欢迎您访问《中华养生保健》官方网站!

中华养生保健 ›› 2023, Vol. 41 ›› Issue (4): 11-14.

• 论著 • 上一篇    下一篇

高龄老人健康期望寿命衰减拐点的预测及影响因素分析

郑丽秀1, 梅阳阳2, 庞书勤3   

  1. 1.漳州卫生职业学院护理系,福建 漳州, 363000;
    2.福建卫生职业技术学院护理系,福建 福州, 350101;
    3.福建中医药大学护理学院,福建 福州, 350122
  • 出版日期:2023-02-16 发布日期:2023-02-16
  • 作者简介:郑丽秀(1990—),女,汉族,籍贯:福建省漳州市,硕士研究生,中级讲师,研究方向:护理信息管理,儿科护理。
  • 基金资助:
    福建省中青年科研课题(JAS19666)

Prediction and Influencing Factors Analysis of the Inflection Point of Healthy Life Expectancy Attenuation in the Elderly

ZHENG Li-xiu1, MEI Yang-yang2, PANG Shu-qin3   

  1. 1. Nursing Department,Zhangzhou Health Vocational College, Zhangzhou Fujian, 363000, China;
    2. Department of Nursing, Fujian Vocational and Technical College of Health, Fuzhou Fujian, 350101, China;
    3. School of Nursing, Fujian University of Traditional Chinese Medicine, Fuzhou Fujian, 350122, China
  • Online:2023-02-16 Published:2023-02-16

摘要: 目的 探讨高龄老人健康期望寿命的衰减拐点,分析相关影响因素,为相关部门制定目标人群的健康养老服务提供参考依据。方法 采用随机抽样法,选取2020年7月—2020年8月福建省9个市若干社区中的高龄老人作为研究对象,共529人。采用自评健康期望寿命和自理健康期望寿命进行筛选,衰减拐点应用ROC曲线进行分析,绘制年龄预测受试曲线下面积以确定最佳拐点(area under curve,AUC)、约登指数、敏感度和特异度;进一步结合Logistic回归分析,探讨相关影响因素。结果 年龄预测自理健康期望寿命的衰减拐点为85.5岁,其ROC曲线下面积AUC为0.873,最大约登指数1.613,敏感度66.50%,特异度94.80%;年龄预测自评健康期望寿命的衰减拐点为85.5岁,其ROC曲线下面积AUC为0.799,最大约登指数1.520,敏感度57.30%,特异度94.70%。Logistic回归分析显示,年龄、文盲、患慢性病是高龄老人健康期望寿命衰减拐点的危险因素(P<0.05),经济状况良好、配偶健在是高龄老人健康期望寿命衰减拐点的保护因素(P<0.05)。结论 高龄老人健康期望寿命衰减拐点约为85.5岁,年龄、文盲、患慢性病是危险因素,经济状况良好、配偶健在是保护因素。

关键词: 高龄老人, 自评健康期望寿命, 自理健康期望寿命, 健康期望寿命, ROC曲线

Abstract: Objective To explore the attenuation inflection point of elderly's estimated healthy life expectancy, analysis associated factors, and to provide reference for the community to provide accurate old-age services. Methods By convenience sampling method, elderly people from nine communities of Fujian Province were investigated. The life expectancy of self-care health and self-rated healthy life expectancy were used for screening. The ROC curve of age prediction estimated healthy life expectancy attenuation was plotted, and logistic analysis was used to explore associated factors. Results The best cut-off value for age prediction of life expectancy of self-care health attenuation was 85.5 years old, and the area under the ROC curve line AUC was 0.873, the most approximate index was 1.613, the diagnostic sensitivity was 66.50%, and the specificity was 94.80%; The best cut-off value of age prediction of self-rated healthy life expectancy attenuation was 85.5 years old, and the area under the ROC curve line AUC was 0.799, the most approximate index was 1.520, the diagnostic sensitivity was 57.30%, and the specificity was 94.70%; And age, illiterate, chronic disease were hazard factors, good economic conditions, surviving spouse were protective factors for estimated healthy life expectancy; Conclusion The estimated healthy life expectancy attenuation inflection point of the elderly is about 85.5 years old. The age, illiterate, chronic disease were hazard factors, good economic conditions, surviving spouse were protective factors.

Key words: elderly, self-rated healthy life expectancy, life expectancy of self-care health, healthy life expectancy, attenuation inflection point, ROC curve

中图分类号: