早期精神状态变化对老年患者的身体功能的影响,老年患者有跌倒史
Yao Cui1, Bo Liu2,3, Ming-Zhao Qin1
1Department of Geriatrics, Beijing Tongren Hospital, Capital Medical University, No.1 of Dong Jiao Min Xiang, Dongcheng District, Beijing, 100730, China.
BMC geriatrics
|September 15, 2023
概括
在摔倒的老年人中,增加的焦虑和抑郁症状与较差的身体功能相关,可能会增加未来跌倒的风险. 早期的心理查对于预防跌倒的策略至关重要.
科学领域:
- 老年学是一门学科.
- 临床心理学 临床心理学
- 物理疗法物理治疗
背景情况:
- 在老年人中,跌倒的恐惧在跌倒后很常见.
- 早期心理变化对未被诊断为焦虑/抑郁症的患者身体功能的影响尚不清楚.
研究的目的:
- 调查早期心理变化 (焦虑/抑郁症状) 和老年人的身体功能之间的关系.
主要方法:
- 111名患有跌倒史的参与者被按短物理性能电池 (SPPB) 评分分组.
- 身体功能通过4米步行速度 (4MGS),五次坐立测试 (FTSST),握力和定时起站测试 (TUGT) 来评估.
- 心理状态使用自我评价焦虑量表 (SAS) 和自我评价抑郁量表 (SDS) 进行评估.
主要成果:
- 较高的SAS/SDS分数与SPPB分数,步行速度和握力有负相关性.
- SDS得分是SPPB的独立预测指标,除了脑血管疾病,握力比率和TUGT.
- 接收器操作特征 (ROC) 分析表明,SAS和SDS评分对身体功能下降的预测值中等.
结论:
- 在没有被诊断为焦虑/抑郁症的老年患者中,高SAS/SDS得分与更差的身体功能有关.
- 这种关联表明,可能会增加反复跌倒的风险.
- 强调在防摔计划中监测心理状态的重要性.
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