Research progress on resilience of elderly patients with multiple diseases

Abstract

Abstract: Chronic disease comorbidities increase the physical and mental burden of patients and reduce the quality of life of patients through the synergistic effect of diseases. At present,more attention is paid to a single chronic disease,and less attention is paid to patients with chronic disease comorbidities. Multimorbidity resilience（MR） is a concept proposed for multi-comorbidity groups from the perspective of resilience,which has great potential to improve the quality of life of comorbidity patients and enhance their own resilience. Due to the late start of the research on MR,the relevant contents remain to be clarified. Therefore,this paper will review the concept,theoretical sources,measurement tools and intervention strategies of resilience to multiple diseases,in order to provide references for future research in China.

Key words: Chronic disease comorbidities, Resilience, Assessment tools, Influencing factors, Intervention measures

CLC Number:

R181.3

CHEN Chen, CHANG Wenyang, LIU Xue, WU Hongfeng, SHI Yilin. Research progress on resilience of elderly patients with multiple diseases. [J]OCCUPATION AND HEALTH, 2025, 41(1): 133-137.

References

[1] GARIN N,KOYANAGI A,CHATTERJI S,et al.Global multimorbidity patterns:A cross-sectional,population-based,multi-country study[J]. J Gerontol A Biol Sci Med Sci,2016,71(2):205-214.
[2] B HLER C,HUBER C A,BRÜNGGER B,et al.Multimorbidity,health care utilization and costs in an elderly community-dwelling population:A claims data based observational study[J].BMC Health Serv Res,2015,15(1):23.
[3] JOAO FORJAZ M C A V.Chronic conditions,disability,and quality of life in older adults with multimorbidity in Spain[J].Eur J Intern Med,2015,26(3):176-181.
[4] 贾会英,孙璐璐,曲茹虹,等.老年慢性病共病患者护理的研究进展[J].解放军护理杂志,2019,36(8):4.
[5] 钱焊森,马爱霞.我国中老年人共病现状及其影响因素分析[J].中国药物评价,2017,34(6):5.
[6] WINDLE G.What is resilience? A review and concept analysis[J].Rev Clin Gerontol,2011,21(2):152-169.
[7] 李汶窈,李玲,廖宗峰,等.脑卒中患者家庭复原力的研究进展[J].护理学杂志,2023,38(13):116-119.
[8] 尤思梦,李娜,郭曼杰,等.癌症病人复原力研究进展[J].护理研究,2023,37(12):2177-2182.
[9] ANDREW W,SCOTT L,NADINE S,et al.Development and validation of a multi-domain multimorbidity resilience index for an older population:Results from the baseline Canadian Longitudinal Study on Aging[J].BMC Geriatr,2018,18(1):1-13.
[10] SILVERMAN A M,MOLTON I R,ALSCHULER K N,et al.Resilience predicts functional outcomes in people aging with disability:A longitudinal investigation[J].Arch Phys Med Rehabil,2015,96(7):1262-1268.
[11] KARL G.Reimagining the educational field:Thoughts on a critical criminology of education[J].Societies,2015,5(2):442-459.
[12] WALKER V G.Communication strategies for nursing research with older adults diagnosed with schizophrenia using life course theory[J]. J Nurs Scholarsh,2022,54(2):234-241.
[13] WISTER A V,COATTA K L,SCHUURMAN N,et al.A lifecourse model of multimorbidity resilience:Theoretical and research developments[J].Int J Aging Hum Dev,2016,82(4):290-313.
[14] COSCO T D,KAUSHAL A,HARDY R,et al.Operationalising resilience in longitudinal studies:A systematic review of methodological approaches[J].J Epidemiol Community Health,2017,71(1):98-104.
[15] VAISHNAVI S,CONNOR K,DAVIDSON J R T.An abbreviated version of the connor-davidson resilience scale(CD-RISC),the CD-RISC2:Psychometric properties and applications in psychopharmacological trials[J].Psychiatry Res,2007,152(2-3):293-297.
[16] 于肖楠,张建新.自我韧性量表与Connor-Davidson韧性量表的应用比较[J].心理科学,2007,30(5):3.
[17] 史辉,袁慧,胡浩,等.老年慢性病共病患者抗逆力现状及影响因素[J].中国医药科学,2022,12(2):125-128.
[18] CAMPBELL-SILLS L,STEIN M B.Psychometric analysis and refinement of the Connor-davidson resilience scale(CD-RISC):Validation of a 10-item measure of resilience[J].J Trauma Stress,2010,20(6):1019-1028.
[19] 陈维,杨涛,高荣芬,等.Connor-Davidson心理韧性量表简版在大学生中的信效度检验和跨性别等值性[J].西南师范大学学报:自然科学版,2021,46(11):8.
[20] SMITH B W,DALEN J,WIGGINS K,et al.The brief resilience scale:Assessing the ability to bounce back[J].Int J Behav Med,2008,15(3):194-200.
[21] 傅雨佳,吴静洁,赵彬雨,等.压力适应量表的汉化及其在多病共存患者中的信效度检验[J].浙江大学学报:医学版,2023,52(3):361-370.
[22] 赵丽蓉,陈琪,李莺.日常生活活动能力量表在分级护理管理中的应用效果[J].护士进修杂志,2016,31(13):3.
[23] 何泽佳,恽晓萍,郭华珍,等.汉化版执行功能表现测试的信效度研究[J].中华物理医学与康复杂志,2020,42(7):7.
[24] 汤春宜. 修订的中文版MOS社会支持量表在脑卒中患者中的应用研究[D].广州:南方医科大学,2016.
