社区老年人衰弱与淡漠的相关性研究

doi:10.3969/j.issn.1003-9198.2026.01.009

摘要/Abstract

摘要： 目的探讨社区老年人群衰弱与淡漠的相关性。方法采用横断面调查设计,于2024年9—12月便利抽取415例60岁及以上社区老年人为研究对象。采用Fried衰弱表型量表、老年抑郁量表-3项淡漠子量表(GDS-3A)评估受试者衰弱与淡漠情况。采用多因素logistic回归分析探讨衰弱与淡漠的相关性,并采用ROC曲线评估衰弱对淡漠的预测价值。结果社区老年人淡漠检出率为40%。多因素logistic回归分析显示,衰弱与淡漠显著相关(OR=1.971,95%CI:1.518～2.561,P<0.001)。ROC曲线分析显示,衰弱评分对淡漠有一定预测能力(AUC=0.673,95%CI:0.621～0.725,P<0.001)。结论衰弱是社区老年人群淡漠的独立相关因素。针对衰弱的干预措施可能成为改善该人群淡漠问题的一种新策略。

关键词: 老年人, 淡漠, 衰弱, 慢性病, 横断面调查

Abstract: Objective To explore the correlation between frailty and apathy in community-dwelling elderly adults. Methods A cross-sectional study was conducted from September to December 2024. A total of 415 elderly individuals aged 60 years and over were included by convenience sampling. Frailty and apathy were assessed by Fried frailty phenotype scale and the apathy items derived from the Geriatric Depression Scale (GDS-3A),respectively. Multivariate logistic regression was used to analyze the correlation between frailty and apathy, and the receiver operating characteristic ( ROC ) curve was drawn to evaluate the predictive value of frailty for apathy. Results The prevalence of apathy was 40% (166/415). Frailty was identified as an independent influencing factor for apathy (OR=1.971, 95%CI: 1.518-2.561, P<0.001). The ROC curve analysis showed that frailty score had a predictive efficacy for apathy (AUC=0.673, 95%CI: 0.621-0.725, P<0.001). Conclusions Frailty is an independent factor for apathy in community-dwelling elderly adults. Interventions targeting frailty may represent a novel strategy for mitigating apathy in this population.

Key words: aged, apathy, frailty, chronic disease, cross-sectional study

中图分类号:

R 592

陶璐, 夏泽燕. 社区老年人衰弱与淡漠的相关性研究[J]. 实用老年医学, 2026, 40(1): 43-47.

TAO Lu, XIA Zeyan. Association between frailty and apathy in community-dwelling elderly adults[J]. Practical Geriatrics, 2026, 40(1): 43-47.

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