的方法是成功的，60 天内招募到 60 名患有腰背痛的黑人男性就是证明。我们提倡利用这些招募策略开展更广泛、更具包容性的实践，以提高黑人社区的健康研究参与度。

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引用次数: 0

Comparison of the performance of instruments for screening sarcopenia in older adults 老年人肌肉疏松症筛查工具的性能比较。

IF 2.5 3区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatric Nursing

Pub Date : 2024-11-16 DOI: 10.1016/j.gerinurse.2024.10.052

Francisco Gerlai Lima Oliveira (Master in Nursing), Marília Braga Marques (PhD in Nursing), Brenda Pinheiro Evangelista (Master in Nursing), Janaína Fonseca Victor Coutinho (PhD in Nursing), Marcos Venícios de Oliveira Lopes (PhD in Nursing), Rachel Gabriel Bastos Barbosa (PhD in Medical Sciences), Fabiane do Amaral Gubert (PhD in Nursing), Caroline Ribeiro de Sousa (PhD in Nursing, Master in Nursing), Jamylle Lucas Diniz (PhD in Nursing, Master in Nursing), Manuela de Mendonça Figueiredo Coelho (PhD in Clinical Care in Nursing and Health), Mariana Cavalcante Martins (PhD in Nursing)

Aim

To compare the performance of the SARC-F and SARCCalf questionnaires in sarcopenia screening and their relationship with clinical and sociodemographic aspects of older adults.

Methods

Analytical cross-sectional study carried out with 739 elderly people in the community. Clinical, sociodemographic, anthropometric data and screening for signs suggestive of sarcopenia were obtained using the SARC-F and SARCCalf.

Results

Evaluation by method showed a difference in the proportion of positive results for the SARC-F regarding female sex (71.7; p = 0.001), among older adults who did not have a partner (49.7; p < 0.001), and osteoarticular diseases (13.4; p < 0.001). On the other hand, the SARCCalf identified a higher proportion of positive results among older adults at risk of malnutrition (12.2; p < 0.001).

Conclusion

The performance of the instruments varied according to the clinical and sociodemographic characteristics of the population, and it is up to professionals to consider these aspects when using them.

目的：比较 SARC-F 和 SARCCalf 问卷在肌少症筛查中的表现及其与老年人临床和社会人口学方面的关系：方法：对 739 名社区老年人进行横断面分析研究。方法：对 739 名社区老年人进行了横断面分析研究，使用 SARC-F 和 SARCCalf 获得了临床、社会人口学、人体测量数据，并筛查了提示肌少症的体征：按方法进行的评估显示，SARC-F 的阳性结果比例与女性（71.7；P = 0.001）、无伴侣老年人（49.7；P < 0.001）和骨关节疾病（13.4；P < 0.001）有关。另一方面，在有营养不良风险的老年人中，SARCCalf 的阳性结果比例更高（12.2；p < 0.001）：这些工具的性能因人群的临床和社会人口特征而异，专业人员在使用时应考虑到这些方面。

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引用次数: 0

A case study on experiences with integrated technologies in a care home for older adults 老年人护理院综合技术经验案例研究。

IF 2.5 3区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatric Nursing

Pub Date : 2024-11-16 DOI: 10.1016/j.gerinurse.2024.10.059

Nina Jøranson (Associate Professor) , Minna Zechner (Associate Professor) , Rosa Silva (Assistant Professor) , Nilufer Korkmaz Yaylagul (Professor) , Hilde Thygesen (Professor)

To facilitate independent living for the growing population of older adults, innovative housing solutions such as novel concepts of care homes with integrated technologies have been developed. This case study exposes a significant gap between the intended goal of fostering independence in older adults and the actual impact of technology on their daily lives. The study explored perceptions, experiences, and needs regarding residents' use of integrated technologies along with the technologies' contribution to handling their everyday life in a Care+ home. Data were analyzed through qualitative content analysis. The key finding is that one size does not ‘fit’ all, indicating that the standardized technology installed in the apartments often fails to meet the users’ individual needs. This research identifies a critical gap in tailoring technologies to the unique needs of older users. Aligning technological solutions with aging-in-place policies focused on autonomy and well-being is essential for enhancing care environments.

