老年康复的特点 患有夜病的住院患者:度假村
Wendy F Bower1,2,3, Lisa Lau4, D Michael Whishaw5
1Home First, Complex Care and Ambulatory Services, The Royal Melbourne Hospital (Victoria), Parkville, Victoria, Australia.
Gerontology
|October 21, 2024
概括
夜尿,或频繁的夜间排尿,影响了超过一半的老年住院患者. 它与失禁,虚弱和更差的生活质量有关,这表明需要有针对性的干预措施.
科学领域:
- 老年医学 老年医学
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 康复医学 康复医学 康复医学
背景情况:
- 夜间下泌尿道症状 (LUTS) 在老年康复住院患者中很普遍,但缺乏详细的描述.
- 了解夜尿症的严重程度及其相关因素对于改善这一群体患者的治疗结果至关重要.
研究的目的:
- 为了比较患者的特征,根据老年康复住院患者自我报告的夜严重程度进行分层.
- 在这个队列中确定与增加夜发作相关的因素.
主要方法:
- 进行了一项观察性,纵向性,前性初始队列研究 (急性不良成年人的健康恢复 - RESORT).
- 在入院和出院时进行了综合老年评估 (CGA).
- 使用美国泌尿病学协会症状评分 (AUASS) 评估了夜痛的严重程度,并将其分类为每晚≤1或>1空白.
主要成果:
- 在641名住院患者中,57.4%的人报告每晚超过一次夜 (平均1.96次).
- 在入院和出院之间,夜的严重程度没有变化.
- 与多次夜尿症发作的独立关联包括每日尿失禁,尿急,并发性疾病,跌倒史,入院前的移动性问题,便失禁,生活质量受损,焦虑和抑郁.
结论:
- 老年住院患者的重复性夜尿发作与下泌尿道症状,功能状况不佳和虚弱标志物有关.
- 针对夜的有针对性的干预措施可以提高睡眠质量,治疗进展,并影响出院倾向.
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