Australasian Journal on Ageing最新文献_第5页

Impact of dementia on outcomes in older patients with COVID-19: A nationwide inpatient sample analysis 痴呆症对老年COVID-19患者预后的影响：一项全国住院患者样本分析

IF 1.8 4区医学 Q4 GERIATRICS & GERONTOLOGY

Australasian Journal on Ageing

Pub Date : 2025-09-08 DOI: 10.1111/ajag.70082

Ruoh Lih Lei, Wei-Min Chu, Tsu-Yin Wu, Su Chen Yu, Hsiu-Min Tsai, Ju-Lan Yang, Shih-Chia Liu

Objective

Although existing evidence suggests a potential link between dementia and adverse outcomes in patients with COVID-19, a definitive relationship is uncertain. This study aimed to evaluate the impact of dementia on in-hospital outcomes of patients in the presence of COVID-19.

Methods

The US Nationwide Inpatient Sample (NIS) was searched for patients 65 years or older hospitalised for COVID-19 in 2020. Patients were categorised into those with and without dementia before COVID-19 infection. Outcomes included in-hospital mortality, discharge to long-term care, length of stay (LOS), total hospital costs and complications. Propensity score matching (PSM) was used to balance the baseline characteristics between the groups. Regression analyses were performed to assess the associations between dementia and outcomes.

Results

After PSM, 42,214 patients were included, with equal distribution of most study variables between groups. Dementia was associated with increased in-hospital mortality (adjusted odds ratio [aOR] = 1.17, 95% confidence interval [CI]: 1.11–1.23), discharge to long-term care facilities (aOR = 4.0, 95% CI: 3.8–4.2), occurrence of any complications (aOR = 1.33, 95% CI: 1.27, 1.38), 1.12 days longer LOS (95% CI: .93–1.31) and 2.68 thousand USD higher total hospital costs (95% CI: .72–4.64). For specific complications, dementia was associated with significantly increased risks of acute respiratory distress syndrome (aOR = 1.19, 95% CI: 1.14–1.24) encephalitis, myelitis and encephalomyelitis (aOR = 4.60, 95% CI: 1.33–15.93), as well as delirium, respiratory failure and acute kidney injury.

Conclusion

Dementia is associated with worse outcomes of older patients with COVID-19.

尽管现有证据表明，COVID-19患者的痴呆与不良后果之间存在潜在联系，但明确的关系尚不确定。本研究旨在评估痴呆症对COVID-19患者住院预后的影响。方法检索2020年美国全国住院患者样本（NIS）中65岁及以上因COVID-19住院的患者。患者被分为感染COVID-19之前患有和未患有痴呆症的患者。结果包括住院死亡率、出院接受长期护理、住院时间（LOS）、总住院费用和并发症。使用倾向评分匹配（PSM）来平衡各组之间的基线特征。进行回归分析以评估痴呆与预后之间的关系。结果PSM后纳入42214例患者，大部分研究变量在组间分布均匀。痴呆与住院死亡率增加（调整优势比[aOR] = 1.17, 95%可信区间[CI]: 1.11-1.23）、出院到长期护理机构（aOR = 4.0, 95% CI: 3.8-4.2）、任何并发症的发生（aOR = 1.33, 95% CI: 1.27, 1.38）、住院时间延长1.12天（95% CI: 0.93 - 1.31）和住院总费用增加2.68万美元（95% CI: 0.72 - 4.64）相关。对于特定并发症，痴呆与急性呼吸窘迫综合征（aOR = 1.19, 95% CI: 1.14-1.24）、脑炎、脊髓炎和脑脊髓炎（aOR = 4.60, 95% CI: 1.33-15.93）以及谵妄、呼吸衰竭和急性肾损伤的风险显著增加相关。结论老年COVID-19患者预后较差与痴呆相关。

