老年人的内在能力和住院治疗:一个具有全国代表性的横截面研究
Elisângela Cristina Ramos Hernandes1, Márlon Juliano Romero Aliberti2,3, Ricardo Oliveira Guerra4
1Masters' and Doctoral Programs in Physical Therapy, Universidade Cidade de São Paulo, Rua Cesáreo Galeno, 448, Tatuapé, São Paulo, 03071-000, Brazil.
European geriatric medicine
|March 16, 2024
概括
监测老年人的内在能力 (IC) 可以预测住院治疗. 较高的IC得分与住院次数较少和住院时间较短有关,突出显示了其在预防性护理中的作用.
科学领域:
- 老年学是指老年学的学科.
- 公共卫生 公共卫生
- 健康 结果 研究 研究 结果
背景情况:
- 在社区居住的老年人中,内在能力 (IC) 监测是早期发现不良健康事件的潜在工具.
- 整体IC及其特定领域与住院风险和持续时间之间的关联仍未得到充分研究.
- 了解这些关联可以为老年人群提供有针对性的干预措施.
研究的目的:
- 调查复合内在能力 (IC) 测量及其五个领域 (活力,运动,认知,感觉,心理) 与前一年住院病人的关系.
- 检查IC及其领域与住院时间的相关性.
- 确定IC是否可以作为老年人不良健康结果的预测标记.
主要方法:
- 对65岁及以上社区成年人代表性样本的横截面分析.
- 通过验证的自我报告措施和性能测试来评估IC领域.
- 计算复合IC及其域的标准化z分数;进行多变量逻辑和顺序回归分析.
主要成果:
- 总共分析了5354名参与者 (平均年龄为73±6岁).
- 较高的复合IC z分数与住院可能性降低 (OR = 0.51) 和住院时间缩短 (OR = 0.87) 有关.
- 具体领域显示了各种各样的关联:与住院相关的认知和心理领域,停留时间的运动力和两者的活力.
结论:
- 综合内在能力 (IC) 测量与老年人先前住院和住院时间长度显著相关.
- IC评估可以帮助临床医生识别患有不良健康结果风险较高的个体.
- 这些发现支持使用IC监测来指导老年人的预防综合护理策略.
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