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社区居住老年人自我报告使用手杖相关因素的调查

Examination of Factors Associated with Self-Reported Cane Use among Community-Dwelling Older Adults.

作者信息

Kamasaki Taishiro, Otao Hiroshi, Hachiya Mizuki, Kubo Atsuko, Okawa Hiroyuki, Sakamoto Asuka, Fujiwara Kazuhiko, Hosaka Kodai, Kitajima Takahiro, Shimokihara Suguru, Maruta Michio, Han Gwanghee, Mizokami Yasuhiro, Kamata Minoru, Tabira Takayuki

机构信息

Department of Rehabilitation Sciences, Faculty of Rehabilitation Sciences, Nishikyushu University, Kanzaki, Saga, Japan.

Faculty of Medicine, Kagoshima University, Sakuragaoka, Kagoshima, Japan.

出版信息

Ann Geriatr Med Res. 2025 Mar;29(1):102-110. doi: 10.4235/agmr.24.0181. Epub 2025 Jan 9.

Abstract

BACKGROUND

This study investigates factors influencing cane use among older adults and identifies most significant determinants.

METHODS

This study is a cross-sectional study. A total of 160 community-dwelling older adults (mean age, 79±7 years) were included in the analysis. Binomial logistic regression analysis was conducted using the presence or absence of cane use as the dependent variable, and the associated factors were investigated.

RESULTS

There were 108 participants (mean age, 77±7 years) in the cane-non-using group and 52 (mean age, 83±6 years) in the cane-using group. Factors associated with the presence or absence of cane use were open-eyed one-leg standing time (odds ratio [OR]=0.81; 95% confidence interval [CI], 0.70-0.93; p=0.003) and depressed mood (OR=2.78; 95% CI, 1.31-5.91; p=0.008).

CONCLUSION

Older adults with reduced balance ability and depressive mood need to use a cane. This highlights the need to assess balance ability and depressed mood in prescribing a cane to older adults. Appropriate prescription of canes has the potential to enrich the lives of older adults by contributing to their safe range of activities.

摘要

背景

本研究调查影响老年人使用手杖的因素,并确定最重要的决定因素。

方法

本研究为横断面研究。共有160名社区居住的老年人(平均年龄79±7岁)纳入分析。以是否使用手杖作为因变量进行二项逻辑回归分析,并调查相关因素。

结果

不使用手杖组有108名参与者(平均年龄77±7岁),使用手杖组有52名(平均年龄83±6岁)。与是否使用手杖相关的因素为睁眼单腿站立时间(优势比[OR]=0.81;95%置信区间[CI],0.70 - 0.93;p=0.003)和情绪低落(OR=2.78;95%CI,1.31 - 5.91;p=0.008)。

结论

平衡能力下降和情绪低落的老年人需要使用手杖。这凸显了在为老年人开出处方手杖时评估平衡能力和情绪低落的必要性。适当地开出处方手杖有可能通过扩大老年人的安全活动范围来丰富他们的生活。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/17a1/12010733/2583f388f5be/agmr-24-0181f1.jpg

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