老年人的跌倒风险介于抑郁症,执行功能障碍和日常生活之间的关联
Batya Engel-Yeger1, Yael Zilbershlag2
1Department of Occupational Therapy, Faculty of Social Welfare & Health Sciences, University of Haifa, Haifa, Israel.
The British journal of occupational therapy
|May 8, 2025
概括
老年人经常跌倒的风险与抑郁症和影响日常活动的认知问题有关. 早期查和干预对于社区防摔计划来说至关重要,以改善日常功能.
科学领域:
- 老年学是一门学科.
- 神经学 神经学
- 公共卫生 公共卫生
背景情况:
- 跌倒对老年人来说是一个主要问题,导致严重的健康问题.
- 抑郁症和认知能力下降在老年人群中很常见,可能会影响日常功能.
- 了解跌倒风险,情绪和认知健康之间的相互作用对于有效的干预至关重要.
研究的目的:
- 识别老年人抑郁症和认知功能障碍的迹象,在日常活动中存在高跌倒风险.
- 探索落风险在身体功能障碍和日常活动之间的关系中扮演的调解角色.
主要方法:
- 123名非机构化的老年人参加了这次活动.
- 测量包括老年抑郁症量表 (GDS-15),蒙特利尔认知评估 (MoCA),跌倒风险问卷,时间上升和移动测试 (TUG),执行功能测试 (BRIEF-A) 和日常生活活动量表 (Barthel, IADL).
主要成果:
- 32%的参与者被确定为高风险的堕落者.
- 高风险的落者在日常活动中表现出更大的身体功能障碍.
- 结构方程建模表明,跌倒风险介于抑郁症,执行功能障碍和日常活动之间的联系.
结论:
- 高危人群中的情绪和认知功能障碍在日常活动中表现出来.
- 社区的防摔计划应该对这些功能障碍进行查.
- 干预措施的目的应该是尽量减少老年人的跌倒,并增强老年人的日常功能.
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