人口统计学调节了症状负担与跌倒和跌倒相关结果的关联
Wenting Peng1, Cen Mo1, Yuqian Luo1
1Xiangya School of Nursing, Central South University, Changsha, China.
Archives of gerontology and geriatrics
|September 15, 2023
概括
老年人的症状负担增加预示着更高的跌倒风险和跌倒的恐惧. 年龄和种族等人口统计学因素可能会影响这种风险,强调需要个性化防摔策略.
科学领域:
- 老年学是指老年学的学科.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 跌倒是老年人受伤和残疾的主要原因.
- 症状负担,包括多种身体和心理健康问题,在这个人群中很常见.
- 了解症状负担和跌倒风险之间的关系对于有效的预防至关重要.
研究的目的:
- 调查是否先前的症状负担预测了社区居住的老年人未来的跌倒和相关结果.
- 为了确定人口因素是否能缓和症状负担和跌倒风险之间的联系.
主要方法:
- 对来自9,060名社区老年人的纵向数据 (2011-2018) 的分析.
- 症状负担由症状数量 (疼痛,失眠等) 量化. 从0到6. 从0到6. 从0到6.
- 用于评估关联和调节效应的二项逻辑回归.
主要成果:
- 每个额外的症状都显著增加了跌倒的风险 (AOR 1.13),多次跌倒 (AOR 1.15),跌倒的恐惧 (AOR 1.20) 和限制活动的跌倒恐惧 (AOR 1.24).
- 年龄,种族/种族,教育和生活安排是重要的调节因素.
- 大多数参与者年龄在65-79岁之间 (57.7%),非西班牙裔白人 (70.5%),女性 (58.4%).
结论:
- 症状负担是老年人中跌倒和跌倒恐惧的重要预测因素.
- 人口因素在改变这种风险方面发挥着作用.
- 推针对性干预,整合症状评估,用于预防跌倒的计划.
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