Kutner N G, Schechtman K B, Ory M G, Baker D I
Department of Rehabilitation Medicine, Emory University, Atlanta, Georgia 30322.
J Am Geriatr Soc. 1994 Jul;42(7):757-62. doi: 10.1111/j.1532-5415.1994.tb06537.x.
To investigate variation in older adults' perceived health and functioning that is associated with self-reported sleep disturbance, falling, and urinary incontinence, controlling for self-reported depression, ambulation difficulty, number of chronic conditions, and subjects' sociodemographic characteristics.
Multicenter prospective study (FICSIT).
Persons age 70 and older living in the community evaluated at baseline.
239 women, 113 men; mean age = 77.
Sleep disturbance score based on EPESE questions, recent falls history (Y/N), incontinent episodes (Y/N), CES-D score, SIP Ambulation score, and 4 MOS SF-36 scale scores.
Women were significantly more likely than men to report multiple conditions (sleep disturbance, falling, incontinence) and to report lower levels of functioning as measured by 3 of 4 SF-36 scales. In regression analyses, sleep disturbance and urinary incontinence were significant predictors of perceived limitations in usual role activities because of physical health problems. Depression and ambulation measures significantly predicted scores on all 4 SF-36 scales.
Our analysis suggests that it is important to address depressive symptomatology and ambulation difficulty--which in turn are related to sleep disturbance, falling, and urinary incontinence--in efforts to enhance older adults' perceived health and functioning.
调查老年人自我报告的睡眠障碍、跌倒和尿失禁相关的健康认知及功能变化，同时控制自我报告的抑郁、行走困难、慢性病数量以及受试者的社会人口学特征。
多中心前瞻性研究（FICSIT）。
对居住在社区的70岁及以上老年人进行基线评估。
239名女性，113名男性；平均年龄 = 77岁。
基于EPESE问题的睡眠障碍评分、近期跌倒史（是/否）、失禁发作（是/否）、CES - D评分、SIP行走评分以及4个MOS SF - 36量表评分。
女性比男性更有可能报告多种情况（睡眠障碍、跌倒、失禁），并且在4个SF - 36量表中的3个量表测量中，女性报告的功能水平更低。在回归分析中，睡眠障碍和尿失禁是由于身体健康问题导致的日常角色活动感知受限的重要预测因素。抑郁和行走测量指标显著预测了所有4个SF - 36量表的评分。
我们的分析表明，在努力提高老年人的健康认知和功能时，解决抑郁症状和行走困难很重要，而抑郁症状和行走困难又与睡眠障碍、跌倒和尿失禁相关。
