参与基于社区的外出计划和通过Kihon检查清单评估的身体虚弱的协会:一个队列研究
Masanori Morikawa1,2, Kenji Harada1, Satoshi Kurita1,3
1Department of Preventive Gerontology, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, Obu, Japan.
Gerontology
|December 2, 2024
概括
参与无监督的社区项目可以预防老年人的身体虚弱. 这种外出计划显示了脆弱性发生率的显著降低,这表明人口层面的好处.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 预防医学 预防医学
背景情况:
- 身体虚弱是老年人中越来越多的公共卫生问题.
- 为预防脆弱性提出了基于社区的计划,但它们在没有监督的情况下的有效性仍然未被证明.
研究的目的:
- 调查参与无监督的,基于社区的外出计划和身体脆弱的发生率之间的关联.
- 评估社区参与预防老年人脆弱性的有效性.
主要方法:
- 一个队列观察性研究,涉及日本1350名老年人 (2015-2017).
- 参与者进行了倾向评分匹配,分为参与和非参与的组,进行为期12个月的社区外出计划.
- 在平均920天的随访期间,使用Kihon检查表评估了身体虚弱的发生率.
主要成果:
- 身体虚弱的发病率在参与组为8.3%,而非参与组为15.1%.
- 需要治疗以防止一个脆弱病例的数量是21名参与者.
- 参与该计划与发展身体虚弱的几率比率 (0.61) 降低有关.
结论:
- 参与无监督的,以社区为基础的外出计划可以有助于预防身体虚弱.
- 这种类型的计划表明了人口层面的脆弱性预防策略的潜力.
- 这些发现支持将社区参与纳入健康老龄化倡议.
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