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引用次数: 0

Sit-to-stand and stand-to-sit kinematics in older adults with and without functional disability: A principal component analysis 有或无功能障碍的老年人坐-站和站-坐运动学：主成分分析

IF 1.8 4区医学 Q4 GERIATRICS & GERONTOLOGY

Australasian Journal on Ageing

Pub Date : 2025-09-02 DOI: 10.1111/ajag.70089

Juliana Moreira, Bruno Cunha, José Félix, Rubim Santos, Andreia S. P. Sousa

Objective

Sit-to-Stand (Sit-TS) and Stand-to-Sit (Stand-TS) transitions are essential daily movements affected by ageing and disability. This study aimed to explore related kinematic domains in older adults with and without disability.

Methods

A cross-sectional study including adults aged 60 years or older, with (n = 25) and without disability (n = 35). Comparisons between groups included task time, centre of mass (CoM) acceleration, postural sway and principal component (PC) scores for each task. Principal component models (PCMs) included lower limb and trunk tridimensional joint ranges of motion, angular velocity range, CoM displacement and velocity along each Sit-TS (flexion, momentum transfer, extension and stabilisation) and Stand-TS (initiation, flexion, momentum transfer and extension) phases.

Results

Older adults with functional disability exhibited increased Sit-TS peak antero-posterior CoM acceleration (p = .02). The Sit-TS and Stand-TS PCMs included nine PCs each. In Sit-TS, the first three explained half the variance: PC1 captured transverse hip and knee stabilisation kinematics, PC2 described trunk and hip frontal and transverse control during flexion, and PC3 represented sagittal knee and ankle control during momentum transfer and extension. In Stand-TS, variance was more distributed (PC1 describing frontal hip and knee flexion velocity, PC2 sagittal trunk and hip extension velocity, and PC3 vertical CoM velocity at extension). Significant group differences emerged in PC4 (transverse knee and frontal hip kinematics) and PC9 (sagittal and frontal trunk angular velocity ranges during momentum transfer).

Conclusions

Both transitions revealed distinct joint and trunk control demands. Principal components involving transverse knee, frontal hip and trunk angular velocities distinguished disability groups, with Stand-TS showing greater discriminative power.

坐到站（Sit-TS）和站到坐（Stand-TS）的转变是受年龄和残疾影响的基本日常运动。这项研究的目的是探讨相关的运动学领域的老年人有和没有残疾。方法一项横断面研究，包括年龄在60岁及以上的成年人，有（n = 25）和无残疾（n = 35）。各组之间的比较包括任务时间、质心加速度、姿势摇摆和每个任务的主成分得分。主成分模型（PCMs）包括下肢和躯干三维关节运动范围、角速度范围、CoM位移和速度沿每个Sit-TS（屈曲、动量传递、延伸和稳定）和站立- ts（起始、屈曲、动量传递和延伸）阶段。结果老年功能障碍患者Sit-TS峰前后路椎体加速度增高（p = 0.02）。Sit-TS和Stand-TS PCMs各包括9台电脑。在Sit-TS中，前三个解释了一半的差异：PC1捕获髋和膝关节横向稳定运动学，PC2描述了屈曲时躯干和髋关节的正面和横向控制，PC3代表了动量转移和伸展时膝关节和踝关节矢状面控制。在Stand-TS中，差异更为分散（PC1描述髋和膝关节的前屈速度，PC2描述躯干矢状位和髋关节伸展速度，PC3描述伸展时的垂直CoM速度）。PC4（膝关节横向和髋前方运动学）和PC9（动量转移过程中矢状面和躯干前方角速度范围）组间存在显著差异。结论两种转变均表现出明显的关节和躯干控制需求。主成分包括膝关节横向、髋前方和躯干角速度来区分残疾组，Stand-TS表现出更强的辨别能力。

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引用次数: 0

The relationship between psoas muscle index, clinical outcomes and long-term mortality in hospitalised older patients: A retrospective and observational cohort study 住院老年患者腰肌指数、临床结局和长期死亡率之间的关系：一项回顾性和观察性队列研究

