性,衰老和多发性硬化症诊断对功能的长度影响
Nursing research
|June 23, 2023
概括
患有多发性硬化症 (MS) 的女性经历的功能衰退轨迹与男性不同,随着时间的推移,限制的变化和加速更大. 了解这些差异对于个性化护理至关重要.
科学领域:
- 神经学 神经学
- 康复医学 康复医学 康复医学
- 老年学是一门学科.
背景情况:
- 关于老年男性和患有多发性硬化症 (MS) 的女性的功能轨迹的研究有限.
- 这种差距阻碍了对该人口未来护理需求的有效规划.
研究的目的:
- 通过生物心理社会模型,在MS的男性和女性中随着时间的推移来表征感知功能的变化.
- 研究年龄,诊断时间和性别如何影响这些感知到的功能变化.
主要方法:
- 纵向研究设计,在十年内进行多个调查波.
- 收集关于自我报告的功能限制,人口统计和上下文变量的数据.
- 分析使用混合效应模型来描述个别的功能轨迹.
主要成果:
- 功能限制轨迹最好用二次增长模型来描述.
- 与男性相比,患有多发性硬化症的女性报告功能限制较低,但与男性相比,个人之间的分数变化和加速更大.
- 平均诊断持续时间为13年,参与者在研究开始时大约51岁.
结论:
- 患有多发性硬化症的人的功能沿着不同的途径进展,特别是在诊断后的几年里.
- 多发性硬化症的性别和持续时间显著影响个人的功能轨迹和对功能的看法.
- 这些发现强调了对MS患者进行性别特定的临床咨询的需要.
相关概念视频
The Effect of Aging on Tissues
2.2K
Several body functions deteriorate with age. The external signs of aging are easily identifiable. For example, the skin becomes dry, less elastic, and thins out, forming wrinkles. The skin of the face begins to appear looser due to a decrease in the levels of elastic and collagen fibers in the connective tissue. Additionally, melanin production in the hair follicle decreases with age, resulting in gray hair. Moreover, the senses of sight and hearing decline, so glasses and hearing aids may...
2.2K
Longitudinal Research
12.0K
Sometimes we want to see how people change over time, as in studies of human development and lifespan. When we test the same group of individuals repeatedly over an extended period of time, we are conducting longitudinal research. Longitudinal research is a research design in which data-gathering is administered repeatedly over an extended period of time. For example, we may survey a group of individuals about their dietary habits at age 20, retest them a decade later at age 30, and then again...
12.0K
Longitudinal Studies
191
Longitudinal studies are also widely used in other medical and social science fields. For instance, in cardiovascular research, they can monitor patients' health over decades to identify risk factors for heart disease, such as high cholesterol or smoking, and evaluate the long-term effectiveness of preventive measures. Similarly, in mental health studies, researchers might follow individuals from adolescence into adulthood to understand the development and progression of conditions like...
191
Bone Disorders
3.7K
Aging and its effect on bone remodeling is the most common cause of bone disorders. In young and healthy people, bone deposition and resorption happen at an equal rate to maintain optimal bone health.
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
3.7K
Aging
89
Aging is a complex biological phenomenon influenced by various processes that affect cellular and systemic functions. Several prominent theories attempt to explain its mechanisms, highlighting cellular limitations, oxidative damage, and hormonal changes as central factors in aging.
Cellular Clock Theory
The cellular clock theory posits that the human lifespan is closely tied to the finite capacity of cells to divide, a phenomenon governed by telomeres, which are protective caps at the ends of...
Cellular Clock Theory
The cellular clock theory posits that the human lifespan is closely tied to the finite capacity of cells to divide, a phenomenon governed by telomeres, which are protective caps at the ends of...
89
Cognitive Development During Adulthood
160
Cognitive development continues throughout adulthood, undergoing significant shifts across early, middle, and late stages. Individual transition occurs from adolescent idealism to pragmatic and adaptable thinking in early adulthood. During this period, individuals learn to integrate personal beliefs with the recognition that other perspectives are equally valid. Exposure to the complexities of modern society, diverse experiences, and higher education contribute to this adaptive thought process,...
160


