衰老的复杂性:在老年医学中管理多病症
Sundas Qamar1, Muhammad Sarfraz2, Hifza Ishtiaq3
1Geriatrics, Russells Hall Hospital, Dudley, GBR.
Cureus
|August 11, 2025
概括
这项针对巴基斯坦600名老年人的研究发现,多药和社会经济地位显著预测不良健康事件. 综合护理对于管理多病症和改善老年人健康状况至关重要.
科学领域:
- 老年医学 老年医学
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 老年人群面临复杂的健康挑战,包括多病症和多药性.
- 了解社会经济因素和医疗保健利用的相互作用对于老年护理至关重要.
- 巴基斯坦的老年医疗保健系统背景为治疗慢性疾病带来了独特的挑战.
研究的目的:
- 调查巴基斯坦老年人群中多病症和多药物的流行情况.
- 确定老年人中不良健康事件的预测因素.
- 探索社会经济地位,多药和健康结果之间的关系.
主要方法:
- 一个回顾性队列研究,使用来自老年医疗保健系统的电子健康记录.
- 涉及600名参与者,年龄为81.59岁 (SD=10.3),具有不同的社会经济和教育背景.
- 探索性数据分析和后勤回归被用来确定显著的相关性和预测因素.
主要成果:
- 超过一半 (53.5%) 的参与者经历过多种药物 (≥5种药物);48.2%的患者有中度至重度的多种病态.
- 多药性与住院频率增加 (r=0.17) 和功能状态下降 (r=-0.11) 相相关.
- 多药 (OR=1.35) 和社会经济地位 (OR=1.52) 是不良健康事件的重要预测因素.
结论:
- 患有多种慢性疾病的老年人有复杂的医疗保健需求.
- 多药和社会经济地位是影响这一群体不良健康事件的关键因素.
- 综合护理策略对于应对老年患者的身体,精神和社会健康挑战至关重要.
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