IF 1.8 4区医学 Q4 GERIATRICS & GERONTOLOGY

Australasian Journal on Ageing

Pub Date : 2025-09-01 DOI: 10.1111/ajag.70088

Ilyas Akkar, Abdullah Enes Ataş, Mustafa Hakan Dogan, Zeynep Iclal Turgut, Merve Yilmaz Kars, Orhan Cicek, Muhammet Cemal Kizilarslanoglu

Objectives

This study examined the association between the psoas muscle index (PMI), hospital clinical outcomes and long-term survival in older patients hospitalised in a geriatric ward.

Methods

This retrospective study included 173 patients aged 65 years or older hospitalised in a geriatric ward (August 2020–December 2023). The PMI was measured via abdominal CT and calculated as the psoas muscle area divided by body surface area (mm²/m²). The post-discharge status of discharged patients was assessed through telephone interviews.

Results

The median age of the patients (58%, female) was 80 years (65–112 years). The median PMI value was significantly lower in patients who died in the hospital than in those who survived (p = .01). In long-term follow-up, median PMI was significantly lower in female patients who died than in survivors (p = .02). In multiple regression analyses, PMI was shown to be independently associated with in-hospital mortality in all study populations and long-term mortality in female patients. In the whole study population, the optimal cut-off value of PMI for predicting in-hospital mortality was ≤407.3 mm²/m² (p = .02); for females, it was ≤406.5 mm²/m² (p < .001); for males, it was ≤633.9 mm²/m² (p = .03). In female patients, the optimal cut-off value of PMI for predicting long-term mortality was ≤406.5 mm²/m² (p = .02); however, for the whole population and male patients, it was not statistically significant.

Conclusions

This study demonstrates that low PMI might be related to increases in in-hospital and long-term mortality rates in hospitalised older individuals. The PMI measurement may be a potential marker for predicting mortality in hospitalised older patients.

目的：本研究探讨了在老年病房住院的老年患者腰肌指数（PMI）、医院临床结果和长期生存率之间的关系。方法：本回顾性研究纳入了2020年8月至2023年12月在老年病房住院的173例65岁及以上患者。PMI通过腹部CT测量，计算为腰肌面积除以体表面积（mm2/m2）。通过电话访谈评估出院患者的出院状态。结果患者年龄中位数为80岁（65 ~ 112岁），女性占58%。住院死亡患者的PMI中位数显著低于存活患者（p = 0.01）。在长期随访中，死亡女性患者的PMI中位数显著低于存活女性患者（p = 0.02）。在多元回归分析中，PMI被证明与所有研究人群的住院死亡率和女性患者的长期死亡率独立相关。在整个研究人群中，PMI预测院内死亡率的最佳临界值≤407.3 mm2/m2 (p = 0.02)；女性≤406.5 mm2/m2 (p < .001)；男性≤633.9 mm2/m2 （p = .03）。在女性患者中，PMI预测长期死亡率的最佳临界值≤406.5 mm2/m2 (p = 0.02)；然而，对于整个人群和男性患者，没有统计学意义。结论：本研究表明，低PMI可能与住院老年人住院死亡率和长期死亡率的增加有关。PMI测量可能是预测住院老年患者死亡率的潜在标记。

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引用次数: 0

The development of a Community Service Announcement to raise awareness of the Home Medicines Review health service program 制定社区服务公告，以提高对家庭药品审查保健服务计划的认识

IF 1.8 4区医学 Q4 GERIATRICS & GERONTOLOGY

Australasian Journal on Ageing

Pub Date : 2025-08-28 DOI: 10.1111/ajag.70086

Hui Wen Quek, Deborah Hawthorne, Esther Hernandez, Angus Thompson, Georgie B. Lee, Bente Hart, Karalyn Huxtagen, Prasin Rodrigues, Anna Barwick, Tiernan McDonough, Faith Young, Brett Curie, Katie Phillips, Raymond Truong, Diana Ly, Manya Angley, Amy T. Page

Home Medicines Reviews (HMRs) conducted by credentialed pharmacists in response to referrals from medical practitioners are funded by the Australian government to improve the quality use of medicines. In late 2023, a grassroots group of credentialed pharmacists created a Community Service Announcement (CSA) to raise consumer awareness of the HMR program. Community Service Announcements are allocated airtime by mainstream media (e.g. television and radio stations) for promoting messaging in the public interest, such as health services. The HMR awareness CSA was funded by 250 donors through a GoFundMe campaign. Two days of filming with pharmacists, doctors and patients across three rural and regional areas resulted in a 28-s video and corresponding radio sound bites. The CSA aired on major national Australian broadcast networks with coverage during both on-peak and off-peak times across all states and territories. The total value of the television advertising was estimated at AUD1.65 million. Radio messages were aired 36 times over a week on stations nationwide, reaching an estimated 1,911,300 listeners, approximately 8% of the Australian population. This CSA campaign illustrated the potential of health professional initiatives to raise awareness of government health programs. By leveraging crowdfunding and community support, this activity demonstrated a model for other health professionals seeking to promote similar health promotion and awareness initiatives.

由有资格的药剂师根据医生的转诊进行的家庭药品审查由澳大利亚政府资助，目的是提高药品的使用质量。在2023年底，一个由有资格的药剂师组成的基层组织创建了一个社区服务公告（CSA），以提高消费者对HMR计划的认识。社区服务公告是由主流媒体（如电视和广播电台）分配的播放时间，用于宣传有关卫生服务等公共利益的信息。HMR意识CSA是由250名捐赠者通过GoFundMe活动资助的。在为期两天的拍摄中，我们与三个农村和地区的药剂师、医生和病人一起拍摄了一段28秒的视频和相应的广播录音。CSA在澳大利亚主要的国家广播网络上播出，在高峰和非高峰时间覆盖所有州和地区。电视广告的总价值估计为165万澳元。全国电台每周播放36次广播信息，听众约为191.13万人，约占澳大利亚人口的8%。这项CSA运动说明了卫生专业人员倡议提高对政府卫生方案认识的潜力。通过利用众筹和社区支持，这项活动为寻求推动类似健康促进和提高认识举措的其他卫生专业人员展示了一个模式。

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引用次数: 0

Perspectives on successful ageing from Lesbian, Gay, Bisexual, Transgender, Sistergirl and Brotherboy people in Australia: An exploratory content analysis 澳大利亚女同性恋、男同性恋、双性恋、变性人、姐妹女孩和兄弟男孩对成功老龄化的看法：探索性内容分析

IF 1.8 4区医学 Q4 GERIATRICS & GERONTOLOGY

Australasian Journal on Ageing

Pub Date : 2025-08-27 DOI: 10.1111/ajag.70087

Annette Brömdal, Melinda N. Stanners, Amy B. Mullens, Lisa Beccaria, Joseph Debattista, Jennifer Sargent, Lisa Wojciechowski, Chris Howard, Ann Matson, Ged Farmer, Daniel Brown

Objective

Drawing on contemporary understandings of successful ageing as a multidimensional concept, this exploratory study aimed to address a critical gap in the literature by examining the unique perceptions, expectations, and hopes of Lesbian, Gay, Bisexual, Transgender (LGBT), Sistergirl and Brotherboy people regarding successful ageing. Given the historical and ongoing discrimination faced by these communities, understanding perceptions of successful ageing is vital.

Methods

Lesbian, Gay, Bisexual, Transgender, Sistergirl and Brotherboy people were invited to complete a mixed-methods online survey about ageing and care. Responses to qualitative questions were extracted and analysed using latent content analysis to generate themes and key concepts.

