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老年患者生活质量的负面影响因素:综述

Factors negatively affecting quality of life in geriatric patients: review.

作者信息

Marcinkowski Krzysztof, Muras Mateusz, Michalik Maciej, Lorenc Tomasz, Mikszta Natalia, Mikszta Jakub, Marcinkowska Julia, Kantor Karolina

机构信息

Szpital Specjalistyczny im. Ludwika Rydygiera w Krakowie, Kraków, Poland.

Wojewódzki Szpital Specjalistyczny nr 2 w Jastrzębiu Zdroju, Jastrzębie Zdrój, Poland.

出版信息

GMS Hyg Infect Control. 2025 Jul 9;20:Doc35. doi: 10.3205/dgkh000564. eCollection 2025.


DOI:10.3205/dgkh000564
PMID:40881812
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12381864/
Abstract

INTRODUCTION: The aging process is accompanied by a variety of challenges that significantly impact the quality of life and overall well-being of older adults. This study explores several key factors that negatively affect seniors, including loneliness, frailty syndrome, falls, polypharmacy, urinary incontinence, chronic pain, and malnutrition. METHOD: The PubMed and Google Scholar databases were searched to find scientific articles in which the terms "elderly", and "quality of life" appear in the title, abstract, or keywords. RESULTS: Loneliness emerges as a critical issue, contributing to mental health problems such as depression and cognitive decline. Falls, a leading cause of injury among older adults, often result in long-term physical and psychological consequences. Polypharmacy, while intended to manage multiple chronic conditions, increases the risk of adverse drug reactions and medication non-adherence. Frailty syndrome reduces a patient's susceptibility to stressors. Urinary incontinence, often stigmatized, affects physical comfort and social interactions, reducing the dignity of those affected. Chronic pain disrupts daily functioning and exacerbates feelings of helplessness, while malnutrition undermines physical health, leading to frailty and increased susceptibility to illnesses. All of these factors have their impact on quality of life in older adults. CONCLUSIONS: The study identifies key factors negatively affecting the quality of life in older adults, including physical, psychological, and social challenges that require comprehensive and targeted interventions.

摘要

引言:衰老过程伴随着各种挑战,这些挑战对老年人的生活质量和整体幸福感产生重大影响。本研究探讨了几个对老年人产生负面影响的关键因素,包括孤独感、衰弱综合征、跌倒、多重用药、尿失禁、慢性疼痛和营养不良。 方法:检索了PubMed和谷歌学术数据库,以查找标题、摘要或关键词中出现“老年人”和“生活质量”的科学文章。 结果:孤独感成为一个关键问题,会导致诸如抑郁和认知衰退等心理健康问题。跌倒是老年人受伤的主要原因,常常会导致长期的身体和心理后果。多重用药虽然旨在控制多种慢性病,但会增加药物不良反应和用药依从性差的风险。衰弱综合征降低了患者对应激源的易感性。尿失禁常常受到污名化,影响身体舒适度和社交互动,降低受影响者的尊严。慢性疼痛扰乱日常功能,加剧无助感,而营养不良则损害身体健康,导致身体虚弱并增加患病易感性。所有这些因素都会对老年人的生活质量产生影响。 结论:该研究确定了对老年人生活质量产生负面影响的关键因素,包括需要全面和有针对性干预的身体、心理和社会挑战。

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本文引用的文献

[1]
Healthy aging, early screening, and interventions for frailty in the elderly.

Biosci Trends. 2023-9-15

[2]
Effects of exercise therapy on disability, mobility, and quality of life in the elderly with chronic low back pain: a systematic review and meta-analysis of randomized controlled trials.

J Orthop Surg Res. 2023-7-19

[3]
Loneliness, social isolation, depression and anxiety among the elderly in Shanghai: Findings from a longitudinal study.

Arch Gerontol Geriatr. 2023-7

[4]
Association between Sense of Loneliness and Quality of Life in Older Adults with Multimorbidity.

Int J Environ Res Public Health. 2023-2-1

[5]
Effects of social isolation on quality of life in elderly adults.

PLoS One. 2022

[6]
Frailty syndrome and risks for falling in the elderly community.

Codas. 2022

[7]
Benefits and adverse events of melatonin use in the elderly (Review).

Exp Ther Med. 2022-3

[8]
Emerging Interrelationship Between the Gut Microbiome and Cellular Senescence in the Context of Aging and Disease: Perspectives and Therapeutic Opportunities.

Probiotics Antimicrob Proteins. 2022-8

[9]
Frailty, lifestyle, genetics and dementia risk.

J Neurol Neurosurg Psychiatry. 2022-4

[10]
Health-Related Quality of Life of Elderly Women with Fall Experiences.

Int J Environ Res Public Health. 2021-7-23

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