焦虑障碍在COPD老年患者中的患病率:系统性审查和元分析
Gulnura Sulaimanova1, Shirin Talapbek Kyzy2
1Family Medicine Department, Kyrgyz State Medical Academy, Bishkek, Kyrgyzstan.
焦虑症影响了三分之一的慢性阻塞性肺病 (COPD) 的老年患者. 使用适当的评估工具进行早期查和诊断对于改善这一群体的护理至关重要.
科学领域:
- 老年医学 老年医学
- 肺部病理学 肺部病理学
- 精神病学是一个精神病学.
背景情况:
- 在老年COPD患者中,焦虑障碍的患病率在研究中不一致.
- 需要进行系统审查,以澄清患病率和指导护理.
- 这项研究旨在确定老年COPD患者焦虑障碍的患病率.
研究的目的:
- 系统地审查和元分析60岁及以上被诊断患有COPD的个人中焦虑障碍的患病率.
- 提供综合的流行率估计,以告知临床实践和未来的研究.
主要方法:
- 在PubMed,Scopus和PsycINFO数据库中搜索到2024年4月至5月的相关研究.
- 包括60岁或以上患有COPD的参与者的研究.
- 采用随机效应模型进行聚合流行率估计和JBI批判性评估工具进行偏差风险评估.
主要成果:
- 分析了11项涉及136608名患者的研究,证据质量中等至高.
- 在老年COPD患者中,焦虑障碍的综合患病率为36% (95%CI:19-53%),具有显著的异质性.
- 敏感性分析将患病率调整为39% (95% CI: 22-57%),而元回归表明与焦虑评估工具有负面关联.
结论:
- 大约三分之一的患有COPD的老年人患有焦虑障碍.
- 强调使用经过验证的焦虑评估工具进行查和诊断的重要性.
- 强调需要高质量的研究,特别是在低收入和中等收入国家.
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