在60岁及以上的老年人中,对多重疾病模式和相关功能结果的潜在类分析
Jaya Prasad Tripathy1, S Yedhu2
1Department of Community Medicine, All India Institute of Medical Sciences, Nagpur, India.
概括
患有多种健康状况的老年人可以分为四个不同的群体. 了解这些多病态模式是老年人定制护理的关键.
科学领域:
- 老年学是指老年学的学科.
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 在老年人群中,多种并发症很普遍,通常是由于共同的潜在风险因素造成的.
- 了解这些复杂的健康模式对于老龄化人口的有效医疗保健策略至关重要.
研究的目的:
- 通过隐性类分析 (LCA) 在老年人中识别多病症的不同模式.
- 检查这些多病态模式与自我评估的健康,生活满意度,日常活动限制和抑郁症状的关联.
主要方法:
- 利用来自印度长度老龄化调查 (2017-2018) 的全国代表性数据,针对60岁及以上的个人.
- 应用隐性类分析 (LCA) 来识别11种慢性疾病中的模式.
- 基于社会人口统计和行为特征,使用各种统计模型合适指数,比较已识别的类别.
主要成果:
- 确定了四个不同的隐性类别:"高血压/肺/骨/其他"",心脏代谢"",高血压-糖尿病"和"健康类".
- 对于社会人口统计和行为 (例如,吸烟,体力活动) 在各类中观察到显著的差异.
- "高血压/肺/骨/其他"类显示出与日常生活活动限制 (ADL) 和抑郁症状的显著关联; "心脏代谢"类的住院率更高.
结论:
- 老年人可以有意义地分为四个不同的多病症组.
- 单一疾病的方法是不足以管理多病的老年患者.
- 综合和持续护理模式对于有效管理多病症老年人的健康至关重要.
相关概念视频
Classification of Illness
7.9K
The meaning of illness is individualized to each person who experiences an alteration in health. In contrast, disease is a medical term indicating a pathological change in the structure and function of the body or mind. It is a condition that has specific symptoms and boundaries.
An illness is a response to a disease in which the person's level of functioning is changed compared with a previous level. The general classification of illness includes acute and chronic.
Acute illness is severe...
An illness is a response to a disease in which the person's level of functioning is changed compared with a previous level. The general classification of illness includes acute and chronic.
Acute illness is severe...
7.9K
Factors Affecting Illness
4.4K
When a person's physical, emotional, intellectual, social development or spiritual functioning is compromised, this deviation from a healthy normal state is called illness. Illness creates stress that in turn harms individuals. Irritation, anger, denial, hopelessness, and fear are behavioral and emotional changes an individual experiences in the phases of illness. A variety of factors influence a person's health and well-being.
For instance, risk factors are connected to illness,...
For instance, risk factors are connected to illness,...
4.4K
Methods of Documentation VI: Case Management Model
628
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
628
Heart Failure IV: Classification and Diagnostic Evaluation
32
Heart failure can be classified in various ways, with the most common classifications based on physical activity limitations, disease progression, severity, and treatment strategies.The Functional Classification of Heart Failure divides patients into four categories based on physical activity limitation due to symptom burden.Class I: Patients in this class have cardiac disease but no physical activity limitations. Ordinary activities like walking, climbing stairs, or routine tasks do not cause...
32
Aging
181
Aging is a complex biological phenomenon influenced by various processes that affect cellular and systemic functions. Several prominent theories attempt to explain its mechanisms, highlighting cellular limitations, oxidative damage, and hormonal changes as central factors in aging.
Cellular Clock Theory
The cellular clock theory posits that the human lifespan is closely tied to the finite capacity of cells to divide, a phenomenon governed by telomeres, which are protective caps at the ends of...
Cellular Clock Theory
The cellular clock theory posits that the human lifespan is closely tied to the finite capacity of cells to divide, a phenomenon governed by telomeres, which are protective caps at the ends of...
181
Longitudinal Research
12.5K
Sometimes we want to see how people change over time, as in studies of human development and lifespan. When we test the same group of individuals repeatedly over an extended period of time, we are conducting longitudinal research. Longitudinal research is a research design in which data-gathering is administered repeatedly over an extended period of time. For example, we may survey a group of individuals about their dietary habits at age 20, retest them a decade later at age 30, and then again...
12.5K