为了促进日益增长的老年人口的独立生活，人们开发了创新的住房解决方案，如集成技术的护理之家新概念。本案例研究揭示了促进老年人独立生活的预期目标与技术对其日常生活的实际影响之间的巨大差距。本研究探讨了住户使用集成技术的看法、经验和需求，以及这些技术对处理他们在 Care+ 养老院日常生活的贡献。研究通过定性内容分析对数据进行了分析。研究的主要发现是，"一刀切 "并不 "适合 "所有人，这表明公寓中安装的标准化技术往往无法满足用户的个性化需求。这项研究指出了在根据老年用户的独特需求定制技术方面存在的关键差距。将技术解决方案与注重自主性和幸福感的就地养老政策相结合，对于改善护理环境至关重要。

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引用次数: 0

Falls efficacy scale – Formal caregivers: Adaptation and validation in Portuguese nursing homes 跌倒疗效量表 - 正式护理人员：葡萄牙疗养院的适应性和验证。

IF 2.5 3区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatric Nursing

Pub Date : 2024-11-16 DOI: 10.1016/j.gerinurse.2024.10.060

Cristina Lavareda Baixinho , Cristina Marques-Vieira , Luís Sousa , António Abrantes , Nuno Conceição , Amaro Martins , Maria Adriana Henriques , Maria dosAnjos Dixe

The literature review shows that the fear of falling is present in older persons’, but also in their careers and influences the performance of activities of daily living. The objective of this methodological study was to adapt and validate the Falls Efficacy Scale – Formal Caregivers. The development of the examined scale was based on the Falls Efficacy Scale – International, which was adapted for assessing the fear of falling in formal caregivers. The instrument was filled out by 319 formal caregivers of older people living in 11 Portuguese nursing homes for older people. Their average age was 46.8 ± 10.7 years, they had been working in this role for 13.4 ± 8.2 years, and 67.7 % of them attended vocational training in the workplace after being employed at the nursing home. Falls Efficacy Scale – Formal Caregivers, which contains 16 items, showed good internal consistency (α = 0.848). These items were organized into 3 factors after exploratory and confirmatory factor analysis (lesser physical effort activities; intermediate physical effort activities, carried out in safe conditions; and intermediate physical effort activities, carried out in less safe conditions), with adequate convergent validity.

文献综述显示，跌倒恐惧不仅存在于老年人身上，也存在于他们的职业生涯中，并影响着他们日常生活活动的表现。本方法研究的目的是改编和验证跌倒效能量表-正式护理人员。所研究的量表是在跌倒效能量表--国际版的基础上开发的，该量表是为评估正式护理人员的跌倒恐惧而改编的。居住在葡萄牙 11 家养老院的 319 名老年人正式护理人员填写了问卷。他们的平均年龄为（46.8 ± 10.7）岁，从事这一工作的时间为（13.4 ± 8.2）年，其中 67.7% 的人在受雇于养老院后参加了工作场所的职业培训。正式护理人员跌倒效能量表》包含 16 个项目，显示出良好的内部一致性（α = 0.848）。经过探索性因子分析和确认性因子分析，这些项目被归纳为 3 个因子（较小体力活动；中等体力活动，在安全条件下进行；中等体力活动，在不太安全的条件下进行），具有充分的收敛效度。

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引用次数: 0

Does life story work based on Erikson's theory enhance psychological well-being in elderly residents of nursing homes? A randomized controlled trial 基于埃里克森理论的生命故事工作能否提高养老院老年居民的心理幸福感？随机对照试验。

IF 2.5 3区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatric Nursing

Pub Date : 2024-11-16 DOI: 10.1016/j.gerinurse.2024.10.066

Mahdiyeh Abbasi MSc , Moloud Radfar PhD (Professor) , Hossein Jafarizadeh MSc , Hamidreza Khalkhali PhD (Professor)

Objective

This study aimed to determine the effect of life story work on psychological well-being among the elderly.

