在家庭健康物理治疗中认知障碍的患病率
Matthew J Miller1, Irena Cenzer2, Deborah E Barnes3,4
1Department of Physical Therapy and Rehabilitation Science, University of California, San Francisco, San Francisco, California, USA.
Journal of the American Geriatrics Society
|December 28, 2023
概括
近一半接受家庭健康物理治疗 (HHPT) 的老年人经历认知障碍,包括认知障碍无痴呆症 (CIND) 和痴呆症. 物理治疗师必须确定并适应对这种高患病率人群的护理.
科学领域:
- 老年学是一门学科.
- 神经学 神经学
- 物理疗法物理治疗
背景情况:
- 在家庭健康物理治疗 (HHPT) 接受者中,认知障碍的患病率尚不清楚.
- 老年人代表一个潜在的认知缺陷的弱势群体.
- 了解认知状态对于有效的HPT服务提供至关重要.
研究的目的:
- 为了确定使用HHPT的老年人认知障碍 (CIND和痴呆症) 的患病率.
- 为了调查认知障碍是否在具有HHPT相关特征的个体中更常见.
主要方法:
- 从健康和退休研究 (2014年,2016年) 中对963名85岁以上的医疗保险受益人进行了横截面分析,其中包括来自健康和退休研究 (2014年,2016年) 的HPT索赔.
- 用于分类认知状态 (正常,CIND,痴呆症) 的验证算法.
- 多项逻辑回归分析了与抑郁症,行走困难,跌倒史,MVPA和社区发起的HHPT相关的CIND/痴呆的几率.
主要成果:
- 认知障碍的人口患病率为46.4% (CIND:27.3%,痴呆症:19.1%).
- 与抑郁症,行走困难,跌倒史,低MVPA和社区发起的HHPT一起观察到更高的认知障碍患病率.
- 认知障碍的可能性增加与低MVPA,抑郁症,行走困难,跌倒史和社区发起的HHPT有关.
结论:
- 在HHPT接受者中,认知障碍 (CIND和痴呆症) 的患病率很高.
- 物理治疗师需要准备好在这个人群中识别认知障碍.
- 对认知障碍的老年人来说,适应HHPT服务提供是必不可少的.
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