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新冠疫情对社区居住老年人生活条件和身体机能的影响。

Impact of the COVID-19 pandemic on the living conditions and physical functioning of community-dwelling older adults.

作者信息

Sasaki Satoko, Ota Shigeru, Takashima Kazuyoshi, Dezaki Yoshiyasu, Sato Tomomi, Sakogashira Yumi, Okamura Hitoshi

机构信息

Department of Psychosocial Rehabilitation, Graduate School of Biomedical and Health Sciences, Hiroshima University, Minami-ku, Hiroshima, Japan.

Department of Rehabilitation, JCHO Yufuin Hospital, Yufu, Oita, Japan.

出版信息

J Family Med Prim Care. 2025 Apr;14(4):1409-1415. doi: 10.4103/jfmpc.jfmpc_1137_24. Epub 2025 Apr 25.

Abstract

BACKGROUND

The novel coronavirus disease 2019 (COVID-19) changed the lives of older adults as well as their activities, and these changes will likely impact their physical functioning. However, few reports have prospectively assessed the individual characteristics and pandemic-related changes associated with the living conditions and physical functioning of community-dwelling older adults or clarified the associated factors. This study evaluated the changes in the living conditions and physical functioning of community-dwelling older adults due to the COVID-19 pandemic and identified the associated factors.

METHODS

Forty-one community-dwelling older adults who met the eligibility criteria were surveyed before and after the first wave of the COVID-19 pandemic to assess their living conditions and physical functioning. The association between changes in physical functioning and the characteristics of older adults was examined using multiple regression analysis.

RESULTS

It was demonstrated that the number of participants who indicated that they rarely went out increased approximately threefold after the first wave of the pandemic. In addition, significant differences were found in 5-meter walking speeds (comfort speed) of participants after the first wave; however, the change was significantly lower for the group requiring nursing care than for the group requiring assistance.

CONCLUSIONS

These results indicate that, given the increased number of homebound older adults due to the pandemic, more attention should be given to maintain physical functioning of older adults, specifically those requiring nursing care.

摘要

背景

2019年新型冠状病毒病(COVID-19)改变了老年人的生活及其活动,而这些变化可能会影响他们的身体机能。然而,很少有报告前瞻性地评估与社区居住老年人的生活条件和身体机能相关的个体特征及与大流行相关的变化,或阐明相关因素。本研究评估了COVID-19大流行导致的社区居住老年人生活条件和身体机能的变化,并确定了相关因素。

方法

对41名符合资格标准的社区居住老年人在COVID-19大流行第一波之前和之后进行调查,以评估他们的生活条件和身体机能。使用多元回归分析研究身体机能变化与老年人特征之间的关联。

结果

结果表明,在大流行第一波之后,表示很少外出的参与者人数增加了约三倍。此外,第一波之后参与者的5米步行速度(舒适速度)存在显著差异;然而,需要护理的组的变化明显低于需要帮助的组。

结论

这些结果表明,鉴于大流行导致居家老年人数量增加,应更加关注维持老年人的身体机能,特别是那些需要护理的老年人。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/18e0/12088590/0d2c1eecbfd7/JFMPC-14-1409-g001.jpg

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