长期护理老年人身体功能与生活质量的关系

IF 1.5 Progress in rehabilitation medicine Pub Date : 2025-02-14 eCollection Date: 2025-01-01 DOI:10.2490/prm.20250005
Ken Kouda, Motohiko Banno, Hideki Konishi, Yasunori Umemoto, Yukio Mikami, Fumihiro Tajima, andToshikazu Kubo
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摘要

目的:在超老龄化社会中,由于并发症和残疾而需要护理的老年人数量不断增加,对医疗保健提供者构成了重大挑战,同时生活质量(QoL)也在下降。因此,调查其根本原因,制定有效的预防措施势在必行。肌肉减少症的特征是全身肌肉力量减少,由于身体功能下降,会对生活质量产生负面影响。本研究旨在阐明需要长期护理的老年人身体功能与健康相关生活质量(HRQoL)之间的相互关系。方法:受试者为老年人(男32名,女35名),需要轻度护理。HRQoL采用EuroQol Group 5-Dimensions 5-Level (EQ-5D-5L)量表进行评估。检查EQ-5D-5L评分与年龄、体重指数、SARC-CalF和性别之间的关系。EQ-5D-5L得分分别与10-s椅子站立测试、功能到达测试(FRT)、握力测试、10米步行测试和计时起跑测试(TUG)的关系进行研究。结果:EQ-5D-5L评分与性别之间存在相关性。在男性中,EQ-5D-5L与TUG测试结果之间存在相关性。在女性中,EQ-5D-5L评分与10米步行测试、FRT和TUG测试之间存在可比较的相关性。结论:研究结果揭示了需要轻度护理的老年人的身体功能(包括站立和行走)与生活质量之间的相关性。维持和提高这一人口群体的站立和行走能力应该是一个高度优先事项。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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The Relationship between Physical Function and Quality of Life in Elderly People Requiring Long-term Care.

Objectives: In an ultra-aged society, the increasing number of elderly individuals requiring nursing care because of complications and disabilities poses a significant challenge for healthcare providers, along with a decline in the quality of life (QoL). Therefore, investigating the underlying causes and establishing effective preventive measures is imperative. Sarcopenia, characterized by a reduction in muscle strength throughout the body, can negatively impact QoL because of declining physical function. This study aimed to elucidate the interrelationship between physical function and health-related quality of life (HRQoL) in elderly individuals requiring long-term care.

Methods: The participants (n=67) were elderly individuals (32 men, 35 women) requiring light nursing care. HRQoL was assessed using the EuroQol Group 5-Dimensions 5-Level (EQ-5D-5L) scale. Relationships between the EQ-5D-5L score and age, body mass index, SARC-CalF, and sex were examined. The relationships between the EQ-5D-5L score and the 10-s chair stand test, functional reach test (FRT), grip strength, 10-m walking test, and Timed Up-and-Go (TUG) test were investigated separately for men and women.

Results: A correlation was identified between EQ-5D-5L score and sex. In men, a correlation was identified between EQ-5D-5L and TUG test results. In women, a comparable correlation was observed between EQ-5D-5L score and the 10-m walking test, FRT, and TUG test.

Conclusions: The findings revealed a correlation between physical functions, including standing and walking, and QoL in elderly individuals requiring light nursing care. Maintaining and enhancing standing and walking abilities among this demographic group should be a high priority.

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