神经精神病症状作为老年患者中跌倒风险的指标
Krzysztof Wilczyński1, Marta Gorczyca2,3, Małgorzata Grabarczyk4
1Department of Geriatrics, Faculty of Health Sciences in Katowice, Medical University of Silesia in Katowice, Ziołowa 45/47, 40-635 Katowice, Poland.
Medicina (Kaunas, Lithuania)
|May 27, 2023
概括
神经精神症状,特别是幻觉,在住院的老年人中显著增加了跌倒的风险. 管理这些症状对于老年患者的跌倒预防至关重要.
科学领域:
- 老年医学 老年医学
- 神经学 神经学
- 精神病学是一个精神病学.
背景情况:
- 认知障碍是老年人已知的跌倒风险因素之一.
- 神经精神症状对住院老年患者患有或没有痴呆症的跌倒风险的影响需要进一步调查.
研究的目的:
- 评估住院老年人中神经精神症状与跌倒风险之间的关联,考虑性别差异.
主要方法:
- 从2019年1月到2020年1月,对234名老年住院患者 (有/没有痴呆症) 的横截面研究.
- 使用神经精神病 inventory-Questionnaire 评估的神经精神病症状.
- 通过Berg分数 ≤40.0来定义的跌倒风险增加.
主要成果:
- 漠不关心是最常见的神经精神病症状 (58.1%).
- 较高的跌倒风险与≥4个神经精神症状和强度评分≥6.6相关.
- 幻觉与跌倒风险独立相关;男性和女性确定了特定的值.
结论:
- 神经精神症状,特别是幻觉,与老年住院患者的跌倒风险增加有关.
- 累积的神经精神疾病症状负担和强度独立预测较高的跌倒风险.
- 预防跌倒的策略应包括治疗住院老年人的神经精神病症状.
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