[25] 张宝山,李娟.简版流调中心抑郁量表在全国成年人群中的信效度[J].中国心理卫生杂志,2011,25(7):6.
[26] SEARLE S D,MITNITSKI A,GAHBAUER E A,et al.A standard procedure for creating a frailty index[J].BMC Geriatr,2008,8:24.
[27] WISTER A,LEAR S,SCHUURMAN N,et al.Development and validation of a multi-domain multimorbidity resilience index for an older population:results from the baseline canadian longitudinal study on aging[J].BMC Geriatr,2018,18(1):170.
[28] WISTER A,LI L,WHITMORE C,et al.Multimorbidity resilience and health behaviors among older adults:A longitudinal study using the canadian longitudinal study on aging[J].Front Public Health,2022, 10:896312.
[29] WINDLE G,BENNETT K M,MACLEOD C.The Influence of life experiences on the development of resilience in older people with co-morbid health problems[J].Front Med(Lausanne),2020,7:502314.
[30] ANGEVAARE M J R J.Resilience in older persons:A systematic review of the conceptual literature[J].Ageing Res Revs,2020,63:101144.
[31] 林思彤,肖艳杰.反复入院中老年慢性病患者健康素养现状和影响因素研究[J].现代预防医学,2020,47(18):4.
[32] TOLEDANO-TOLEDANO F,LUNA D,DE LA RUBIA J M,et al.Psychosocial factors predicting resilience in family caregivers of children with cancer:A cross-sectional study[J].Int J Environ Res Public Health, 2021,18(2):748.
[33] TANUMIHARDJO J P,DAVIS H,ZHU M,et al.Enhancing chronic-disease education through integrated medical and social care:Exploring the beneficial role of a community teaching kitchen in oregon[J].Nutrients,2023,15(20):4368.
[34] TAM W,POON S N,MAHENDRAN R,et al.The Effectiveness of reminiscence-based intervention on improving psychological well-being in cognitively intact older adults:A systematic review and meta-analysis[J].Int J Nurs Stud,2020,114(5):103847.
[35] SELLS D,SLEDGE W H,WIELAND M,et al.Cascading crises,resilience and social support within the onset and development of multiple chronic conditions[J].Chronic Illn,2009,5(2):92-102.
[36] 王立春,孙陈铃,徐红,等.心理弹性在心力衰竭患者症状群与生活质量关系中的作用[J].中国老年学杂志,2021,41(10):4.
[37] EZEAMAMA A E,ELKINS J,SIMPSON C,et al.Indicators of resilience and healthcare outcomes:findings from the 2010 health and retirement survey[J].Qual Life Res,2016,25(4):1007-1015.
[38] 胡方舟,赵瑞芳,陈会娟,等.抗逆力在多病共存病人睡眠质量与生命质量间的中介效应[J].全科护理,2021,19(35):4.
[39] MCPHEE J S,FRENCH D P,JACKSON D,et al.Physical activity in older age:Perspectives for healthy ageing and frailty[J].Biogerontology,2016;17(3):567-580.
[40] JAIN A.Change in mental health after smoking cessation:Systematic review and meta-analysis[J].BMJ(online),2014,348:g2255.
[41] PHILIPPOU A,SEHGAL P,UNGARO R C,et al.High levels of psychological resilience are associated with decreased anxiety in inflammatory bowel disease[J].Inflamm Bowel Dis,2022;28(6):888-894.
[42] 梁丽娟,张秋君,别双桂.更年期综合征女性焦虑,抑郁情绪与心理弹性间关系[J].中国健康心理学杂志,2021,29(2):4.
[43] MACIA P,BARRANCO M,GORBENA S,et al.Resilience and coping strategies in relation to mental health outcomes in people with cancer[J].PLoS One,2021;16(5):e0252075.
[44] WHITMORE C,MARKLE-REID M,FISHER K,et al.The relationship between multimorbidity and self-reported health among community-dwelling older adults and the factors that shape this relationship:A mixed methods study protocol using clsa baseline data[J].Int J Qual Methods,2021,20(2):77-84.
[45] TRAVERS J,ROMERO-ORTUNO R,COONEY M T.Testing the feasibility of a primary-care exercise intervention to prevent and reverse early frailty and build resilience in community-dwelling older adults[J].EClinicalMedicine,2022,46:101355.
[46] KARDAS P,MAIR A,STEWART D,et al.Optimizing polypharmacy management in the elderly:A comprehensive European benchmarking survey and the development of an innovative online benchmarking application[J].Front Pharmacol,2023,14:1254912.
[47] ROGERO-BLANCO E,LOPEZ-RODRIGUEZ J A,SANZ-CUESTA T,et al.Use of an electronic clinical decision support system in primary care to assess inappropriate polypharmacy in young seniors with multimorbidity:Observational,descriptive,cross-sectional study[J].JMIR Med Inform,2020,8(3):e14130.
[48] 黄辉,刘义兰.叙事护理临床应用的研究进展[J].中华护理杂志,2016,51(2):5.
[49] WESTERHOF G J,BOHLMEIJER E,WEBSTER J D.Reminiscence and mental health:a review of recent progress in theory,research and interventions[J].Ageing Soc,2010,30(4):697-721.
[50] 梅永霞,张振香,林蓓蕾,等.怀旧疗法对社区老年脑卒中患者配偶照顾负担及积极体验的影响[J].中华护理杂志,2014,49(7):5.
[51] 郝晨璐,胡铭.老年慢性病病人电子健康素养研究进展[J].护理研究,2023,37(3):506-510.