脱离条件的患者的临床管理
K I Prashchayeu1, A N Ilnitski1, T V Evdokimova1
1Belgorod State University, 85, Pobedy St., Belgorod, 308015, Russia.
Archives of Razi Institute
|June 5, 2023
概括
脱离条件的老年患者往往会出现老年综合征,如焦虑,抑郁和感染后六个月的跌倒风险. 干预措施应应对运动活动下降,以改善结果和康复潜力.
科学领域:
- 老年学是指老年学的学科.
- 临床医学 临床医学
- 康复科学 康复科学 康复科学
背景情况:
- 脱节,以亚急性功能缺陷和站立时心动减速为特征,影响老年患者感染后.
- 大部分老年患者在治疗后六个月表现出不同程度的运动活动障碍.
- 该研究强调了老年患者功能状况的异质性,尽管身体结构均.
研究的目的:
- 为了调查临床表现和管理脱条件的老年患者.
- 评估脱条件对老年综合征和功能状态治疗后六个月的影响.
- 确定该人群中不良结果和减少康复潜力的预测因素.
主要方法:
- 一组172名老年患者 (65-74岁) 在传染病治疗后六个月被评估.
- 根据运动活动指标,患者被分为四组,作为适应性功能的标准.
- 综合老年评估包括运动活动问卷,肌肉强度测量和对焦虑,抑郁,睡眠质量,营养不良风险和跌倒综合征的评估.
主要成果:
- 治疗后6个月,73.8%的患者表现出运动活动障碍,从轻度到显著程度.
- 中度和显著的运动活动障碍与较高的跌倒综合征发病率有关.
- 脱节导致焦虑和抑郁的增加,睡眠质量的降低,营养不良的风险增加,以及肌肉强度的显著下降 (肌痛症),特别是在下肢.
结论:
- 老年患者的脱条件表现为一连串的老年综合征,包括焦虑,抑郁,睡眠障碍,低移动性,睡眠障碍和落风险增加.
- 显著的运动活动障碍与肌肉虚弱和落风险增加有关,减少康复潜力.
- 早期识别和管理脱条件对于缓解老年综合征和改善老年患者功能恢复至关重要.
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