在社区居住的老年人中,疼痛药物的频率和跌倒风险与关节炎有关
Aya Yoshikawa1,2, Richard H Fortinsky3
1School of Health Promotion & Kinesiology, College of Health Sciences, Texas Woman's University, Denton, TX, USA.
患有关节炎的老年人每日服用止痛药显著增加了跌倒的风险. 医疗保健提供者应鼓励谨慎使用药物和非药物治疗疼痛,以促进活跃的生活和减少摔倒伤害.
科学领域:
- 老年学是指老年学的学科.
- 类风湿病学 类风湿病学
- 公共卫生 公共卫生
背景情况:
- 关节炎在老年人中很普遍,通常用止痛药来治疗.
- 在这群人群中,使用止痛药与跌倒的风险增加有关.
- 了解药物使用频率与跌倒风险之间的关系对于患者安全至关重要.
研究的目的:
- 调查疼痛药物的使用频率与社区居住的老年关节炎患者中跌倒风险之间的关联.
主要方法:
- 来自2015年国家健康和老龄化趋势研究 (n = 4,225) 的65岁以上的社区住宿医疗保险受益人,自报关节炎的全国代表性样本的分析.
- 使用调查加权后勤回归来控制混因素.
主要成果:
- 最近的跌倒与每日使用止痛药与从未使用止痛药相比显著相关 (OR = 1.45,95% CI: 1.06,1.96).
- 其他使用止痛药的频率与跌倒风险没有显著关联.
结论:
- 每日使用止痛药对患有关节炎的老年人来说具有显著的跌倒风险.
- 医疗保健提供者应强调明智的止痛药管理,并促进非药物止痛策略.
- 鼓励非药物治疗方法可以支持活跃的生活方式,并减轻这一群体中与跌倒相关的伤害.
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