Changes in Social Relationships and Physical Functions in Community-Dwelling Older Adults

Dandan JIAO; Kumi WATANABE MIURA; Yuko SAWADA; Emiko TANAKA; Taeko WATANABE; Etsuko TOMISAKI; Sumio ITO; Rika OKUMURA; Yuriko KAWASAKI; Tokie ANME

doi:10.1097/jnr.0000000000000513

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Changes in Social Relationships and Physical Functions in Community-Dwelling Older Adults

Dandan JIAO ； Kumi WATANABE MIURA ； Yuko SAWADA ； Emiko TANAKA ； Taeko WATANABE ； Etsuko TOMISAKI ； Sumio ITO ； Rika OKUMURA ； Yuriko KAWASAKI ； Tokie ANME

The Journal of Nursing Research ； 30 卷 5 期 (2022 / 10 / 01) ， P1 - 8

英文 DOI： 10.1097/jnr.0000000000000513

community-dwelling older adults ； disability ； nursing ； social relationships

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摘要 │ 参考文献 (29) │ 国际计量

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Background: Social relationships are associated with physical function. However, little scholarly attention has been focused on the effect of changing social factors on physical function. Purpose: This study was designed to examine the effects on physical function of changes in social relationships in adults aged 65 years and older. Methods: This study is part of a longitudinal, prospective cohort study that was conducted on community-dwelling older adults in a suburban area of central Japan. Baseline self-report data were collected in 2011, and a follow-up survey was conducted in 2017. Social relationships were assessed using the Index of Social Interaction, and physical function was evaluated using a subscale of the Kihon Checklist. Chi-square tests, Mann-Whitney U tests, and multiple logistic regression analysis were used to analyze data from 442 older adults who were functionally independent at baseline. Results: After controlling for covariates in 2011, negative changes in social relationships (odds ratio [OR] = 3.20, 95%CI [1.18, 8.69]) were found to be associated with physical function decline. Moreover, 1-point increases in the different social-relationship values between baseline and follow-up were associated with protective effects against functional decline (OR = 0.71, 95% CI [0.63, 0.80]). Furthermore, median trends between baseline and follow-up revealed associations between decreasing (OR = 4.18, 95% CI [1.53, 11.39]) and continuously low (OR = 2.98, 95% CI [1.42, 6.28]) social relationships and physical function decline. Conclusions/Implications for Practice: The findings support a strong association between negative changes in social relationships and physical function decline and highlight the importance of promoting social relationships to delay physical function decline in older adults.

参考文献 ( 29 ) 〈TOP〉

Kim, J.,Lee, J. E.(2018).Social support and health-related quality of life among elderly individuals living alone in South Korea: A cross-sectional study.The Journal of Nursing Research,26(5),316-323.
连结：
Anme, T. (2015, December 20). Community empowerment and care for well-being and healthy longevity: Evidence from cohort study (abbr. CEC). http://plaza.umin.ac.jp/~empower/cec/en/
Anme, T.(1997)。Evaluation of environmental stimulation and its relation to physical deterioration in the elderly after 3 years-A health-social longitudinal study。Nihon Koshu Eisei Zasshi，44(3)，159-166。
Beauchamp, M. K.,Jette, A. M.,Ward, R. E.,Kurlinski, L. A.,Kiely, D.,Latham, N. K.,Bean, J. F.(2015).Predictive validity and responsiveness of patient-reported and performance-based measures of function in the Boston RISE study.The Journals of Gerontology, Series A: Biological Sciences and Medical Sciences,70(5),616-622.
Carstensen, L. L.,Fung, H. H.,Charles, S. T.(2003).Socioemotional selectivity theory and the regulation of emotion in the second half of life.Motivation and Emotion,27,103-123.

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