Materials & Methods

This is a parallel, randomized, single-blind clinical trial conducted using a pretest-posttest design. A total of 60 elderly individuals were randomly recruited and assigned to two groups of Care As Usual (CAU) or Life Story Work (LSW). The LSW group received the life review therapy program based on Erikson's theory over six 60-minute sessions. Data were collected using a demographic questionnaire and Ryff's Psychological Well-Being Scale (PWBS). Data were analyzed using SPSS Statistics for Windows, version 16.0.

Results

Life story work was shown to be effective in improving the elderly's psychological well-being immediately and two months after the intervention in the LSW group (p < .001).

Conclusion

Life story work can be applied as a supportive and effective treatment method to promote psychological well-being among the elderly.

研究目的本研究旨在确定生活故事工作对老年人心理健康的影响：这是一项平行、随机、单盲临床试验，采用前测-后测设计。共随机招募了 60 名老年人，并将他们分配到 "照常护理"（CAU）或 "生命故事工作"（LSW）两组。LSW 组接受以埃里克森理论为基础的生活回顾治疗计划，疗程为六次，每次 60 分钟。数据收集采用了人口统计学问卷和 Ryff 心理健康量表 (PWBS)。数据使用 Windows 版 SPSS 统计软件 16.0 进行分析：结果表明，生活故事工作法能有效改善生活故事工作法组老年人的心理健康（P < .001）：结论：生活故事工作可以作为一种支持性的有效治疗方法，促进老年人的心理健康。

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引用次数: 0

Hospital volunteer programs for older people: A systematic scoping review 针对老年人的医院志愿者计划：一项系统性的范围界定审查。

IF 2.5 3区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatric Nursing

Pub Date : 2024-11-16 DOI: 10.1016/j.gerinurse.2024.11.005

Rosemary Saunders PhD, MPH, Ba App.Sc.,RN , Francine Antoinette Ocampo RN, Ma.Nsg (GE) , Renée Graham MDiet BSc APD IHC-GCP , Angela Christiansen PhD, MSc, PGDipEd, BSc Hons, RN , Michelle Gay Ma.Nsg Sc.(GE), RN , Karla Seaman PhD, Ma. Clin.Epid., Ba Pharmacy

Introduction

Volunteers play an important role in supporting patients in hospitals, especially older adult patients who may have increased care needs. This systematic scoping review aimed to synthesise evidence related to qualitative evaluations of hospital-based therapeutically oriented volunteer programs for older patients from the perspective of clinicians (nurses, doctors, and allied health professionals), and stakeholders (patients, families, and volunteers).

Methods

Nine databases were searched from January 2002 to November 2022. Of the 549 articles identified, 15 were included in the final review.

Results

The evidence demonstrated that clinicians, patients, families, and volunteers could all see the benefits of volunteer programs for hospitalised older adults.

Conclusion

The benefits of volunteer support for older adults in hospital to patients, nurses, family members and volunteers outweighs the challenges. As volunteers provide support to older adult patients alongside nurses the incorporation of volunteers into care teams needs to be considered.

简介志愿者在为医院病人提供支持方面发挥着重要作用，尤其是那些可能需要更多护理服务的老年病人。这项系统性的范围界定综述旨在从临床医生（护士、医生和专职医疗人员）和利益相关者（患者、家属和志愿者）的角度，综合医院老年患者治疗导向志愿者项目定性评估的相关证据：方法：检索了 2002 年 1 月至 2022 年 11 月期间的九个数据库。方法：检索了 2002 年 1 月至 2022 年 11 月期间的九个数据库，在确定的 549 篇文章中，有 15 篇被纳入最终审查：结果：证据表明，临床医生、患者、家属和志愿者都能看到志愿者项目对住院老年人的益处：结论：为住院老年人提供志愿者支持对病人、护士、家属和志愿者的益处大于挑战。随着志愿者与护士一起为老年患者提供支持，需要考虑将志愿者纳入护理团队。

