以质量求发展,以服务铸品牌

Journal of Nursing ›› 2020, Vol. 27 ›› Issue (8): 11-15.doi: 10.16460/j.issn1008-9969.2020.08.011

Previous Articles     Next Articles

Risk Factors of Housebound Elderly in Community and Development of Risk Prediction Model

WU Yu-jie1, XING Nai-jiao2, HAN Li1, LIU Pan-pan1, ZHAO Di1, ZHAO Meng-lu1, WANG Ai-min1   

  1. 1. School of Nursing, Qingdao University, Qingdao 266071, China;
    2. The Second Clinical Medical College of Qingdao University, Qingdao 266000, China
  • Received:2019-08-06 Online:2020-04-25 Published:2020-07-14

Abstract: Objective To understand the status and risk factors of housebound elderly people in community and to construct a risk prediction model for them. Methods A total of 587 housebound elderly people in 3 communities in Qingdao were investigated by using general information questionnaire,stay at home,Barthel Index, Geriatric Depression Scale (GDS), and Social Support Rating Scale (SSRS). Univariate analysis and logistic regression were used to establish a risk prediction model. The area under the ROC curve was used to test the model. Results Of the 587 objects, 107 of them were housebound elderly people, accounting for 18.2%.The study finally included elder age (age 81~96,OR=3.062),low income(OR=33.199),lack of activity hobbies(OR=4.285),lack of physical exercise(sometimes,OR=9.457;no exercise,OR=32.432),severe dysfunction(OR=7.609), and depression(OR=16.050)to construct the risk prediction model. The area under the ROC curve of this model was 0.937,with the sensitivity of 0.944,the specificity of 0.765 and the Youden of 0.709. Conclusion The prevalence of housebound is relatively high, and there are many risk factors. The risk prediction model established has a satisfactory prediction effect, which can be used as a risk screening tool for housebound elderly people in community.

Key words: community, elderly people, housebound, risk prediction model

CLC Number: 