Results

Findings reflected 203 participants' expectations of receiving respectful, inclusive care and support that enables them to maintain their autonomy. Living with authentic self-expression and staying connected to loved ones/community as they aged were reported as priorities. Findings highlighted the need for affordable LGBT, Sistergirl and Brotherboy-specific health and care services and accommodation.

Conclusions

Concepts of successful ageing spanned physical, mental, and emotional health and social connections. These insights provide opportunities for tailoring the enhancement and provision of services to better address the expectations and hopes of LGBT, Sistergirl and Brotherboy people ageing in Australia.

基于对成功老龄化的当代理解，本探索性研究旨在通过研究女同性恋、男同性恋、双性恋、变性人（LGBT）、姐妹女孩和兄弟男孩对成功老龄化的独特感知、期望和希望，解决文献中的一个关键空白。鉴于这些社区过去和现在所面临的歧视，理解对成功老龄化的看法至关重要。方法邀请女同性恋、男同性恋、双性恋、变性人、姐妹女孩和兄弟男孩完成一项关于老龄化和护理的混合方法在线调查。对定性问题的回答被提取出来，并使用潜在内容分析来生成主题和关键概念。调查结果反映了203名参与者对获得尊重、包容的关怀和支持的期望，这使他们能够保持自主性。据报道，随着年龄的增长，真实的自我表达和与所爱的人/社区保持联系是最重要的。调查结果强调，有必要提供可负担得起的针对LGBT、姐妹女孩和兄弟男孩的卫生保健服务和住宿。结论：成功老龄化的概念包括身体、心理、情感健康和社会关系。这些见解为定制增强和提供服务提供了机会，以更好地满足澳大利亚LGBT、Sistergirl和Brotherboy老年人的期望和希望。

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引用次数: 0

LGBT+ concerns of ageing and accessing aged care services in Australia: A cross-sectional study 澳大利亚LGBT+对老龄化和获得老年护理服务的关注：一项横断面研究

IF 1.8 4区医学 Q4 GERIATRICS & GERONTOLOGY

Australasian Journal on Ageing

Pub Date : 2025-08-26 DOI: 10.1111/ajag.70084

Krystle Scott, Daniel J. Brown, Annette Brömdal, Joseph Debattista, Ann Matson, Jennifer Sargent, Chris Howard, Ged Farmer, Lisa Wojciechowski, Lisa Beccaria, Amy B. Mullens

Objective

People older than 65 years are anticipated to comprise a steadily increasing proportion of the Australian population. This older adult population is also made up of other sub-populations that may experience similar, different or additional needs to the ‘average’ older adult, such as LGBT+ people. Given the well-documented history of oppression, stigma and discrimination, research is critically needed to understand how to best support the concerns and needs of populations such as LGBT+ people.

Method

The present cross-sectional study aimed to explore the concerns of ageing and accessing aged care services among 171 LGBT+ people in Australia.

Results

The results revealed that LGBT+ people were most concerned about their health and physical functioning, including feelings of isolation, loneliness and abandonment as they age. The results also indicated a range of specific concerns for accessing aged care services, including feeling respected and service quality and discrimination, particularly from religiously run organisations.

Conclusions

Despite a relatively small and homogenous sample, this study was able to identify important beliefs and experiences held by this cohort to help shape advocacy, policy, procedures and education.

