Johns Hopkins University School of Nursing, 511 N. Washington Street, Room G, Baltimore, MD 21205, USA.
Johns Hopkins University School of Nursing, 511 N. Washington Street, Room G, Baltimore, MD 21205, USA.
Geriatr Nurs. 2020 May-Jun;41(3):222-228. doi: 10.1016/j.gerinurse.2019.09.004. Epub 2019 Oct 16.
This study aims to identify distinct clusters of community-dwelling older adults (N = 7580) based on characteristics of common neuropsychological symptoms and examine how these clusters differ in socio-demographics and health-related attributes. Four clusters were identified: 1-No Symptoms (41%), 2-Pain Only (32%), 3-Pain+Moderate+Insomnia+Mild Depression+Mild Anxiety (17%), and 4-Pain+Mild insomnia+Moderate Depression+Moderate Anxiety (10%). Compared to clusters 1 and 2, individuals in clusters 3 and 4 tended to be older, Hispanic or non-Hispanic Black, female, obese, have high school education or less, not live with anyone, and rate their health fair or poor. Compared to cluster 1, others were significantly associated with worse health-related attributes. This association was distinctly stronger in clusters with more symptoms that were more severe. Interventions focusing on pain may need to incorporate strategies to deal with sleep and psychological symptoms and the severity to improve associated health-related attributes and reduce health care burden.
本研究旨在根据常见神经心理症状的特征，确定社区居住的老年人群体（N=7580）的不同聚类，并探讨这些聚类在社会人口统计学和与健康相关的特征方面的差异。确定了四个聚类：1-无症状（41%）、2-仅疼痛（32%）、3-疼痛+中度失眠+轻度抑郁+轻度焦虑（17%）和 4-疼痛+轻度失眠+中度抑郁+中度焦虑（10%）。与聚类 1 和 2 相比，聚类 3 和 4 中的个体往往年龄更大、西班牙裔或非西班牙裔黑人、女性、肥胖、高中及以下学历、不与任何人同住、自评健康状况一般或较差。与聚类 1 相比，其他聚类与较差的健康相关特征显著相关。这种关联在症状更严重的聚类中更为明显。以疼痛为重点的干预措施可能需要结合策略来处理睡眠和心理症状以及严重程度，以改善相关的健康相关特征并减轻医疗保健负担。
