复杂的干预措施,以改善身体功能和保持老年人的独立生活:一个系统的审查和元分析
Andrew D Beswick1, Karen Rees, Paul Dieppe
1Department of Social Medicine, University of Bristol, Bristol, UK. andy.beswick@bristol.ac.uk
Lancet (London, England)
|March 4, 2008
概括
基于社区的复杂干预措施有助于老年人保持独立性和身体功能. 这些计划减少了养老院的入院和住院,促进了更安全的老龄化.
科学领域:
- 老年学是指老年学的学科.
- 公共卫生 公共卫生
- 老年医学 老年医学
背景情况:
- 老年身体功能下降导致失去独立性和增加医疗保健需求.
- 基于社区的复杂干预措施旨在保护老年人的身体功能和独立性.
研究的目的:
- 系统地审查基于社区的复杂干预措施的有效性,以保持老年人的身体功能和独立性.
主要方法:
- 随机对照试验的系统审查和元分析.
- 包括生活在家中的老年参与者 (平均年龄≥65岁),随访时间≥6个月.
- 结果包括生活在家中,死亡率,入院,跌倒和身体功能.
主要成果:
- 分析了89项涉及97,984名参与者的试验.
- 干预措施降低了不在家生活的风险 (RR 0.95) 和养老院入院的风险 (RR 0.87).
- 住院 (RR 0.94),跌倒 (RR 0.90) 和身体功能有所改善;死亡率没有受到影响.
结论:
- 复杂的干预措施支持老年人的安全和独立的生活.
- 干预可以根据个人需求和偏好量身定制.
- 有证据表明,特别是在1993年之前开始的研究中,有好处.
相关概念视频
01:15Drug Dosing: Geriatric Patients
Elderly individuals encompass a diverse population with varying degrees of age-related physiological changes. Defining the elderly presents challenges, as the geriatric population is often arbitrarily categorized as individuals older than 65. However, many individuals in this group lead active and healthy lives, with an increasing number surpassing 85 years and falling into the older elderly category. Physiological changes associated with aging impact performance capacity and homeostatic...
01:27Pharmacodynamics in Geriatric Patients: Effects of Age
Age-related pharmacokinetic changes are extensively documented, but understanding age-related pharmacodynamic alterations is relatively limited. This knowledge gap can be partly attributed to the complexity of developing appropriate measures of drug responses compared to bioanalytical methods for determining drug concentrations.Most information regarding age-related differences in human pharmacodynamics originates from cross-sectional studies. However, these studies assume that observed mean...