目的预计65岁以上的人在澳大利亚人口中所占的比例将稳步上升。这些老年人口也由其他亚群体组成，这些亚群体可能经历与“普通”老年人相似、不同或额外的需求，例如LGBT+人群。鉴于压迫、耻辱和歧视的历史有案可查，迫切需要进行研究，以了解如何最好地支持LGBT+人群等群体的关切和需求。方法本研究旨在探讨澳大利亚171名LGBT+人群对老龄化和获得养老服务的关注。结果结果显示，LGBT+人群最关心的是他们的健康和身体功能，包括随着年龄的增长而产生的孤立感、孤独感和被遗弃感。调查结果还显示了人们对获得老年护理服务的一系列具体担忧，包括感觉受到尊重、服务质量和歧视，尤其是来自宗教组织的歧视。尽管样本相对较小且同质，但本研究能够确定该队列所持有的重要信念和经验，以帮助形成宣传，政策，程序和教育。

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引用次数: 0

What influences older people to join a community hub to engage in healthy ageing programs? An exploratory study 是什么影响老年人加入社区中心参与健康老龄化计划？探索性研究

IF 1.8 4区医学 Q4 GERIATRICS & GERONTOLOGY

Australasian Journal on Ageing

Pub Date : 2025-08-25 DOI: 10.1111/ajag.70079

Chiara Naseri, Anne-Marie Hill, Dan Xu, Jacqueline Francis-Coad, Sharmila Vaz, Luke Garswood, Roger Meakes, Josephine Umbella, Geraldine O'Brien, Trish Starling, Tammy Weselman

Objectives

Most people seek to stay connected to their community as they age; this has been a major focus in the development of innovative community programs in Australia. This study aimed to explore what influences older people to join a community hub to engage in healthy ageing programs.

Methods

Semi-structured interviews (n = 29) were conducted during an Open Day in early 2023 at an urban community hub in Western Australia, followed by telephone interviews (n = 9) of a purposive sample of older individuals, community hub facilitators and coordinators of national community hubs. Analysis used a socio-ecological framework.

Results

Deductive content analysis identified social prescribing as an overarching influencer for older people to join and engage in healthy ageing programs and main themes of (i) supporting community hub facilitators to harness community assets, (ii) link-supports provided to older members by paid community hub concierges triggered positive outcomes at individual and community levels, (iii) online and in-person social and physical healthy ageing activities tailored to member interests and (iv) nurturing social networks and reciprocity between members sustained engagement in healthy ageing activities.

Conclusions

The dynamic process of social prescribing was a central influencer for older adults to engage in healthy ageing programs, and the social network perpetuated through community hubs was an immeasurable social investment that boosted the resilience of intergenerational populations in Australian communities. Policy support is required for communities to meet the challenge of being responsive to the needs of members who seek to remain independent as they age in place.

随着年龄的增长，大多数人都希望与社区保持联系；这一直是澳大利亚创新社区项目发展的主要焦点。本研究旨在探讨影响老年人加入社区中心参与健康老龄化计划的因素。方法在2023年初的开放日期间，在西澳大利亚州的一个城市社区中心进行了半结构化访谈（n = 29），随后对老年人、社区中心促进者和国家社区中心协调员进行了电话访谈（n = 9）。分析使用了社会生态框架。结果：演绎内容分析确定了社会处方是老年人加入和参与健康老龄化计划的首要影响因素，以及(i)支持社区中心促进者利用社区资产的主题，（ii）由付费社区中心礼宾员向老年成员提供的联系支持在个人和社区层面引发了积极的结果。（三）根据成员的兴趣进行在线和面对面的社会和身体健康老龄化活动；（四）培育成员之间的社会网络和互惠关系，持续参与健康老龄化活动。社会处方的动态过程是老年人参与健康老龄化计划的主要影响因素，通过社区中心延续的社会网络是一项不可估量的社会投资，它提高了澳大利亚社区代际人口的适应能力。社区需要政策支持，以应对对寻求在年老时保持独立的成员的需求作出反应的挑战。

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引用次数: 0

Creativity, the arts and ageing 创造力、艺术和老龄化

IF 1.8 4区医学 Q4 GERIATRICS & GERONTOLOGY

Australasian Journal on Ageing

Pub Date : 2025-08-25 DOI: 10.1111/ajag.70085

Helen English, Tricia King

引用次数: 0

The relationship between loneliness, psychological resilience and depression in community based older people in Hong Kong: A cross-sectional survey design study 香港社区长者孤独感、心理弹性与抑郁的关系：横断面调查设计研究

