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本文引用的文献

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Falls in institutionalized elderly with and without cognitive decline A study of some factors.认知功能衰退与否的机构养老老年人跌倒情况:一些因素的研究
Dement Neuropsychol. 2019 Jan-Mar;13(1):116-121. doi: 10.1590/1980-57642018dn13-010014.
2
Epidemiological characteristics and factors influencing falls among elderly adults in long-term care facilities in Xiamen, China.中国厦门长期护理机构中老年人群跌倒的流行病学特征及影响因素
Medicine (Baltimore). 2019 Feb;98(8):e14375. doi: 10.1097/MD.0000000000014375.
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Evaluation of Mini-Mental State Examination scores according to different age and education strata, and sex, in a large Brazilian healthy sample.在一个大型巴西健康样本中,根据不同年龄、教育程度分层以及性别对简易精神状态检查表得分进行评估。
Dement Neuropsychol. 2009 Apr-Jun;3(2):88-93. doi: 10.1590/S1980-57642009DN30200004.
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The Two Faces of Postural Control in Older Adults: Stability and Function.老年人姿势控制的两个方面:稳定性与功能。
EBioMedicine. 2017 Jul;21:5-6. doi: 10.1016/j.ebiom.2017.03.030. Epub 2017 Mar 25.
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Factors related to gait and balance deficits in older adults.与老年人步态和平衡缺陷相关的因素。
Clin Interv Aging. 2016 Aug 9;11:1043-9. doi: 10.2147/CIA.S112282. eCollection 2016.
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[Use of the Mini-Mental State Examination in research on the elderly in Brazil: a systematic review].[简易精神状态检查表在巴西老年人研究中的应用:一项系统综述]
Cien Saude Colet. 2015 Dec;20(12):3865-76. doi: 10.1590/1413-812320152012.06032015.
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Biological psychological and social determinants of old age: bio-psycho-social aspects of human aging.老年的生物、心理和社会决定因素:人类衰老的生物心理社会层面。
Ann Agric Environ Med. 2014;21(4):835-8. doi: 10.5604/12321966.1129943.
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Basis for a Swiss perspective on fall prevention in vulnerable older people.瑞士视角下的脆弱老年人跌倒预防基础。
Swiss Med Wkly. 2011 Nov 21;141:w13305. doi: 10.4414/smw.2011.13305. eCollection 2011.
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Development and initial validation of the Iconographical Falls Efficacy Scale.Iconographical Falls Efficacy Scale 的编制与初步验证。
J Gerontol A Biol Sci Med Sci. 2011 Jun;66(6):674-80. doi: 10.1093/gerona/glr019. Epub 2011 Feb 24.
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[Prevalence and features of falls of institutionalized elders].[机构养老老年人跌倒的患病率及特征]
Rev Bras Enferm. 2010 Nov-Dec;63(6):991-7. doi: 10.1590/s0034-71672010000600019.

老年人认知状态、跌倒恐惧与平衡之间的相互关系。

Interaction between cognitive status, fear of falling, and balance in elderly persons.

机构信息

Universidade Federal do Pampa (Unipampa), Bage, RS, BR.

Pontificia Universidade Catolica do Rio Grande do Sul(PUC-RS), Porto Alegre, RS, BR.

出版信息

Clinics (Sao Paulo). 2020 Oct 26;75:e1612. doi: 10.6061/clinics/2020/e1612. eCollection 2020.

DOI:10.6061/clinics/2020/e1612
PMID:33146348
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7561071/
Abstract

OBJECTIVE

Evaluate the cognitive function and its relationship with balance, history of falls, and fear of falling in the elderly.

METHODS

We evaluated 250 elderly persons aged at least 60 years, who answered a sociodemographic questionnaire about the occurrence of falls in the last year. The cognitive function, balance, and fear of falling were assessed using the Mini-Mental State Examination (MMSE), Berg Balance Scale (BBS), and Falls Efficacy Scale (FES-I) scores, respectively. Participants were allocated into two groups based on the Mini-Mental State Examination (MMSE) score, the Group with Possible Cognitive Decline (GPCD) and the group with no cognitive decline (GNCD). We performed Student's t-test and Pearson's correlation for independent samples.

RESULTS

The Group with Possible Cognitive Decline (GPCD) showed lower balance (p=0.003) and greater fear of falling (p=0.008) (BBS=50.98±4.68; FES-I=26.06±8.78) compared to the GNCD (BBS=52.53±3.047; FES-I=23.21±7.74).

CONCLUSION

Elderly persons with cognitive decline have lower balance, greater fear of falling, and greater recurrence of falls.

摘要

目的

评估老年人的认知功能及其与平衡、跌倒史和跌倒恐惧的关系。

方法

我们评估了 250 名年龄至少 60 岁的老年人,他们回答了一个关于过去一年跌倒发生情况的社会人口学问卷。使用简易精神状态检查表(MMSE)、伯格平衡量表(BBS)和跌倒效能量表(FES-I)分别评估认知功能、平衡和跌倒恐惧。根据简易精神状态检查表(MMSE)评分,将参与者分为两组,即可能存在认知障碍组(GPCD)和无认知障碍组(GNCD)。我们对独立样本进行了学生 t 检验和皮尔逊相关分析。

结果

与 GNCD 组相比,可能存在认知障碍组(GPCD)的平衡能力较低(p=0.003),跌倒恐惧程度较高(p=0.008)(BBS=50.98±4.68;FES-I=26.06±8.78)。

结论

认知功能下降的老年人平衡能力较差,跌倒恐惧程度较高,跌倒复发率较高。