医院就诊老年患者社会衰弱发生率及其影响因素的Meta分析OA
A Meta-analysis of the incidence of social frailty and its influencing factors in elderly patients attending hospital
目的 对医院就诊老年患者的社会衰弱发生率及其影响因素进行Meta分析,为医护人员制订针对性干预措施提供循证依据.方法 检索中国知网、维普网、万方数据知识服务平台、中国生物医学文献数据库、PubMed、Embase、Web of Science、Cochrane Library、CINAHL,检索时间为建库至2025年8月,使用Stata 15.0软件进行Meta分析.结果 共纳入20篇文献,样本量为7402例.Meta分析结果显示,医院就诊老年患者社会衰弱发生率为37%(95%CI:0.28~0.46).亚组分析显示年龄≥65岁、国外、研究工具为马基扎科社会衰弱问卷、队列研究的社会衰弱发生率更高(P<0.05).影响因素Meta分析结果显示,年龄、身体衰弱、抑郁是医院就诊老年患者发生社会衰弱的危险因素,家庭功能、社会支持是其保护因素.结论 医院就诊老年患者的社会衰弱发生率较高、影响因素较多,由于纳入文献分层数据有限,结果需谨慎解读,未来需更多高质量分层研究证实.
Objective To conduct a Meta-analysis on the incidence and influencing factors of social frailty in elderly patients attending hospital,and to provide evidence-based basis for medical staff to formulate targeted intervention measures.Methods We searched China National Knowledge Infrastructure,VIP,Wanfang Data Knowledge Service Platform,China Biomedical Literature Database,PubMed,Embase,Web of Science,Cochrane Library,and CINAHL from inception to August 2025.Stata 15.0 software was used for Meta-analysis.Results A total of 20 studies were included,with a sample size of 7402 cases.Meta-analysis showed that the incidence of social frailty in elderly patients attending hospital was 37%(95%CI:0.28-0.46).Subgroup analysis indicated that the incidence of social frailty was higher in those aged≥65 years,in foreign studies,when using the Makizako social frailty questionnaire as the research tool,and in cohort studies(P<0.05).Meta-analysis of influencing factors showed that age,physical frailty,and depression were risk factors for social frailty in elderly patients attending hospital,while family function and social support were protective factors.Conclusion The incidence of social frailty in elderly patients attending hospital is relatively high and involves many influencing factors.Due to limited stratified data in the included studies,the results should be interpreted with caution.More high-quality stratified studies are needed in the future to confirm the findings.
丘欣雨;谢镕蔓;邱小芩;陈思帆;黄兰青;郑杰媚;兰怡昕;代咏航;刘娜;邓钟燕
广西中医药大学护理学院,广西 南宁 530000右江民族医学院护理学院,广西 百色 533000中山大学附属第一医院广西医院护理部,广西 南宁 530022广西中医药大学护理学院,广西 南宁 530000广西壮族自治区人民医院重症医学科,广西 南宁 530021中山大学附属第一医院广西医院手术麻醉中心,广西 南宁 530022中山大学附属第一医院广西医院普通外科,广西 南宁 530022右江民族医学院护理学院,广西 百色 533000右江民族医学院护理学院,广西 百色 533000右江民族医学院护理学院,广西 百色 533000
医药卫生
老年人社会衰弱影响因素Meta分析
ElderlySocial frailtyInfluencing factorsMeta-analysis
《中国现代医生》 2026 (12)
49-53,64,6
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