  • R473.2
[1] 杨小娇,邢凤梅,汪凤兰,等.社区老年人居家不出与孤独感、家庭关怀度的关系[J].中国老年学杂志,2019,39(9):2261-2264.DOI:10.3969/j.issn.1005-9202.2019.09.067.
[2] Musich S, Wang SS, Hawkins K, et al.Homebound Older Adults: Prevalence, Characteristics, Health Care Utilization and Quality of Care[J]. Geriatr Nurs, 2015, 36(6):445-450.DOI: 10.1016/j.gerinurse.2015.06.013.
[3] Celeiro DR, Riego SSD, García JM.Homebound Status among Middle-aged and Older Adults with Disabilities in ADLs and Its Associations with Clinical, Functional, and Environmental Factors[J]. Disabil Health J, 2016, 10(1):145-151. DOI:10.1016/j.dhjo.2016.06.006.
[4] 王晴,张小丽,张盼,等.南北方城市老年居家不出现状及影响因素[J].中国老年学杂志,2018,38(15):3774-3777.DOI:10.3969/j.issn.1005-9202.2018.15.075.
[5] 景丽伟,王玉静,张超,等. 河北省社区老年人居家不出现状及影响因素[J]. 中国公共卫生,2015,31(9):1182-1184.DOI: 10.11847/zgggws2015-31-09-22.
[6] 赵清霞. 川黔两地城市老人居家不出状况及影响因素[J].中国老年学杂志, 2017, 37(13):3327-3329.DOI:10.3969/j.issn.1005-9202.2017.13.096.
[7] 王素冬. Housebound量表的汉化及在社区老年人中的信效度评价[D]. 唐山:河北联合大学, 2014.
[8] 李漫漫,付轶男,吴茂春,等.老年人日常生活活动能力与认知功能的相关性研究[J].护理研究, 2018,32(11):1749-1752.DOI:10.12102/j.issn.1009-6493.2018.11.023.
[9] 唐丹. 简版老年抑郁量表(GDS-15)在中国老年人中的使用[J].中国临床心理学杂志, 2013, 21(3):402-405.DOI:10.16128/j.cnki.1005-3611.2013.03.036.
[10] 刘继文,李富业,连玉龙. 社会支持评定量表的信度效度研究[J].新疆医科大学学报, 2008,31(1):4-6.DOI:10.3969/j.issn.1009-5551.2008.01.001.
[11] 么婷,张小丽,汪凤兰,等. 蚌埠市社区老年人居家不出现状及其影响因素分析[J]. 中国卫生事业管理, 2014, 31(10):734-736.
[12] 张海艳. 社区老年人日常生活能力现状及其影响因素分析[D]. 唐山:河北联合大学, 2014.
[13] 王翻. 低保老人的养老状况及可持续性分析[D].南京:南京大学,2017.
[14] 蒋兴莉,王冬华.381例农村老年人积极老化现状及其影响因素分析[J].护理学报,2019,26(15):41-45.DOI: 10.16460/j.issn1008-9969.2019.15.041.
[15] 付文宁,蒋紫玟,邹利,等.社区老年人兴趣爱好和社会支持对负性生活事件的影响研究[J].中华护理教育,2016,13(11):867-870.DOI:10.3761/j.issn.1672-9234.2016.11.018.
[16] 叶盛,陈利群,石丹,等.运动锻炼对社区老年人跌倒预防效果的证据总结[J].中华护理杂志,2017,52(9):1112-1118.DOI:10.3760/cma.j.issn.1007-9742.2018.02.116.
[17] 陈晓,王曙红,王国妃.老年人参加身体锻炼的影响因素[J].中国老年学杂志,2017, 37(1):244-246.DOI:10.3969/j.issn.1005-9202.2017.01.106.
[18] 钟清玲,喻思思. 社区老年人社会参与水平及其影响因素的研究进展[J]. 中国护理管理, 2018, 18(9):149-152.DOI:10.3969/j.issn.1672-1756.2018.09.031.
[19] Holloway KL, Williams LJ, Brennanolsen SL, et al.Anxiety Disorders and Falls among Older Adults[J]. J Affect Disord, 2016(205):20-27.DOI:10.1016/j.jad.2016.06.052.
[20] Kvelde T, Lord SR, Close JCT, et al.Depressive Symptoms Increase Fall Risk in Older People, Independent of Antidepressant Use, and Reduced Executive and Physical Functioning[J]. Arch Gerontol Geriatr, 2015, 60(1):190-195.DOI:10.1016/j.archger.2014.09.003.
[21] 唐艳,刘洁琼,王诗,等.中老年人家庭养老意愿及影响因素分析[J].护理学报,2017,24(7):6-9.DOI:10.16460/j.issn1008-9969.2017.07.006.
[22] Yu C, Hang D, Wei B, et al.Development and Validation of Risk-stratification Delirium Prediction Model for Critically Ill Patients:A Prospective, Observational, Single-center Study[J]. Medicine, 2017, 96(29):e7543.DOI:10.1097/MD.0000000000007543.
[1] ZHENG Xiao-jing, YAN Hong-hong, LI Hui-jing, CHEN Si-juan, CHEN Xiu-mei. Construction and verification of risk prediction model for hypoglycemia with hepatocellular carcinoma [J]. Journal of Nursing, 2025, 32(4): 53-58.
[2] SUN Juan, LI Ya-li, MA An-na, WANG Hua, ZHANG Hui-min. Experience of nursing postgraduates on ideological and political teaching in community nursing practice: a qualitative study [J]. Journal of Nursing, 2025, 32(1): 19-23.
