在非洲-加勒比海人中获得的变形性高血压:长期护理单位的横截面分析
Nicolas Kerjean1, Rishika Banydeen1, Bertrand Glize2
1Centre Hospitalier Universitaire de Martinique, 97200 Fort-De-France, France.
Journal of clinical medicine
|February 26, 2025
概括
获得性变形性高血压 (ADH) 影响加勒比地区77.8%的老年人,患病率是高加索人口的两倍. 这种情况显著影响日常护理,突出了针对性预防和多学科协议的需要.
科学领域:
- 老年病的医生 老年病的医生
- 物理医学和康复 康复
- 流行病学 流行病学
背景情况:
- 骨关节形,称为获得性变形性高血压 (ADH),源自机构住院老年人的多因素原因.
- 之前的研究报告说,在长期护理单位 (LTCU) 的法裔白人患者中,ADH的患病率为25.6%.
- 在这项研究之前,加勒比地区人群中ADH的患病率和特征仍然未被研究.
研究的目的:
- 确定在马丁尼克长期护理单位 (LTCU) 居住的老年人中获得性变形性高血压 (ADH) 的患病率.
- 描述ADH的临床表现和对该特定人群日常护理的影响.
- 为了比较加勒比地区的ADH患病率与高加索人群中报告的ADH患病率.
主要方法:
- 在马丁尼克进行了一项横截面观察性研究,涉及81名75岁或以上的LTCU患者.
- 从医疗档案中提取数据,以评估ADH患病率,临床特征和护理影响.
- 由老年医疗团队和物理医学和康复 (PM&R) 医生进行了合作评估.
主要成果:
- 在加勒比研究人口中,获得性变形性高血压 (ADH) 的患病率为77.8%.
- ADH经常是双边的 (86%) 和多重的 (66%的患者有≥5种形),显著影响了卫生,穿衣,疼痛和皮肤完整性.
- 患有ADH的患者表现出高水平的依赖性 (GMP = 924),与ADH存在显著相关 (p < 0.001).
结论:
- 在加勒比人口中,ADH的患病率似乎是高加索患者患病率的两倍,因此需要更多地认识到这种情况.
- 特别是在岛屿环境中,对ADH进行地方预防和认可活动至关重要.
- 针对性的多学科协议对于在所有机构环境中为患有ADH的老年人提供适应的护理至关重要.
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