社区老年人衰弱与认知功能的关系:心理弹性的中介机制

doi:10.3969/j.issn.1003-9198.2022.08.021

Abstract

Abstract: Objective To explore the relationship between frailty and cognitive function of community-dwelling elderly, and to analyze the mediating effect of resilience between frailty and cognitive function. Methods A total of 827 community-dwelling elderly were investigated by Tilburg Frailty Indicator(TFI), 10-item Connor-Davidson Resilience Scale(CD-RISC-10), Mini-Mental State Examination (MMSE) and self-made general condition scale. Results The incidence rate of frailty and cognitive decline among community-dwelling elderly was 30.11% and 21.04%, respectively. Frailty was significantly negatively correlated with resilience(r=-0.45, P<0.01) and cognitive function(r=-0.34, P<0.01), and resilience was significantly positively correlated with cognitive function (r=0.39, P<0.01). The model fitting results showed that resilience played a mediating role in the relationship between frailty and cognitive function(β=-0.13, P<0.01). Conclusions Frailty has a direct predictive effect on the cognitive function of community-dwelling elderly, and it is moderated by the mediating effect of resilience. Reducing the frailty degree of the elderly and improving the level of resilience might reduce the incidence of cognitive decline and promote the healthy aging of the elderly.

Key words: community, aged, frailty, resilience, cognitive function

CLC Number:

R749.1

LIU Hong, LI Yan-zhang, ZHANG Hui, XIONG Mei, ZHANG Yu-ping. Relationship between frailty and cognitive function of community-dwelling elderly: the mediating mechanism of resilience[J]. Practical Geriatrics, 2022, 36(8): 842-845.

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Relationship between frailty and cognitive function of community-dwelling elderly: the mediating mechanism of resilience

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