一个初步查工具,用于高风险的老年人的脆弱性 肺结核患者
Hui-Juan Li1, Yue-Ying Zhou1, He-He Yu1
1Department of Infectious Diseases, Wenzhou Central Hospital, Wenzhou, People's Republic of China.
Clinical interventions in aging
|January 27, 2025
概括
患有肺结核的老年人的虚弱与社会支持,身体功能和抑郁症有关. 较低的社会支持和身体功能,以及高度的抑郁症,增加了脆弱的风险.
科学领域:
- 老年学是一门学科.
- 肺部病理学 肺部病理学
- 公共卫生 公共卫生
背景情况:
- 肺结核 (TB) 不成比例地影响老年人,增加了他们的脆弱性.
- 虚弱是一种严重的老年综合征,与不良健康结果相关,包括增加死亡率和发病率.
研究的目的:
- 研究被诊断患有肺结核的老年人虚弱的患病率.
- 为了确定与这种患者群体的脆弱性相关的因素.
主要方法:
- 一项回顾性病例控制研究,涉及204名肺结核患者的老年人.
- 患者被分为脆弱 (n=101) 和非脆弱 (n=103) 组.
- 收集和比较了人口统计,临床特征,社会支持,身体功能和抑郁症的数据.
主要成果:
- 患有肺结核的老年人表现出不同脆弱度 (0-15),平均值为5.23 ± 2.31.
- 在年龄,BMI,疾病持续时间,药物使用和并发症 (P <0.05) 方面观察到脆弱和非脆弱群体之间的显著差异.
- 虚弱与社会支持 (P < 0.001) 和身体功能 (P < 0.001) 有负相关性,与抑郁症 (P < 0.001) 有正相关性. 风险因素包括晚年 (>80),低BMI,多药性和高抑郁症评分;保护因素是高的社会支持和身体功能.
结论:
- 肺结核老年人的虚弱与社会支持和身体功能有负面关联.
- 在这个队列中,抑郁症水平与虚弱的严重程度有积极的相关性.
- 针对社会支持,身体功能和抑郁症管理的干预措施可以减轻肺结核患者的老年人的脆弱性.
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