长期护理保险的老年人身体功能改善的差异,有和没有落:一项回顾性队列研究
Masahiro Kitamura1, Junichi Umeo2, Kyohei Kurihara2
1School of Physical Therapy, Faculty of Rehabilitation, Reiwa Health Sciences University, 2-1-12 Wajirooka, Higashi-ku, Fukuoka 811-0213, Japan.
Healthcare (Basel, Switzerland)
|September 28, 2023
概括
使用日托服务的脆弱老年人显示身体功能有所改善,但那些跌倒的人在30秒的椅子站测试 (CS30) 中的收益明显较低. 一个CS30变化为2或更少表明更高的跌倒风险.
科学领域:
- 老年学是一门学科.
- 康复科学 康复科学 康复科学
- 公共卫生 公共卫生
背景情况:
- 具有长期护理保险 (LTCI) 的脆弱老年人使用日托服务.
- 布是影响该人口身体功能的一个重大问题.
- 了解落对日托后功能变化的影响至关重要.
研究的目的:
- 调查LTCI的脆弱老年人身体功能变化中的差异,比较那些经历过跌倒的人与那些没有经历过跌倒的人,在上过托儿所后.
- 识别与功能变化相关的潜在跌倒风险预测因素或指标.
主要方法:
- 一项回顾性队列研究,涉及82名使用日托服务的脆弱老年人.
- 参与者被分为秋季和非秋季组,根据日托开始6-12个月后发生的事件进行分类.
- 在基线和六个月评估身体功能,进行统计分析,包括对共变率和接收器运行特征曲线的分析.
主要成果:
- 在没有跌落组和整体中观察到步行速度和定时起身测试的显著改善.
- 跌倒组的步行速度显著改善,但与没有跌倒组相比,椅子站立测试 (ΔCS30) 的调整变化明显较小.
- 对于 ΔCS30 的切割值为 2,有效区分掉落和没有掉落组.
结论:
- 身体功能变化,特别是在30秒的椅子站立测试中,在使用托儿所后的脆弱老年人与没有跌倒之间存在差异.
- 一个 ΔCS30 的 2 作为一个潜在的指标来识别个体有更高的跌倒风险.
- 这些发现强调了使用LTCI和托儿所服务监测老年人的功能变化的重要性,以减轻跌倒风险.
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