IF 1.8 4区医学 Q4 GERIATRICS & GERONTOLOGY

Australasian Journal on Ageing

Pub Date : 2025-08-23 DOI: 10.1111/ajag.70083

Graeme D. Smith, Margaret Pau, Carmen Ka Yan Lau, Ken Ho, Roger Watson

Objective

Globally, loneliness in older people has become a public health concern. This study aimed to examine the relationship between loneliness, psychological resilience and depression in older adults in Hong Kong.

Methods

This cross-sectional survey design study was conducted using a convenience sampling approach. Older people were recruited to complete three validated questionnaires: the DeJong Gierveld Loneliness Scale (DJLS), the Connor Davidson (CD RISC 10) Resilience Scale and the Geriatric Depression Scale (GDS).

Results

The survey was completed by 210 older people who were attending a social care centre. Older people who said they were lonely scored significantly lower (p < .001) on the CD RISC 10 (mean 31.7, SD 7.50) than those who said they were not (mean 36.5, SD 6.9). Conversely, participants who said they were lonely scored significantly higher (p < .001) on the GDS (mean 7.3, SD 3.3) than those who said they were not (mean 2.6, SD 2.9) and on the DJLS (mean 3.7 SD, 1.4 vs. mean 2.01, SD 1.5; p < .001). Scores for resilience correlated negatively with those for depression and loneliness. There was no correlation between any of the scales and the age of the respondents.

Conclusion

The findings of this study highlight the important role resilience may play in relation to loneliness and depression in older people. Development of culturally specific resilience-building interventions may provide one approach to enhance psychological well-being, including the experience of loneliness in older people.

在全球范围内，老年人的孤独感已成为一个公共卫生问题。本研究旨在探讨香港老年人孤独感、心理弹性和抑郁之间的关系。方法采用方便抽样方法进行横断面调查设计研究。老年人被招募来完成三份有效问卷：DeJong Gierveld孤独量表（DJLS）， Connor Davidson （CD RISC 10）弹性量表和老年抑郁症量表（GDS）。结果该调查是由210名在社会护理中心的老年人完成的。说自己孤独的老年人在CD RISC 10测试中的得分（平均31.7分，标准差7.50）明显低于说自己不孤独的老年人（平均36.5分，标准差6.9）。相反，说自己孤独的参与者在GDS（平均7.3,SD 3.3）和DJLS（平均3.7 SD, 1.4 vs.平均2.01,SD 1.5; p < 0.001）上的得分明显高于那些说自己不孤独的参与者（平均2.6,SD 2.9）和DJLS（平均2.01,SD 1.5; p < 0.001）。适应力得分与抑郁和孤独得分呈负相关。这些量表与被调查者的年龄没有任何相关性。结论本研究的发现强调了弹性在老年人孤独和抑郁中可能发挥的重要作用。发展具有文化特色的复原力建设干预措施可能提供一种增强心理健康的方法，包括老年人的孤独感。

