| To assess the status of social frailty among older patients with chronic obstructive pulmonary disease (COPD) and explore its associated influencing factors using the health ecology model as the theoretical framework. Methods: A total of 321 older patients with COPD who were hospitalized in the Department of Respiratory and Critical Care Medicine of a tertiary Grade A hospital from March to December 2025 were selected by convenience sampling. A cross-sectional survey was conducted using the General Information Questionnaire, HALFT Social Frailty Scale, Perceived Social Support Scale (PSSS), Family APGAR Index, 15-item Geriatric Depression Scale (GDS-15), and Pittsburgh Sleep Quality Index (PSQI). Results: The HALFT score of older patients with COPD was 2.34 ± 1.78, the PSSS score was 52 (43, 60), the APGAR score was 7 (5, 8), the GDS-15 score was 6 (3, 9), and the PSQI score was 8 (5, 13). The prevalence of social frailty was 45.2%. Regression analysis showed that age, living arrangement, dyspnea, number of acute exacerbations, family function, perceived social support, sleep quality, and depression were influencing factors of social frailty among older patients with COPD (P < 0.05). Conclusion: The prevalence of social frailty is relatively high among older patients with COPD. Nursing staff should attach importance to the early assessment of social frailty and develop a multi-level tiered intervention strategy covering the individual, psychological, family and environmental dimensions based on the health ecology model, so as to reduce the risk of social frailty. |
