主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2025, Vol. 25 ›› Issue (7): 978-983.doi: 10.3969/j.issn.1672-1756.2025.07.004

• 特别策划·老年人整合照护模式 • 上一篇    下一篇

北京市社区老年人内在能力的网络分析

常红 王萱 刘梦娆 徐璟祎 尹娜 曹咏新 刘晓涵   

  1. 首都医科大学宣武医院神经内科/国家老年疾病临床医学研究中心,100053 北京市
  • 出版日期:2025-07-15 发布日期:2025-07-15
  • 作者简介:常红,硕士,主任护师,科护士长/护理部副主任,E-mail:changhong19791111@126.com
  • 基金资助:
    国家重点研发计划“主动健康和人口老龄化科技应对”重点专项(2023YFC3605200,2023YFC3605201)

Network analysis of the intrinsic capacity of older adults in Beijing communities

CHANG Hong, WANG Xuan, LIU Mengrao, XU Jingyi, YIN Na, CAO Yongxin, LIU Xiaohan   

  1. Department of Neurology, Xuanwu Hospital, Capital Medical University/National Clinical Research Center for Geriatric Diseases, Beijing, 100053, China
  • Online:2025-07-15 Published:2025-07-15

摘要: 目的:分析老年人内在能力各维度间网络特征,识别核心维度,以期为制定老年人内在能力干预措施提供依据。方法:本研究为横断面研究,便利选取2024年8月—11月在北京市部分社区居住的1 027位老年人为调查对象,采用一般资料调查表、数字化老年人整合照护评估工具进行调查,构建老年人内在能力网络并分析中心性指标。结果:北京市社区老年人内在能力得分为(6.54±1.13)分。36.3%的老年人出现内在能力下降。网络分析结果显示,运动、认知、心理、感官(听力)、感官(视力)、活力功能相互影响。其中,运动、认知功能的中介中心性相同且最高(rB=4.000),运动、认知功能的紧密度中心性相同且最高(rC=0.025),运动功能的强度中心性最高(rS=0.715)。结论:北京市社区老年人内在能力处于中等水平,运动功能是内在能力的核心维度,提示医务人员应重点关注老年人运动功能,制订针对性干预策略,从而延缓其内在能力下降。

关键词: 社区;老年人;内在能力;网络分析

Abstract: Objective: To explore the interdimensional characteristics of intrinsic capacity in older adults through network analysis, and to identify the core dimensions, so as to provide a feasible basis for formulating intervention measures for the intrinsic capacity of older adults. Methods: This cross-sectional study used convenience sampling to select 1027 older individuals residing in communities in Beijing from August to November 2024. The general information questionnaire and the digital elderly integrated care assessment tool were used to collect data. The network of each dimension of intrinsic capacity was constructed and the centrality metrics were analyzed. Results: The score of intrinsic capacity of older adults in Beijing was 6.54±1.13. 36.3% of the older adults experienced decreased intrinsic capacity. The network analysis results showed that motor function, cognitive function, psychological function, sensory function (hearing), sensory function (vision), and vitality function were closely related to each other. Among them, the betweenness centralities of motor and cognitive functions were the same and the largest (rB=4.000), the closeness centralities of motor and cognitive functions were the same and the largest (rC=0.025), and the strength centrality of motor function was the largest (rS=0.715). Conclusion: The intrinsic capacity of the older adults in Beijing communities is at a medium level. Motor function is the most important dimension of the intrinsic capacity network, suggesting that medical staffs should pay attention to the motor function of older adults and formulate targeted intervention strategies to delay the decline of their intrinsic capacity.

Key words: community; aged; intrinsic capacity; network analysis

中图分类号:  R47;R197