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Journal of Nursing ›› 2023, Vol. 30 ›› Issue (7): 11-15.doi: 10.16460/j.issn1008-9969.2023.07.011

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Current status of life space level of community elderly people and its influencing factors

REN Ying1,2, YU Wei-hua2,1, ZHANG Li1, ZHENG Jun-jun1, DENG Man1, YANG Xia1, ZHANG Yu-xi1   

  1. 1. School of Nursing, Anhui Medical University, Hefei 230601, China;
    2. The Third Affiliated Hospital of Anhui Medical Universitythe first people's Hospital of Hefei, Hefei 230061, China
  • Received:2022-11-25 Published:2023-05-12

Abstract: Objective To investigate the life space level of community elderly people in Hefei and analyze its influencing factors. Methods A total of 1,288 elderly people from 6 communities in Hefei city were selected by convenient sampling from February to August 2022. The elderly people were investigated by using general information questionnaire, Fear of Falling Assessment, Chinese Version of Life Space Assessment Scale (LSA-C), Simple Frailty Scale (FRAIL) and Chinese Version of Geriatric Depression Scale (GDS-30). Results The total score of life space of the elderly was 63.54±20.83, and 526 (40.8%) of the elderly had life space constriction. Multiple linear regression showed that age, sex, number of comorbidities, with sedentary lifestyle or not, fear of falling, degree of depression, and frailty were the influencing factors of the life space level of the elderly in the community (P<0.05), explaining 50.9% of the total variation. Conclusion The life space of the elderly in the community is at a medium level, and the incidence of life space constriction is high. It is recommended that community medical staff focus on the life space level of the elderly people who are older, females, with a great number of comorbidities, with sedentary lifestyle, afraid of falling, depressed and weak. Targeted intervention strategies to expand the life space should be considered to improve the quality of life of elderly people.

Key words: elderly people, community, life space, influencing factor

CLC Number: 

  • R473.2
[1] 程康耀, 张硕, 李晨露, 等. 生活空间应用于跟踪经皮冠状动脉介入术后心脏康复的可行性探讨[J].护理研究, 2019, 33(2):323-326. DOI:10.12102/j.issn.1009-6493.2019.02.033.
[2] Silberschmidt S, Kumar A,Raji MM, et al.Life-space mobility and cognitive decline among Mexican Americans aged 75 years and older[J]. J Am Geriatr Soc, 2017, 65(7):1514-1520. DOI:10.1111/jgs.14829.
[3] Jadczak AD, Edwards S, Visvanathan R. Life-space mobility in aged care residents:frailty in residential sector over time(FIRST) study findings[J]. J Am Med Dir Assoc, 2022, 23(11):1869.e1-1869.e6. DOI:10.1016/j.jamda.2022.04.013.
[4] Lo AX, Rundle AG, Buys D, et al.Neighborhood disadvantage and life-space mobility are associated with incident falls in community-dwelling older adults[J]. J Am Geriatr Soc, 2019, 64(11):2218-2225. DOI:10.1111/jgs.14353.
[5] James BD,Boyle PA,Buchman AS,et al.Life space and risk of Alzheimer disease, mild cognitive impairment,and cognitive decline in old age[J]. Am J Geriatr Psychiatry, 2019, 19(11):961-969. DOI:10.1097/JGP.0b013e318211c219.
[6] Saraiva MD, Apolinario D, Avelino-Silva TJ, et al.The impact of frailty on the relationship between life-space mobility and quality of life in older adults during the COVID-19 pandemic[J]. J Nutr Health Aging, 2021, 25(4):440-447. DOI:10.1007/s12603-020-1532-z.
[7] Kennedy RE, Sawyer P, Williams CP, et al.Life-space mobility change predicts 6-month mortality[J]. J Am Geriatr Soc, 2019, 65(4):833-838. DOI:10.1111/jgs.14738.
[8] 孙振球,徐勇勇. 医学统计学[M].4版.北京:人民卫生出版社, 2016:573-575.
[9] 王进波, 孙慧敏, 张秀秀, 等. 社区老年人照顾者害怕老年人跌倒现状及影响因素分析[J].护理学杂志, 2020, 35(5):97-100. DOI:10.3870/j.issn.1001-4152.2020.05.097.
[10] Ji M, Zhou Y, Liao J, et al.Pilot study on the Chinese version of the Life Space Assessment among community-dwelling elderly[J]. Arch Gerontol Geriatr, 2015, 61(2):301-306. DOI:10.1016/j.archger.2015.06.012.
[11] 赵芙晨, 张瑞丽, 赵芙卿, 等. 社区老年人生活空间受限现状及影响因素研究[J].中国社会医学杂志, 2022, 39(4):450-454. DOI:10.3969/j.issn1673-5625.2022.04.021.
[12] 刘杰, 王瑛, 王晓慧, 等. 中文版老年抑郁量表在城市社区老年人群中应用的信效度研究[J].中国临床心理学杂志, 2013, 21(1):39-41. DOI:10.16128/j.cnki.1005-3611.2013.01.041.
[13] 牛娟娟, 石美霞, 张绍果, 等. 老年住院病人衰弱评估量表的研制及信效度检验[J].护理研究, 2022, 36(3):402-407. DOI:10.12102/j.issn.1009-6493.2022.03.004.
[14] 季梦婷, 周嫣. 社区老年人生活空间受限现状调查[J].护理学杂志, 2017, 32(15):89-91. DOI:10.3870/j.issn1001-4152.2017.15.089.
[15] 武玉洁, 邢乃姣, 韩丽, 等. 社区老年人居家不出危险因素分析及风险预测模型构建[J]. 护理学报, 2020, 27(8):11-15. DOI:10.16460/j.issn1008-9969.2020.08.011.
[16] 洪燕, 付晶晶, 孔德辉, 等. 社区老年人线上社会参与现状及其影响因素的研究进展[J].护理学报, 2021, 28(14):12-16. DOI:10.16460/j.issn1008-9969.2021.14.012.
[17] 杨直, 高静, 柏丁兮, 等. 老年慢性病共病患者治疗负担体验的质性研究[J].中国全科医学, 2022, 25(19):2336-2341. DOI:10.12114/j.issn.1007-9572.2022.0169.
[18] Kimura Y, Nishio N, Abe Y, et al.Relationship between physical activity levels during rehabilitation hospitalization and life-space mobility following discharge in stroke survivors:a multicenter prospective study[J]. Top Stroke Rehabil, 2021, 28(7):481-487. DOI:10.1080/10749357.2020.1834276.
[19] Chung MH, Leung SF, Välimäki M.Use of tracking technology to examine life-space mobility among people with depression:a systematic review protocol[J].BMJ Open, 2020, 10(1):e034208. DOI:10.1136/bmjopen-2019-034208.
[20] 陈楚媛, 沈勤. 医养结合机构非卧床老年人衰弱现状及影响因素分析[J].护理学杂志, 2022, 37(20):90-93. DOI:10.3870/j.issn.1001-4152.2022.20.090.
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