生活空间活动在慢性腰痛特征与跌倒和认知障碍的关系中的作用

IF 2.5 3区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatric Nursing Pub Date : 2025-04-09 DOI:10.1016/j.gerinurse.2025.03.012

Yurun Cai PhD, RN , Jennifer L. McCoy MA , Elizabeth A. Schlenk PhD, RN, CNL, FAAN , Edward Garay MD, PhD , Angela Gentili MD , Lenore N. Joseph MD , Laura R. Lawson MD , Michelle Rossi MD , Debra K. Weiner MD

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引用次数: 0

摘要

慢性疼痛会导致身体和认知障碍，但生活空间移动（LSM）在这一途径中的作用尚不清楚。我们研究了疼痛与跌倒和轻度认知障碍（MCI）的横断关联，并探讨LSM是否介导了279名患有慢性腰痛（CLBP）的退伍军人（平均年龄=73.3±5.0岁）的这些关联。收集疼痛特征、前3个月跌倒、快速MCI筛查和生活空间评估数据。Logistic回归模型显示，在调整社会人口统计学和健康特征后，更严重的疼痛与更大的跌倒几率（OR=1.17, 95%CI=1.01-1.36）、复发性跌倒（OR=1.26, 95%CI=1.04-1.52）和MCI （OR=1.17, 95%CI=1.01-1.35）相关。更多的疼痛干扰与更高的跌倒复发几率相关（OR=1.11, 95%CI=1.03-1.20）。结构方程模型表明，LSM完全介导了疼痛严重程度和疼痛干扰与MCI的关联。需要进一步的纵向研究来验证我们的发现。

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The role of life-space mobility in the relationship of chronic low back pain characteristics with falls and cognitive impairment

Chronic pain contributes to both physical and cognitive impairment, but the role of life-space mobility (LSM) in the pathway is unclear. We examined the cross-sectional association of pain with falls and mild cognitive impairment (MCI) and explored whether LSM mediates these associations in 279 Veterans (mean age=73.3±5.0y) in the Aging Back Clinics trial with chronic low back pain (CLBP). Data on pain characteristics, falls during the prior 3 months, Quick MCI screen, and Life-Space Assessment were collected. Logistic regression models showed that more severe pain was associated with greater odds of falls (OR=1.17, 95%CI=1.01-1.36), recurrent falls (OR=1.26, 95%CI=1.04-1.52), and MCI (OR=1.17, 95%CI=1.01-1.35), adjusting for sociodemographic and health characteristics. More pain interference was associated with greater odds of recurrent falls (OR=1.11, 95%CI=1.03-1.20). Structural equation modeling showed that LSM fully mediated the associations of pain severity and pain interference with MCI. Further longitudinal studies are needed to validate our findings.

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来源期刊

Geriatric Nursing 医学-护理

CiteScore

3.80

自引率

7.40%

发文量

257

审稿时长

>12 weeks

期刊介绍： Geriatric Nursing is a comprehensive source for clinical information and management advice relating to the care of older adults. The journal''s peer-reviewed articles report the latest developments in the management of acute and chronic disorders and provide practical advice on care of older adults across the long term continuum. Geriatric Nursing addresses current issues related to drugs, advance directives, staff development and management, legal issues, client and caregiver education, infection control, and other topics. The journal is written specifically for nurses and nurse practitioners who work with older adults in any care setting.