自我忽视程度越高是否与身体功能水平越低相关？
Is greater self-neglect severity associated with lower levels of physical function?
作者信息
Dong XinQi, Mendes de Leon Carlos F, Evans Denis A
机构信息
Rush Institute for Health Aging, Rush University Medical Center, 1645 West Jackson, Suite 675, Chicago, IL 60612, USA.
出版信息
J Aging Health. 2009 Jun;21(4):596-610. doi: 10.1177/0898264309333323. Epub 2009 Mar 13.
OBJECTIVE
This study examined the association between severity of self-neglect and physical function in a population of community-dwelling older adults.
METHOD
Participants were older adults (N = 1,094) reported to the Chicago Department on Aging for suspected self-neglect from 1993 to 2005, who also participated in the Chicago Health Aging Project. The primary outcome of physical function was assessed using physical performance tests. Secondary outcomes were assessed using the Katz, Nagi, and Rosow-Breslau scales. Multiple regression models were used to assess these associations.
RESULTS
After adjusting for confounders, higher self-neglect severity scores were associated with lower physical performance testing (coefficient = -.062, p = .001). Greater self-neglect severity was also correlated with the reported number of impairments on the Katz, Nagi, and Rosow-Breslau scales (coefficients = .024, .024, and .016, respectively, p = .001).
DISCUSSION
Higher self-neglect severity is associated with lower levels of physical function among older adults.
目的
本研究调查了社区居住的老年人群中自我忽视严重程度与身体功能之间的关联。
方法
参与者为1993年至2005年因疑似自我忽视而向芝加哥老龄问题部报告的老年人（N = 1094），他们也参与了芝加哥健康老龄化项目。身体功能的主要结局通过身体性能测试进行评估。次要结局使用Katz、Nagi和Rosow-Breslau量表进行评估。采用多元回归模型评估这些关联。
结果
在对混杂因素进行调整后，自我忽视严重程度得分越高，身体性能测试得分越低（系数 = -0.062，p = 0.001）。自我忽视严重程度越高，在Katz、Nagi和Rosow-Breslau量表上报告的损伤数量也越多（系数分别为0.024、0.024和0.016，p = 0.001）。
讨论
在老年人中，自我忽视严重程度越高，身体功能水平越低。
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