慢性阻塞性肺病患者的双重任务表现:通过元分析进行系统性审查
Joselyn González Pasten1,2, Jennifer Campos Aguayo1,2, Javiera Aburto1,2
1Facultad de Salud y Ciencias Sociales Universidad de Las Américas, Santiago, Chile.
Pulmonary medicine
|August 19, 2024
概括
患有慢性阻塞性肺病 (COPD) 的个人经历了显著的双重任务干扰 (DTI),表现出较差的身体和认知表现. 这凸显了在COPD患者护理中需要双重任务评估的必要性.
科学领域:
- 神经学 神经学
- 肺部病理学 肺部病理学
- 老年病的医生 老年病的医生
背景情况:
- 慢性阻塞性肺病 (COPD) 涉及到影响双重任务 (DT) 性能的肺外变化.
- 双任务干扰 (DTI) 是指当同时执行运动和认知任务时,性能下降.
研究的目的:
- 为了比较COPD患者和健康对照人群 (HCSs) 之间的DT表现.
主要方法:
- 在七个数据库中进行了系统的文献搜索,截至2023年12月.
- 包括的研究涉及60岁以上的COPD患者与HCS患者相比,使用任何DT评估进行评估.
- 使用ROBINS-I评估了偏差风险,并使用JAMOVI软件进行了元分析.
主要成果:
- 纳入了五项观察性研究,包括252名参与者 (60-80岁).
- 与HCS相比,患有COPD的个体表现出明显的DTI (SMD = 0.91,p=0.04).
- 在DT期间,COPD患者表现出走路速度,平衡,肌肉力量和认知功能受损.
结论:
- 患有COPD的老年人表现出显著的DTI,身体和认知能力下降.
- 这些发现强调了将DT评估纳入COPD管理的临床重要性.
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