老年人居家环境适老化改造意愿类型及特征研究
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女,硕士在读,护师

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贵州省科技计划项目(黔科合LH字[2017]7198号)


Types and characteristics of older adults′ willingness for age-friendly home modifications
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    目的 了解老年人居家环境适老化改造意愿现状及类型,分析各类型特征,为针对性干预提供参考。方法 于2024年12月至2025年7月,采用一般人口学资料问卷、老年居民居家环境适老化改造认知需求简明问卷、领悟社会支持量表、凯斯勒心理困扰量表以及日常生活活动能力量表对社区345名老年人进行调查。结合“Elbow法”确定最佳K值,K-Means聚类完成最终聚类。结果 老年人居家环境适老化改造意愿类型分为:Ⅰ类为积极意愿-高认知高需求类(21.74%);Ⅱ类为消极意愿-低认知低需求类(55.07%);Ⅲ类为低意愿-高认知低需求类(23.19%)。月退休金、文化水平、自理能力、心理困扰、社会支持及患病数量是不同类型的影响因素(均P<0.05)。结论 老年人居家环境适老化改造意愿具有异质性。可根据不同类型制订针对性干预措施,以提升老年人生活质量和居家安全,推动居家养老服务的持续发展。

    Abstract:

    Objective To investigate the current status and types of older adults′ willingness to undergo age-friendly home modifications, analyze the characteristics of each type, and to provide evidence for targeted interventions. Methods From December 2024 to July 2025, a survey was conducted among 345 community-dwelling older adults using a general demographic questionnaire, the Brief Questionnaire on Cognition and Needs for Age-Friendly Home Modifications among Older Residents, the Perceived Social Support Scale, the Kessler Psychological Distress Scale (K10), and the Activities of Daily Living (ADL) scale. The optimal K value was determined using the Elbow method, and final clustering was completed using K-Means clustering.Results Older adults′ willingness for age-friendly home modifications was classified into three types: Type I, active willingness-high cognition and high demand (21.74%); Type II, passive willingness-low cognition and low demand (55.07%); and Type III, low willingness-high cognition and low demand (23.19%). Monthly pension, education level, self-care ability, mental health status, social support,and number of comorbidities were influencing factors across different types (all P<0.05). Conclusion The willingness of older adults to undergo age-friendly home modifications is heterogeneous. Targeted intervention measures can be developed based on different types to improve the quality of life and home safety of older adults, and to promote the sustainable development of home-based elderly care services.

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曾群媒,周诗琪,张家裕,杨晓彤,罗远红,蒋河鱼,姚丽,王银花.老年人居家环境适老化改造意愿类型及特征研究[J].护理学杂志,2026,41(14):100-104

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  • 收稿日期:2026-02-12
  • 最后修改日期:2026-04-10
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  • 在线发布日期: 2026-08-31