Academy of Health and Welfare and Centre of Research on Welfare, Health and Sport (CVHI), Halmstad University, Box 823, SE-301 18, Halmstad, Sweden.
Gothenburg Centre for Person-Centred Care (GPCC), Sahlgrenska Academy, University of Gothenburg, Box 457, SE-405 30, Gothenburg, Sweden.
BMC Geriatr. 2021 Apr 7;21(1):229. doi: 10.1186/s12877-021-02177-y.
The proportion of older adults is increasing rapidly, and the majority are female. In 2050, the number of persons aged 60 years and over is estimated to reach 2.1 billion worldwide, constituting one-third of the total population of Europe. Long-term back pain is a disabling and common condition, primarily affecting older women. Although standardized functional evaluations are essential in the screening of older adults, self-rated activities of daily living capture a different aspect of the person's ability in the context of his or her environment and social support system. This study aimed to describe how older women with or without long-term back pain self-rate their activities of daily living (ADL) and instrumental activities of daily living (IADL) in relation to their performance-based testing of physical function, including walking test, leg muscle strength, balance, and endurance.
This study is part of the Gothenburg H70 Birth Cohort Studies in Sweden (H70 studies) and uses data from the 1944 birth cohort examined in 2015-16 at age 70. In the present study, only female participants were included in the analysis, and all cases of dementia (n = 17) and cases of acute and sub-acute back pain excluded (n = 181), leaving an effective sample of 446 female participants.
Women with long-term back pain self-perceived their ADL and IADL as being as good as those without back pain, although they performed poorer in all performance-based tests and perceived themselves as less physically fit.
The discrepancy between self-perceived functional ability (ADL/IADL) and performance-based testing of functioning based on clinical tests calls for further investigation to incentivize person-centered care in older women with long-term back pain in municipal or emergency health-care settings.
老年人的比例正在迅速增加，其中大多数是女性。到 2050 年，全世界 60 岁及以上的人口预计将达到 21 亿，占欧洲总人口的三分之一。长期背痛是一种使人丧失能力且常见的疾病，主要影响老年女性。尽管对老年人进行筛查时需要进行标准化的功能评估，但日常生活活动的自我评估可以从其所处的环境和社会支持系统的角度捕捉到个体能力的不同方面。本研究旨在描述有或没有长期背痛的老年女性如何自我评估其日常生活活动（ADL）和工具性日常生活活动（IADL），并将其与身体功能的基于表现的测试（包括步行测试、腿部肌肉力量、平衡和耐力）进行比较。
本研究是瑞典哥德堡 H70 出生队列研究（H70 研究）的一部分，使用了 2015-2016 年在 70 岁时接受检查的 1944 年出生队列的数据。在本研究中，仅对女性参与者进行了分析，并且排除了所有痴呆病例（n=17）和急性和亚急性背痛病例（n=181），因此有效样本为 446 名女性参与者。
患有长期背痛的女性自我评估其 ADL 和 IADL 与没有背痛的女性一样好，尽管她们在所有基于表现的测试中表现较差，并且自我认为身体不够健康。
自我感知的功能能力（ADL/IADL）与基于临床测试的表现功能测试之间的差异需要进一步研究，以便在市立或紧急医疗保健环境中激励针对长期背痛的老年女性的以人为本的护理。
