Research Group Healthy Ageing, Allied Health Care and Nursing, Hanze University of Applied Sciences, Groningen, The Netherlands.
Research Group Healthy Ageing, Allied Health Care and Nursing, Hanze University of Applied Sciences, Groningen, The Netherlands.
Res Dev Disabil. 2017 Aug;67:28-33. doi: 10.1016/j.ridd.2017.05.002. Epub 2017 Jun 14.
People with severe or profound intellectual and motor disabilities (SPIMD) experience multimorbidity and have complex health needs. Multimorbidity increases mortality, decreases functioning, and negatively influences quality of life. Information regarding patterns of multimorbidity in people with SPIMD may lead to proactive prevention, specifically detection and treatment of physical health problems at an early stage and prevention of secondary complications.
The aim of this study was to explore patterns of multimorbidity in individuals with SPIMD.
Data from medical records and care plans on reported physical health problems of 99 adults with SPIMD were analysed. To explore the co-occurrence of physical health problems, cross tabulations and a 5-set Venn Diagram were used.
The most common combination of two physical health problems comprise the most prevalent physical health problems, which included visual impairment, constipation, epilepsy, spasticity, and scoliosis. These five issues occurred as a multimorbidity combination in 37% of the participants. In 56% of the participants a multimorbidity combination of four health problems emerged, namely constipation, visual impairment, epilepsy, and spasticity.
People experiencing SPIMD have interrelated health problems. As a consequence, a broad variety of potential interactions between physical health problems and their treatments may occur. Identifying multimorbidity patterns can provide guidance for accurate monitoring of persistent health problems and, early detection of secondary complications. However, the results require confirmation with larger samples in further studies.
严重或极重度智力和运动残疾（SPIMD）患者患有多种疾病，健康需求复杂。多种疾病会增加死亡率，降低功能，对生活质量产生负面影响。了解 SPIMD 患者多种疾病的模式可能有助于主动预防，特别是在早期发现和治疗身体健康问题，并预防继发性并发症。
本研究旨在探讨 SPIMD 个体的多种疾病模式。
分析了 99 名 SPIMD 成年人的医疗记录和护理计划中报告的身体健康问题的数据。为了探索身体健康问题的共同发生，使用交叉表和 5 集合维恩图进行分析。
最常见的两种身体健康问题组合包括最常见的身体健康问题，包括视力障碍、便秘、癫痫、痉挛和脊柱侧凸。这五个问题在 37%的参与者中作为多种疾病组合出现。在 56%的参与者中，出现了四种健康问题的多种疾病组合，即便秘、视力障碍、癫痫和痉挛。
患有 SPIMD 的人有相互关联的健康问题。因此，身体疾病及其治疗之间可能存在广泛的潜在相互作用。确定多种疾病模式可以为持续健康问题的准确监测和继发性并发症的早期发现提供指导。然而，这些结果需要在进一步的研究中用更大的样本进行验证。
