内在能力下降作为老年人功能障碍的预测因素:系统性审查和元分析
Xuedan Wang1, Tingting Yang1, Yidan Li1
1Evidence-Based Nursing Center, School of Nursing, Lanzhou University, Lanzhou City, Gansu Province, China.
Archives of gerontology and geriatrics
|July 11, 2024
概括
内在能力的下降预示着老年人的功能障碍. 早期查可以识别有风险的个体,以便及时进行干预,改善生活质量并促进健康的衰老.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 临床医学 临床医学
背景情况:
- 老年人的功能障碍是一个日益严重的公共卫生问题.
- 内在能力下降是影响老年人健康的关键因素.
- 了解内在能力和功能障碍之间的预测关系对于干预至关重要.
研究的目的:
- 调查老年人群内在能力下降对功能障碍的预测价值.
- 通过元分析综合来自多个队列研究的证据.
主要方法:
- 对8项涉及9744名老年人的队列研究进行了全面的元分析.
- 搜索的数据库包括PubMed,EMBASE,科学网,科克伦图书馆和中国数据库.
- 偏差风险和证据质量分别使用纽卡斯尔-太华尺度和GRADE指南进行评估.
主要成果:
- 内在能力下降显著预测日常生活活动 (ADL) 障碍 (HR=1.08,95% CI 1.04-1.12).
- 内在能力下降也预测了日常生活工具活动 (IADL) 的残疾 (HR=1.11,95% CI 1.05-1.17).
- 总体证据质量被评为中度,偏差风险低.
结论:
- 内在能力下降是老年人功能障碍的重要预测因素.
- 对内在能力下降的早期查为识别有风险的个体提供了临床实用性.
- 基于内在能力评估的积极,个性化的干预措施可以预防功能残疾并促进健康的衰老.
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