埃塞俄比亚西北部巴赫达尔社区居住老年人疲劳的危险因素：一项基于社区的横断面研究。

Risk factors of fatigue among community-dwelling older adults in Bahir Dar, Northwest Ethiopia: a community-based cross-sectional study.

作者信息

Mekuria Belayneh Addis, Fentanew Molla, Anteneh Yeshambel Ejigu, Suleman Jemal, Belet Yihalem, Getie Kefale, Melese Haimanot, Sefiwu Zinabu Fiseha, Takele Mihret Dejen, Cherkos Kassahun, Gebeyehu Muluneh Assefa, Jember Belay Gashaw

机构信息

Department of Physiotherapy, College of Medicine and Health Sciences, School of Medicine, Bahir Dar University, Bahir Dar, Ethiopia.

Department of Physiotherapy, College of Medicine and Health Sciences, School of Medicine, University of Gondar, Gondar, Ethiopia.

出版信息

Front Public Health. 2024 Nov 20;12:1491287. doi: 10.3389/fpubh.2024.1491287. eCollection 2024.

DOI:10.3389/fpubh.2024.1491287

PMID:39635209

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11614723/

Abstract

BACKGROUND

Fatigue is defined as subjective fatigue and a decline in physical and mental activity that does not improve with rest. Fatigue among older adults could lead to future comorbidity, mortality, decreased social interaction, greater strain on families, decreased productivity, and a higher need for hospitalization and rehabilitation. However, no studies have been conducted in Africa, particularly in Ethiopia. Therefore, this study aimed to evaluate the prevalence and factors of fatigue among older adults.

METHODS

A community-based cross-sectional study of 605 older adults was carried out using a single-stage cluster sampling technique. The Chalder Fatigue Scale (CFS) was used to assess fatigue, and data were collected through an interview. The collected data were coded, cleaned, and entered into EpiData version 4.6 and exported to SPSS Version 25 for analysis. Bivariate and multivariate logistic regression analyses were performed. Variables in the final multivariate logistic regression model with a 95% confidence interval (CI) and a -value of 0.05 were considered statistically significant.

RESULTS

The prevalence of fatigue among older adults was 37.9% (95% CI, 34-41.90). Significant risk factors included older age [adjusted odds ratio (AOR) = 6.13, CI = 3.25-11.58], the presence of two or more comorbidities (AOR = 5.68, CI = 2.97-10.83), physical inactivity (AOR = 3.33, CI = 1.56-7.12), poor social support (AOR = 2.83, CI = 1.61-4.96), insomnia (AOR = 5.48, CI = 3.38-8.88), and depression (AOR = 2.65, CI = 1.60-4.36).

CONCLUSION

The prevalence of fatigue among older adults was noticeable, and it was summarized as a public health issue among older adults in the study area. Our study findings revealed that older age, the presence of comorbidities, physical inactivity, poor social support, insomnia, and depression were all risk factors for fatigue among community-dwelling older adults.

摘要

背景

疲劳被定义为主观性疲劳以及身心活动能力的下降，且休息后无法改善。老年人的疲劳可能会导致未来的合并症、死亡率、社交互动减少、家庭负担加重、生产力下降以及更高的住院和康复需求。然而，非洲尚未开展相关研究，尤其是在埃塞俄比亚。因此，本研究旨在评估老年人疲劳的患病率及其影响因素。

方法

采用单阶段整群抽样技术，对605名老年人进行了一项基于社区的横断面研究。使用查尔德疲劳量表（CFS）评估疲劳情况，并通过访谈收集数据。收集到的数据进行编码、清理，录入EpiData 4.6版本，并导出到SPSS 25版本进行分析。进行了二元和多元逻辑回归分析。最终多元逻辑回归模型中，95%置信区间（CI）且P值为0.05的变量被认为具有统计学意义。

结果

老年人疲劳的患病率为37.9%（95% CI，34 - 41.90）。显著的危险因素包括高龄[调整优势比（AOR）= 6.13，CI = 3.25 - 11.58]、患有两种或更多种合并症（AOR = 5.68，CI = 2.97 - 10.83）、身体活动不足（AOR = 3.33，CI = 1.56 - 7.12）、社会支持不足（AOR = 2.83，CI = 1.61 - 4.96）、失眠（AOR = 5.48，CI = 3.38 - 8.88）以及抑郁（AOR = 2.65，CI = 1.60 - 4.36）。