在社区居住的老年人中描述症状负担
Michelle A McKay1, Paul Bernhardt2, Melissa O'Connor3
1M. Louise Fitzpatrick College of Nursing, Villanova University, 800 Lancaster Avenue, Villanova, PA 19085, USA.
概括
老年人往往有多种症状,如疼痛和平衡问题,影响健康. 识别症状负担是了解像跌倒这样的风险和改善生活质量的关键.
科学领域:
- 老年学是一门学科.
- 临床流行病学 临床流行病学
- 公共卫生 公共卫生
背景情况:
- 老年人经常经历多种同时出现的症状.
- 这些症状增加了医疗保健的使用,减少了身体功能,降低了生活质量.
研究的目的:
- 在社区生活的老年人中描述症状负担.
- 通过潜在类分析来识别不同类别的症状负担.
主要方法:
- 描述性统计和千平方测试分析了症状流行率和人口统计数据.
- 潜在类别分析确定了四个症状负担组:轻度,中度,中度至重度和重度.
- 评估了九种症状:疼痛,平衡,虚弱,耐力,睡眠,抑郁,焦虑,听力和视力.
主要成果:
- 疼痛非常普遍 (81.3%),严重疼痛在43.1%.
- 视力,听力,睡眠和耐力问题影响了超过40%的参与者.
- 确定了四种症状负担类别:轻度 (30.1%),中度 (51.3%),中度至重度 (10.2%) 和重度 (8.4%).
- 严重的组在所有症状中都有更糟糕的结果; 疼痛和视力在各组中一致.
结论:
- 了解症状负担对于确定临床指标至关重要.
- 症状负担可以作为跌倒风险和其他不良健康结果的新指标.
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