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引用次数: 0

A study of the predictive value of different health indicators on the risk of all-cause mortality in older adults living in communities 关于不同健康指标对社区老年人全因死亡风险的预测价值的研究。

IF 2.5 3区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatric Nursing

Pub Date : 2024-11-16 DOI: 10.1016/j.gerinurse.2024.10.084

Meng Zhang, Mengya Liu, Wenjing Guo, Yuqing Chang, Siyi Zhao, Li Zhang

Objectives

Intrinsic capacity(IC), self-rated health (SRH), and hand grip strength (HGS) reflect the health status from different aspects. This study aimed to investigate the relationship between IC, SRH, SRH combined with HGS and all-cause mortality among Chinese older adults living in communities.

Methods

This study used data from the 2011 (baseline), 2013, 2015, 2018, and 2020 waves of the China Health and Retirement Longitudinal Study (CHARLS). We evaluated IC, SRH, and HGS using questionnaires. We assessed baseline levels of IC, SRH, and SRH combined HGS. Using the COX proportional hazards model, we investigated the associations between baseline IC, SRH, and SRH combined HGS and all-cause mortality. We used receiver operating characteristic curves (ROC) curves to compare the predictive effects of IC, SRH, and SRH combined HGS on all-cause mortality among Chinese older adults living in communities.

Results

At baseline (2011), the study included a total of 4095 participants. The multifactorial Cox regression analysis results showed that older adults had a much higher risk of death from any cause compared to those who said they were in good health and had a normal hand grip strength, those who said they were in fair health and had a low hand grip strength [HR = 3.959, 95 % CI (2.892–5.421)], those who said they were in bad health and had a normal hand grip strength [HR = 3.150, 95 % CI (2.392–4.148)], and those who said they were in bad health and had a low hand grip strength [HR = 4.189, 95 % CI (3.123–5.618)]. The study looked at older adults who lived in the community. The area under the ROC curves (AUC) for IC and SRH combined HGS to predict death from any cause was 0.726 [95 % CI (0.708–0.744)] and 0.704 [95 % CI (0.683–0.725)], respectively.

Conclusion

Combining SRH and HGS improves older adults' health management by more accurately predicting the risk of all-cause mortality.

目的：内在能力（IC）、自评健康（SRH）和手握力（HGS）从不同方面反映了健康状况。本研究旨在探讨IC、SRH、SRH结合HGS与中国社区老年人全因死亡率之间的关系：本研究使用了中国健康与退休纵向研究（CHARLS）2011 年（基线）、2013 年、2015 年、2018 年和 2020 年的数据。我们采用问卷调查的方式对IC、SRH和HGS进行了评估。我们评估了IC、SRH和SRH合并HGS的基线水平。我们使用 COX 比例危险模型研究了基线 IC、SRH 和 SRH 合并 HGS 与全因死亡率之间的关系。我们使用接收器操作特征曲线（ROC）比较了IC、SRH和SRH合并HGS对中国社区老年人全因死亡率的预测效果：基线研究（2011 年）共有 4095 名参与者。多因素 Cox 回归分析结果显示，与自称健康状况良好且手部握力正常者、自称健康状况一般且手部握力较低者相比，老年人因各种原因死亡的风险要高得多[HR = 3.959，95 % CI (2.892-5.421)]，自称健康状况不好但手部握力正常的人[HR = 3.150，95 % CI (2.392-4.148)]，以及自称健康状况不好但手部握力较低的人[HR = 4.189，95 % CI (3.123-5.618)]。这项研究的对象是居住在社区的老年人。IC和SRH联合HGS预测任何原因死亡的ROC曲线下面积（AUC）分别为0.726 [95 % CI (0.708-0.744)] 和0.704 [95 % CI (0.683-0.725)]：结合 SRH 和 HGS 可以更准确地预测全因死亡风险，从而改善老年人的健康管理。

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引用次数: 0