估计参与基于社区的外出计划对老年人发生残疾的影响
Masanori Morikawa1, Kenji Harada2, Satoshi Kurita2
1Department of Preventive Geronotology, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, Obu, Aichi, Japan; Japan Society for the Promotion of Science, Chiyoda-ku, Tokyo, Japan.
Journal of the American Medical Directors Association
|April 3, 2024
概括
一个社区项目鼓励老年人外出,减少了5.67%的残疾发病率. 这种干预只需要设备分发和系统设置,可以防止每18名参与者就有一个残疾病例.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 预防医学 预防医学
背景情况:
- 出门与残疾发生率有关.
- 很少有研究探讨了促进外出的社区计划.
- 这项研究调查了一项旨在促进社区老年人外出活动的计划.
研究的目的:
- 为了估计一个以社区为基础的项目促进外出对残疾的发生率的影响.
- 评估该计划对老年人残疾发作的影响.
主要方法:
- 纵向观测研究与倾向得分匹配.
- 1086名参与和1086名不参与的老年人参与了调查.
- 参与者接受了活动追踪器,监测身体活动,并在12个月内收到反. 在48个月内追踪残疾发病的时间.
主要成果:
- 在51名参与者中出现了残疾,而112名非参与者中出现了残疾.
- 绝对风险降低为5.67% (95%CI3.46%-7.88%). 这是一个非常好的结果.
- 需要治疗的数量为18 (95% CI 13-29);危险比为0.49 (95% CI 0.36-0.67).
结论:
- 一个以社区为基础的项目,促进外出,可以预防老年人的残疾.
- 该计划显示,残疾发病率显著降低.
- 这种方法作为基于人口的残疾预防策略,在不需要专业教练的情况下,可能是有益的.
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