在社区生活的老年人中,虚弱及其相关因素
Meris Esra Bozkurt1, Nezahat Muge Catikkas1, Tugba Erdogan1
1Istanbul University, Istanbul Medical School, Department of Internal Medicine, Division of Geriatrics - İstanbul, Turkey.
Revista da Associacao Medica Brasileira (1992)
|November 16, 2023
概括
这项研究发现,27%的社区老年人是脆弱的. 与脆弱相关的因素包括多药,认知障碍和跌倒,突出了针对性干预的必要性.
科学领域:
- 老年学是指老年学的学科.
- 公共卫生 公共卫生
- 老年医学 老年医学
背景情况:
- 虚弱是老年人的一个重大问题,影响健康结果.
- 现有的关于脆弱性的研究主要集中在机构或住院的人群上.
- 需要了解社区居住的老年人中的脆弱性患病率.
研究的目的:
- 为了确定社区生活的老年人中虚弱的患病率.
- 为了确定与这一群体的脆弱性相关的因素.
主要方法:
- 在伊斯坦布尔的Fatih区进行了一项横截面研究.
- 包括204名60岁以上的社区老年人.
- 使用FRAIL尺度来评估脆弱性,并收集有关人口统计,并发病症和老年综合征的数据.
主要成果:
- 虚弱的患病率为27%,其中42.6%是虚弱前,30.4%是强壮前.
- 多变量分析确定了药物数量 (多种药物),认知障碍,以及与虚弱相关的重要因素.
- 具体来说,增加的药物使用 (OR=1.240) 和跌倒 (OR=1.984) 与更高的脆弱性有关,而认知障碍显示出保护性关联 (OR=0.300).
结论:
- 这项研究提供了使用经过验证的查工具在一个大城市社区的脆弱性流行率的宝贵数据.
- 调查结果表明,临床医生应该在出现多药性,认知障碍或有跌倒史的老年人中查脆弱性.
- 早期识别和干预脆弱性可能会改善健康结果,并减少社区老年人群的医疗负担.
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