配偶照护者抑郁症状与残疾照护者跌倒之间的关系：一项全国性人群队列研究

IF 3.6 2区医学 Q1 REHABILITATION

Archives of physical medicine and rehabilitation Pub Date : 2025-06-01 DOI:10.1016/j.apmr.2025.02.015

Rixiang Xu PhD , Dandan Chen MSc , LiJiangshan Hua MSc , Tingyu Mu PhD , Guiyue Ma MSc

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引用次数: 0

摘要

目的：探讨配偶照护者抑郁症状与残疾照护者跌倒风险和跌倒次数之间的关系。设计：回顾性队列研究。背景：数据来自中国健康与退休纵向研究（CHARLS）。参与者：1357对患者-护理者。干预措施：不适用。主要结果测量：在接受护理者中跌倒的发生率和需要医疗的跌倒频率。结果：护理对象平均（SD）年龄为61.6（9.1）岁，女性占62.1%。调整协变量后，发现护理者抑郁症状与跌倒风险增加32%相关（相对风险[RR] = 1.32,95%可信区间[CI] = 1.08 -1.61）。此外，仅在随访时表现出抑郁症状的护理人员跌倒需要药物治疗的相对风险为2.74 (95% CI = 1.28 -5.88)，而在基线和随访时都有抑郁症状的护理人员的相对风险为2.13 （95% CI = 1.19 -3.80）。似然比检验显示，抑郁症状分组显著改善了跌倒风险（似然比[LR] χ²(3) = 8.89,P = 0.031）和跌倒需要就医（LR χ²(3) = 14.50,P = 0.002）的模型拟合。结论：护理者抑郁症状与残疾接受护理者摔倒风险的增加以及需要医疗的摔倒频率的增加显著相关。解决照顾者的心理健康问题可能有助于减少这一人群中与跌倒相关的风险。

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Association Between Depressive Symptoms in Spousal Caregivers and Falls in Care Recipients With Disability: A Nationwide Population-Based Cohort Study

Objective

To investigate the association between depressive symptoms in spousal caregivers and both fall risk and the frequency of falls requiring medical treatment in care recipients with disabilities.

Design

A retrospective cohort study.

Setting

Data from the China Health and Retirement Longitudinal Study.

Participants

1357 patient–caregiver dyads.

Interventions

Not applicable.

Main Outcome Measures

The incidence of falls and the frequency of falls requiring medical treatment among care recipients.

Results

The mean (standard deviation) age of care recipients was 61.6 (9.1) years, and 62.1% of them were women. After adjusting for covariates, it was found that caregiver depressive symptoms were associated with a 32% higher risk of falls (relative risk [RR], 1.32; 95% confidence interval [CI], 1.08-1.61). Moreover, caregivers who exhibited depressive symptoms only at follow-up had a RR of falls requiring medical treatment of 2.74 (95% CI, 1.28-5.88), whereas those who had depressive symptoms at both the baseline and follow-up had a RR of 2.13 (95% CI, 1.19-3.80). The likelihood ratio test showed that grouping depressive symptoms significantly improved the model fit for both fall risk (likelihood ratio [LR] χ²(3)=8.89, P=.031) and falls requiring medical treatment (LR χ²(3)=14.50, P=.002).

Conclusion

Caregiver depressive symptoms are significantly associated with an increased risk of falls and a higher frequency of falls requiring medical treatment among care recipients with disabilities. Addressing the mental health of caregivers may help reduce fall-related risks in this population.

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来源期刊

Archives of physical medicine and rehabilitation 医学-康复医学

CiteScore

6.20

自引率

4.70%

发文量

495

审稿时长

38 days

期刊介绍： The Archives of Physical Medicine and Rehabilitation publishes original, peer-reviewed research and clinical reports on important trends and developments in physical medicine and rehabilitation and related fields. This international journal brings researchers and clinicians authoritative information on the therapeutic utilization of physical, behavioral and pharmaceutical agents in providing comprehensive care for individuals with chronic illness and disabilities. Archives began publication in 1920, publishes monthly, and is the official journal of the American Congress of Rehabilitation Medicine. Its papers are cited more often than any other rehabilitation journal.