单一和双重感觉障碍对上埃及老年人认知功能和心理健康的影响

Rasha Ahmed Fouad , Esteer Ibrahim Ghayth , Safaa Mostafa Abdeen , Sanaa Mostafa Khalifa
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摘要

背景:双重感觉障碍(DSI),包括视力和听力损失,越来越被认为是老年人心理健康状况不佳和认知能力下降的重要因素。然而,来自上埃及等资源有限地区的证据仍然很少。目的:本研究旨在研究上埃及社区老年人的单一和双重感觉障碍与认知功能、抑郁、焦虑和孤独之间的关系。方法对索哈格大学附属医院眼科和听力学门诊100名年龄≥60岁的成人进行描述性横断面研究。使用经过验证的工具来评估抑郁(老年抑郁量表-15,GDS-15)、焦虑(广泛性焦虑症-7,GAD-7)、孤独(加州大学洛杉矶分校孤独量表,UCLA-LS)和认知功能(迷你精神状态检查,MMSE)。数据分析采用描述性统计、方差分析、独立t检验和Pearson相关系数。结果在参与者中,52%的人有视力障碍,21%的人有听力障碍,27%的人有双重感觉丧失。观察到不良心理和认知结果的高患病率:81.3%报告中度至重度抑郁,89%报告轻度至中度焦虑,49%报告高度孤独感,80%报告认知障碍。双重感觉障碍与较差的心理结果显著相关(p<.001),但不同感觉障碍类型的认知评分无显著差异。结论双重感觉丧失与上埃及老年人抑郁、焦虑和孤独感的增加密切相关。这些发现强调了在老年护理中,特别是在上埃及等服务不足的地区,迫切需要进行综合筛查和有针对性的干预策略,以改善这一弱势群体的福祉。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Impact of single and dual sensory impairments on cognitive function and psychological well-being among older adults in Upper Egypt

Background

Dual sensory impairment (DSI), involving both vision and hearing loss, is increasingly recognized as a significant contributor to poor psychological health and cognitive decline in older adults. However, evidence from resource-limited settings, such as Upper Egypt, remains scarce.

Objectives

This study aimed to examine the associations between single and dual sensory impairments and cognitive function, depression, anxiety, and loneliness among community-dwelling older adults in Upper Egypt.

Methods

A descriptive cross-sectional study was conducted with 100 adults aged ≥60 years attending ophthalmology and audiology clinics at Sohag University Hospital. Validated tools were used to assess depression (Geriatric Depression Scale-15, GDS-15), anxiety (Generalized Anxiety Disorder-7, GAD-7), loneliness (University of California, Los Angeles Loneliness Scale, UCLA-LS), and cognitive function (Mini-Mental State Examination, MMSE). Data were analyzed using descriptive statistics, ANOVA, independent t-tests, and Pearson correlation coefficients.

Results

Among participants, 52 % had vision impairment, 21 % had hearing impairment, and 27 % reported dual sensory loss. A high prevalence of adverse psychological and cognitive outcomes was observed: 81.3 % reported moderate to severe depression, 89 % mild to moderate anxiety, 49 % high loneliness, and 80 % cognitive impairment. Dual sensory impairment was significantly associated with worse psychological outcomes (p<.001), but no significant differences in cognitive scores were found across sensory impairment types.

Conclusions

Dual sensory loss is strongly associated with increased depression, anxiety, and loneliness among older adults in Upper Egypt. These findings underscore the critical need for integrated screening and targeted intervention strategies within geriatric care, especially in underserved regions like Upper Egypt, to improve the well-being of this vulnerable population.
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