过去一年中，在有和没有视力障碍的情况下社区居住的年轻中国老年人中，跌倒对神经心理学和精神健康的影响。
Neuropsychological and psychiatric outcomes among community-dwelling young Chinese older adults affected by falls in the past year with and without vision impairment.
机构信息
Health Management Center, The Third Xiangya Hospital of Central South University, Changsha, China.
Department of Psychiatry, National Clinical Research Center for Mental Disorders, and National Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Renmin Road 139, Changsha, 410011, Hunan Province, China.
出版信息
Qual Life Res. 2024 Nov;33(11):3057-3067. doi: 10.1007/s11136-024-03751-8. Epub 2024 Jul 31.
OBJECTIVE
This study was to investigate the differences between young older adults with and without vision impairment on neuropsychological and psychiatric outcomes following falls during the past year and to identify predictors of cognitive decline or mental distress.
METHODS
A secondary analysis of 668 young older Chinese adults aged 65 ∼ 79 years old with a history of falls was conducted from the cross-sectional survey data in the 2018 wave of the Chinese Longitudinal Health Longevity Survey (CLHLS).
RESULTS
Participants with vision impairment scored significantly higher on anxiety and depression and lower on cognitive function and SWB than those without vision impairment. And vision impairment was a significant predictor of adverse outcomes for all four neuropsychological and psychiatric measures.
CONCLUSION
Neurocognitive deficits, psychological problems, and decreased self-sufficiency are quite common among community-dwelling older adults with visual impairment who have a history of falls within a year.
目的
本研究旨在探讨过去一年中经历跌倒的年轻老年人群体中，视力受损者与无视力受损者在神经心理学和精神科结局方面的差异，并确定认知能力下降或精神困扰的预测因素。
方法
本研究对来自中国纵向健康长寿调查（CLHLS）2018 年波次的 668 名年龄在 65 至 79 岁之间、有跌倒史的中国年轻老年人的横断面调查数据进行了二次分析。
结果
与无视力障碍者相比，有视力障碍者在焦虑和抑郁方面的得分显著更高，而在认知功能和幸福感方面的得分则显著更低。并且，视力障碍是所有四项神经心理学和精神科测量结果不良的显著预测因素。
结论
在一年内有跌倒史的、有视力障碍的社区居住老年人群体中，神经认知功能缺陷、心理问题和自我效能感下降较为常见。
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