[3] TAN Qiu-yu, DENG Yi-xin, JI Wan-qian, WANG Dong-hua. Chain-mediated effect of self-stereotyping and subjective memory complaints between self-perceived aging and fear of dementia among rural elderly people [J]. Journal of Nursing, 2025, 32(1): 56-61.
[4] XUE Rong, ZHANG Kai-li, CHEN Bao-yun, MA Rong-hui, ZHANG Yu-xin. Multidimensional frailty development trajectory and its influencing factors in middle-aged and elderly stroke patients [J]. Journal of Nursing, 2024, 31(6): 6-12.
[5] ZHOU Yue, ZHANG Jie, PAN Yu-fan, DAI Yu, SUN Yu-jian, XIAO Yi, YU Yu-feng. Prediction models for risk of acquired weakness in mechanically ventilated patients: a systematic review [J]. Journal of Nursing, 2024, 31(6): 56-61.
[6] DENG Yue, HU Yu-fan, WANG Ran, ZHANG Yuan-xing, WANG Fang, YUAN Ping, CHEN Lu. Qualitative studies on experience and needs of elderly patients receiving telemedicine care: a Meta-integration [J]. Journal of Nursing, 2024, 31(5): 50-55.
[7] ZHOU Ying, HE Ping-ping, WANG Xiao-fen, WU Yi-yuan, WANG Jin, ZHU Xiao-fang, YAO Zhen-shuai, YU Jin-chang. Construction and practice of innovative ability-guided “nursing postgraduates and undergraduates learning community” [J]. Journal of Nursing, 2024, 31(21): 17-21.
[8] HAO Yang, QIN Yan-mei, MAO Mei-qi, ZHAO Ya-ning, LIU Yao, HAN Ying. Influencing factors of cognitive frailty in community-dwelling elderly individuals based on Bayesian network model [J]. Journal of Nursing, 2024, 31(19): 12-18.
[9] OU Yang-li, SHEN Jun, LI Miao, PENG Ying, LIAO Xiao-yan, ZHANG Hong, CHEN Li-yu. Best evidence summary for influencing factors of proactive health in disabled elderly people [J]. Journal of Nursing, 2024, 31(1): 58-63.
[10] ZHOU Meng-juan, ZHU Xiao-li, ZHANG Tai, DUAN Jian-feng, LUO Yu-mei, MA Wei-li, LU Han, SHI Ting-ting, YANG Yi-lin, LI Ting, CHA Yao-lei, ZHAO Yuan. Construction and verification of predictive model for prolonged length of stay in patients with non-severe acute pancreatitis [J]. Journal of Nursing, 2023, 30(9): 7-12.
[11] SUN Xiao-wei, WANG Yan, MIN Chun-yan, DUAN Fei, XIAO Jiang-qin. Status quo and influencing factors of life space in elderly patients with chronic obstructive pulmonary disease:a 322-case study [J]. Journal of Nursing, 2023, 30(8): 1-6.
[12] CHEN Tong, BI Yu-qing, CHEN Qian, XUE Zi-chen, HUANG Jing-wen, LUO Sheng, LI Wei. Construction of evaluation index system of chronic disease nursing competency for elderly people in communities [J]. Journal of Nursing, 2023, 30(7): 1-4.
[13] REN Ying, YU Wei-hua, ZHANG Li, ZHENG Jun-jun, DENG Man, YANG Xia, ZHANG Yu-xi. Current status of life space level of community elderly people and its influencing factors [J]. Journal of Nursing, 2023, 30(7): 11-15.
[14] YE Lei, ZHANG Ai-qin, RONG Yun, XIA Guang-hui. Risk prediction models for postoperative delirium in elderly patients with hip fracture: a systematic review [J]. Journal of Nursing, 2023, 30(7): 48-52.
[15] XU Yan-hong, Wei Qing-feng, XIA Ye, ZHONG Yan. Construction of hospital-community management index system of patients with colorectal polyps after endoscopic resection based on screening platform [J]. Journal of Nursing, 2023, 30(5): 33-37.
Viewed
Full text


Abstract

Cited

  Shared   
No Suggested Reading articles found!