公共卫生 公共卫生
Krizelle Cleo Fowler1, Jacqueline C Dominguez1, Ma Fe P De Guzman1
1Institute for Dementia Care Asia, Quezon City, Metro Manila, Philippines.
Alzheimer's & dementia : the journal of the Alzheimer's Association
|December 23, 2025
概括
菲律宾面临高灾害风险,影响老年人的心理健康和认知能力. 自然灾害造成的慢性压力与社区老年人的认知能力下降和精神疾病有关.
科学领域:
- 老年学是指老年学的学科.
- 灾难精神病学 灾难精神病学
- 认知神经学 认知神经学
背景情况:
- 菲律宾非常容易受到自然灾害的影响,在全球灾害风险方面排名第一.
- 频繁的热带气旋和最近的洪水事件加剧了老年人面临的心理健康挑战.
- 在受灾害影响的地区,社区老年人的心理健康和认知健康研究存在重大差距.
研究的目的:
- 调查菲律宾马里基纳市老年居民中认知障碍和精神疾病的患病率.
- 探索自然灾害造成的慢性压力与社区老年人的心理健康和认知功能之间的关联.
- 评估STORM-32工具在指示洪水压力和区分老年人的认知状态方面的实用性.
主要方法:
- 一项混合方法的横截面研究,涉及627名马里基纳市COVID-19流行后的老年人.
- 使用STORM-32工具与MOCA-P,MMSE和AD8一起进行认知评估和压力评估.
- 采用描述性统计,双变量测试,定量数据的逻辑回归和定性数据的专题分析.
主要成果:
- 在社区中观察到认知障碍 (65%) 和精神疾病 (32.8%) 的高患病率.
- 在压力较大的自然危险经历 (STORM32总分) 和认知功能/生活质量之间发现了显著的关联.
- 财务困难被确定为灾难期间和灾后对参与者及其家属的主要压力因素.
结论:
- 研究中很大一部分老年人经历了认知和精神疾病.
- 慢性压力与认知或精神病诊断之间存在微弱但显著的关联.
- 确定了紧急情况下对老年人的医疗保健响应中的关键差距,强调了在灾难事件期间和之后需要改进的,特定于年龄的护理途径的需要.
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