{"title":"The relationship between loneliness, psychological resilience and depression in community based older people in Hong Kong: A cross-sectional survey design study","authors":"Graeme D. Smith, Margaret Pau, Carmen Ka Yan Lau, Ken Ho, Roger Watson","doi":"10.1111/ajag.70083","DOIUrl":"https://doi.org/10.1111/ajag.70083","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Globally, loneliness in older people has become a public health concern. This study aimed to examine the relationship between loneliness, psychological resilience and depression in older adults in Hong Kong.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This cross-sectional survey design study was conducted using a convenience sampling approach. Older people were recruited to complete three validated questionnaires: the DeJong Gierveld Loneliness Scale (DJLS), the Connor Davidson (CD RISC 10) Resilience Scale and the Geriatric Depression Scale (GDS).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The survey was completed by 210 older people who were attending a social care centre. Older people who said they were lonely scored significantly lower (<i>p</i> < .001) on the CD RISC 10 (mean 31.7, SD 7.50) than those who said they were not (mean 36.5, SD 6.9). Conversely, participants who said they were lonely scored significantly higher (<i>p</i> < .001) on the GDS (mean 7.3, SD 3.3) than those who said they were not (mean 2.6, SD 2.9) and on the DJLS (mean 3.7 SD, 1.4 vs. mean 2.01, SD 1.5; <i>p</i> < .001). Scores for resilience correlated negatively with those for depression and loneliness. There was no correlation between any of the scales and the age of the respondents.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The findings of this study highlight the important role resilience may play in relation to loneliness and depression in older people. Development of culturally specific resilience-building interventions may provide one approach to enhance psychological well-being, including the experience of loneliness in older people.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 3","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144891694","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The prognostic value of the Naples Prognostic Score in older individuals with heart failure: Based on the NHANES database 那不勒斯预后评分对老年心衰患者的预后价值：基于NHANES数据库

IF 1.8 4区医学 Q4 GERIATRICS & GERONTOLOGY

Australasian Journal on Ageing

Pub Date : 2025-08-23 DOI: 10.1111/ajag.70077

Yamin Chen, Jinyu Li

Objectives

This project aimed to determine the prognostic significance of the Naples Prognostic Score (NPS) in all-cause mortality and cardiovascular disease (CVD) mortality in ageing individuals with HF.

Methods

The data of ageing individuals with HF from the NHANES database from 1999 to 2018 were used, with NPS as the independent variable, and all-cause mortality and CVD mortality as the dependent variables. The value of NPS in predicting all-cause mortality and CVD mortality in ageing individuals with HF was evaluated using weighted Kaplan–Meier (K-M) survival analysis, the random survival forest (RSF) model and the Cox proportional hazards model.

Results

A total of 1012 participants were studied, whose average age was 72.84 ± 6.90 years. The K-M curve demonstrated that the high-NPS group of ageing individuals with HF had a lower survival rate than the low-NPS group (p < .05). After adjusting for all confounding variables, the high NPS group of ageing individuals with HF showed a significantly higher risk of all-cause mortality (HR = 2.38 [1.50–3.79], p < .001) and CVD mortality (HR = 2.71 [1.11–6.64], p = .03). The RSF model demonstrated that, compared to other covariates, age and NPS were effective predictors of all-cause mortality in ageing individuals with HF, while NPS was the most effective predictor of CVD mortality.

Conclusion

Naples Prognostic Score is a powerful indicator in predicting all-cause mortality and CVD mortality in ageing individuals with HF.

本项目旨在确定那不勒斯预后评分（NPS）在老年心衰患者全因死亡率和心血管疾病（CVD）死亡率中的预后意义。方法采用1999 - 2018年NHANES数据库中老年HF患者的数据，以NPS为自变量，全因死亡率和CVD死亡率为因变量。采用加权Kaplan-Meier （K-M）生存分析、随机生存森林（RSF）模型和Cox比例风险模型评估NPS预测老年HF患者全因死亡率和心血管疾病死亡率的价值。结果共纳入1012例患者，平均年龄72.84±6.90岁。K-M曲线显示HF老年个体高nps组生存率低于低nps组（p < 0.05）。在对所有混杂变量进行校正后，高NPS组老年HF患者的全因死亡风险显著增高(HR = 2.38 [1.50-3.79], p <；001)和心血管疾病的死亡率(HR = 2.71 (1.11 - -6.64), p = 03)。RSF模型表明，与其他协变量相比，年龄和NPS是老年HF患者全因死亡率的有效预测因子，而NPS是CVD死亡率的最有效预测因子。结论那不勒斯预后评分是预测老年心衰患者全因死亡率和心血管疾病死亡率的重要指标。

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引用次数: 0