在社区居住的八岁老人中,内在能力和尿失禁之间的关联:ilSIRENTE研究的结果
Stefano Cacciatore1, Mathias Schlögl2, Riccardo Calvani3
1Department of Geriatrics, Orthopedics and Rheumatology, Università Cattolica del Sacro Cuore, Rome, Italy; Fondazione Policlinico Universitario "Agostino Gemelli" IRCCS, Rome, Italy; Department of Physiology and Aging, College of Medicine, University of Florida, Gainesville, FL, USA. Electronic address: https://twitter.com/stecacMD.
Maturitas
|February 11, 2026
概括
具有较低内在容量 (IC) 的老年人患尿失禁 (UI) 的可能性更高. 评估IC,包括身体和精神功能,可以帮助识别脆弱性和指导老年护理干预措施.
科学领域:
- 老年学是一门学科.
- 老年医学 老年医学
- 公共卫生 公共卫生
背景情况:
- 尿失禁 (UI) 是一种影响老年人的普遍疾病.
- 内在能力 (IC) 提供了一个框架来评估老年人的功能储备.
- 在ilSIRENTE研究中,研究了社区居住的八岁老人中IC和UI之间的联系.
研究的目的:
- 检查社区生活的八岁老人内在能力 (IC) 和尿失禁 (UI) 之间的关联.
- 为了确定较低的IC分数是否与较高的UI患病率相关.
- 确定与UI最强烈相关的IC的特定领域.
主要方法:
- 内在能力 (IC) 计算是使用家庭护理最低数据集 (MDS-HC) 的标准分数和五个领域的补充测试来计算的.
- 尿失禁 (UI) 通过MDS-HC项目I1.1的特定得分来确定.
- 经对共变量调整后的物流回归模型和受限制的立方线被用来分析IC和UI之间的关联.
主要成果:
- 该研究包括320名参与者,平均年龄为83.9岁;10.9%的人报告UI.
- 患有UI的个体在运动,认知,活力,心理健康和感官领域的总IC分数和分数显着较低.
- 在完全调整的模型中,更高的IC分数与UI的几率较低密切相关 (或每增加10个点的0.34).
结论:
- 较低的内在容量 (IC) 与老年人尿失禁 (UI) 的几率增加有关.
- 运动,认知,活力和感官功能的缺陷特别与较高的UI患病率有关.
- UI可以作为多维脆弱性的指标,强调了以IC为重点的评估对指导老年护理干预措施的重要性.
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