对于心力衰竭的老年人,害怕跌倒和相关因素
Mevlut Unes1, Pinar Tosun Tasar2, Omer Karasahin3
1Department of Internal Medicine, Ataturk University Hospital, Erzurum, Turkey.
概括
患有心力衰竭的老年人,尤其是患有抑郁症,睡眠障碍和多种健康状况的老年人,害怕跌倒是很常见的. 这些因素显著增加了这一脆弱人群的跌倒风险.
科学领域:
- 老年医学 老年医学
- 心脏病学 心脏病学
- 心理老年病 心理老年病
背景情况:
- 心力衰竭 (HF) 是一种慢性疾病,影响着数百万老年人.
- 跌倒恐惧 (FoF) 是这一群体的一个重大问题,影响生活质量和独立性.
- 了解与HF患者的FoF相关的因素对于有针对性的干预至关重要.
研究的目的:
- 确定心力衰竭诊断的老年人中跌倒恐惧的流行程度.
- 确定与这种患者群体中跌倒恐惧相关的临床和人口因素.
主要方法:
- 一项前性,横截面研究,涉及100名住院老年患者心力衰竭和左心室喷射率 (LVEF) <50%.
- 通过面对面采访收集的数据,包括老年评估,心电图 (ECG) 和胸前心电图 (TTE).
- 落效率尺度 (FES) 用于评估对跌倒的恐惧;查尔森并发症指数 (CCI) 评估并发症.
主要成果:
- 46%的心力衰竭患者表示害怕跌倒.
- 跌倒的恐惧与较高的CCI,严重的抑郁,严重的失眠,白天的嗜睡和营养不良显著相关.
- 较低的LVEF也与对跌倒的恐惧增加有关.
- 严重的抑郁,白天的嗜睡和较高的CCI是恐惧跌倒的独立预测因素.
结论:
- 患有心力衰竭的老年人普遍害怕跌倒.
- 同时的抑郁症,睡眠障碍和高的并发症负担是关键的相关因素.
- 解决这些因素的干预措施可能有助于减轻心力衰竭患者跌倒的恐惧.
相关概念视频
01:17Pathophysiology of Heart Failure
1.6K
Heart failure (HF) is a progressive syndrome involving ventricles that leads to inadequate cardiac output. It can be classified based on location and output or ejection fraction. Ejection fraction (EF) is an essential measurement in the diagnosis and surveillance of HF. Reduced EF corresponds to systolic heart failure (HFrEF). However, HF with preserved ejection fraction (HFpEF) is becoming increasingly prevalent. Also known as diastolic HF, this form of HF is related to aging. The...
1.6K
01:26Imbalances in Cardiac Output
1.4K
The heart's primary function is to pump blood throughout the body, maintaining a balance between blood sent out (cardiac output) and blood returning (venous return). If this balance is disrupted, it can result in congestive heart failure (CHF), a severe condition where the heart becomes an inefficient pump, leading to inadequate blood circulation.
CHF can occur due to the failure of either side of the heart. Left-side failure leads to pulmonary congestion—the right side continues to send...
CHF can occur due to the failure of either side of the heart. Left-side failure leads to pulmonary congestion—the right side continues to send...
1.4K
01:09Preparedness and Phobias
103
Human fear responses to certain stimuli, such as darkness, heights, deep water, and blood, can often arise despite the absence of direct negative experiences. This phenomenon is rooted in evolutionary psychology, which posits that humans have developed a predisposition to fear stimuli that historically posed significant survival threats. This predisposition, known as preparedness, suggests that early humans who developed a fear of potentially dangerous entities, such as venomous snakes and...
103
01:14Decreased pulse rate
544
Bradycardia is a medical condition in which the heart rate is slower than normal. It occurs when the heart's natural pacemaker, the sinus node, generates slower electrical impulses than the standard rhythm. In adults, bradycardia is diagnosed when the pulse rate falls below 60 beats per minute, indicating a deviation from the normal heart rate range.
There are specific risk factors that can elevate the likelihood of developing bradycardia. Advanced age is a significant factor, with...
There are specific risk factors that can elevate the likelihood of developing bradycardia. Advanced age is a significant factor, with...
544
01:27Panic Disorder
114
Panic disorder is an anxiety disorder characterized by recurrent and sudden minutes-long episodes of intense fear, known as panic attacks. These attacks may feel like heart attacks and often happen without warning or a specific cause. They can include symptoms such as rapid heart rate, shortness of breath, chest pain, trembling, sweating, dizziness, and a sense of helplessness. During a panic attack, individuals may feel as though they are experiencing a heart attack or are in a...
114
01:22Heart Failure Drugs: β-Blockers
341
β-adrenergic antagonists, commonly known as β-blockers, block the effects of sympathetic neurotransmitters such as noradrenaline (NA) and adrenaline (ADR). They have several beneficial effects in heart failure treatment. They reduce heart rate, the force of contraction, and cardiac muscle relaxation. They also slow the atrial-ventricular conduction rate and raise the threshold for arrhythmias. The concentration of β-blockers determines their effects on bronchodilation,...
341