在养老院居民中抑郁症和跌倒之间的关系:综合性审查
Alcina Matos Queirós1,2, Armin von Gunten3, Joëlle Rosselet Amoussou4
1Departement of Health and Social Welfare, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland.
Interactive journal of medical research
|November 28, 2024
概括
抑郁症是养老院居民跌倒的重要危险因素. 本次审查强调了需要更好地识别和管理抑郁症,以改善这种脆弱人群的跌倒预防策略.
科学领域:
- 老年学是一门学科.
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 抑郁症在养老院居民中很常见,而且往往没有被诊断出来.
- 养老院居民的体验下降率是社区居住的老年人的两倍.
- 需要清楚地了解抑郁症与此种人群中跌倒之间的联系.
研究的目的:
- 系统地审查和综合现有研究关于抑郁症和在养老院居住的个人之间的关系跌倒.
- 确定共同的测量工具和报告的抑郁症的流行率,并在这个人口群体中下降.
主要方法:
- 在2023年10月,在多个数据库 (MEDLINE,Embase,CINAHL,PsycInfo,Web of Science,Cochrane,ProQuest) 进行了全面的文献搜索.
- 还搜索了临床试验注册表和谷歌学者,并补充了引用跟踪.
- 使用纽卡斯尔-太华尺度和跨部门研究评估工具评估研究质量.
主要成果:
- 包括来自7个国家的7项定量研究,主要是横截面 (86%).
- 抑郁症状被确定为跌倒的危险因素,报告的抑郁症患病率从21.5%到47.7%不等.
- 跌倒的发病率差异很大 (17.2%至63.1%),86%的研究报告了抑郁症与跌倒或跌倒风险之间的联系. 其他危险因素包括病史上的跌倒和呼吸道疾病.
结论:
- 关于患有抑郁症症状的养老院居民中跌倒的研究有限.
- 护士应将抑郁症视为预防跌倒的关键风险因素.
- 进一步的研究是必不可少的,以充分理解在这个人群中跌倒的风险.
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