Features of the geriatric status in patients with metabolic syndrome in the context of age-related viability


如何引用文章

全文:

开放存取 开放存取
受限制的访问 ##reader.subscriptionAccessGranted##
受限制的访问 订阅或者付费存取

详细

Objective: to develop and justify a rehabilitation program aimed at increasing the age-related viability of elderly patients with metabolic syndrome (MS). Subjects and methods. The prevalence of geriatric syndromes was considered in groups with different severity of MS. The sample size was 120 elderly patients. Taking into account the revealed features of the geriatric status, the rehabilitation program included balance exercises, brain gym elements, and cognitive training, by compiling an autobiographical diary, elements of neuroscience, as well as medical support with the neurotrophic drug cortexin 10 mg. Results and discussion. Patients with MS living in older people’s homes had the following geriatric syndromes that form age-related viability: falls (55.0±0.3%), vertigo (92.1±0.4%), diminished hearing (83.3±0.2%), impaired visual acuity (95.7±0.4%), and cognitive dysfunction (55.9±0.02%). The developed cognitive rehabilitation program contains techniques focused on the individual domains of age-related viability and includes the compilation of an autobiographical diary and lessons with neuroscience elements, balance exercises, and brain gym elements, Nordic walking in particular, as well as medical support with neurotrophic drugs. Conclusion. The developed cognitive rehabilitation program considerably reduces the severity of geriatric syndromes and increases the age-related viability of elderly patients with MS.

全文:

受限制的访问

作者简介

E. Lysova

Belgorod State National Research University

Email: lyssovaea@yandex.ru

N. Zhernakova

Belgorod State National Research University

N. Solyanova

OOO Diagnostic Center, Belgorod

O. Bochko

Gerontology Research Medical Center

A. Rukavlshnlkov

Tosno Clinical Interdistrict Hospital

O. Rozhdestvenskaya

Academy of Postgraduate Education, Federal Research and Clinical Center for Specialized Types of Medical Care and Medical Technologies, Federal Biomedical Agency of Russia

参考

  1. Всемирная организация здравоохранения [официальный сайт]. Женева, 2017 [World Health Organization [ofitsial’nyi sait]. Zheneva, 2017 (in Russ.)]. URL: http://www.who.int/ru
  2. Griebling T.L. Re: Stability of geriatric syndromes in hospitalized medicare beneficiaries discharged to skilled nursing facilities. J. Urol. 2018; 199 (1): 10. doi: 10.1016/j.juro.2017.09.126
  3. Connor K.M., Davidson J.R. Development of a new resilience scale: The Connor-Davidson Resilience Scale (CD-RISC). Depress Anxiety. 2003; 18: 76-82. doi: 10.1002/da.10113. URL: https://onlinelibrary.wiley.com/doi/abs/10.1002/da.10113
  4. Dos Santos Tavares D.M., de Freitas Correa T.A., Dias F.A. et al. Frailty syndrome and socioeconomic and health characteristics among older adults. Colombia Medica. 2017; 48 (3): 126-31. doi: 10.25100/cm.v48i3.1978
  5. Ильницкий А.Н., Прощаев К.И. Старческая астения (Frailty) как концепция современной геронтологии. Геронтология. 2013; 1 (1): 5-16
  6. Ильницкий А.Н., Прощаев К.И., Матейовска-Кубешова Х. и др. Возрастная жизнеспособность в геронтологии и гериатрии (обзор). Научные результаты биомедицинских исследований. 2019; 5 (4): 102-16 doi: 10.18413/2658-6533-2019-5-4-0-8
  7. Рекомендации по ведению больных с метаболическим синдромом. Клинические рекомендации. М.: Минздрав России, 2013 [Rekomendatsii po vedeniyu bol’nykh s metabolicheskim sindromom. Klinicheskie rekomendatsii. M.: Minzdrav Rossii, 2013 (in Russ.)]. URL: https://mzdrav.rk.gov.ru/file/ mzdrav_18042014_Klinicheskie_rekomendacii_Metabolicheskij_sindrom.pdf
  8. Старцева О.Н. Синдром падений в геронтологическом стационаре. Медицинская сестра. 2016; 4: 40-2
  9. Hill K.D., Farrier K., Russell M. et al. Dysmobility syndrome: current perspectives. Clin Interv Aging. 2017; 12: 145-52. doi: 10.2147/CIA.S102961
  10. Rodill L.G., Exalto L.G., Gilsanz P. et al. Diabetic retinopathy and dementia in type 1. Alzheimer Dis Assoc Disord. 2018; 32 (2): 125-30. DOI: 10.1097/ WAD.0000000000000230. URL: https://insights.ovid.com/pubmed?pmid=29261519
  11. Pellicer M.G., Lusar A.C., Casanovas J.M. et al. Effectiveness of a multimodal exercise rehabilitation program on walking capacity and functionality after a stroke. JExercRehab. 2017; 13 (6): 666-75. doi: 10.12965/jer.1735056.528
  12. Pantoni L., Poggesi A., Diciotti S. et al. Effect of Attention Training in mild cognitive impairment patients with subcortical vascular changes: the RehAtt study. JAlzheimefs Dis. 2017; 60 (2): 615-24. doi: 10.3233/JAD-170428
  13. Hill N.T., Mowszowski L., Naismith S.L. et al. Computerized cognitive training in older adults with mild cognitive impairment or dementia: a systematic review and meta-analysis. Am J. Psychiatry. 2017; 174 (4): 329-40. DOI: 10.1176/ appi.ajp.2016.16030360
  14. Pedroli E., Serino S., Stramba-Badiale M. et al. An Innovative Virtual Reality-Based Training Program for the Rehabilitation of Cognitive Frail Patients : Lecture Notes of the Institute for Computer Sciences. In: Pervasive Computing Paradigms for Mental Health. N. Oliver, S. Serino, A. Matic et al., 2018; p. 62-6.
  15. Тляшева Л.Г., Соломатина Н.В. Влияние метода силовой кинезитерапии на качество жизни пациентов пожилого и старческого возраста. Клиническая геронтология. 2017; 23 (1-2): 31-4
  16. Соловьева А.П., Горячев Д.В., Архипов В.В. Критерии оценки когнитивных нарушений в клинических исследованиях. Ведомости Научного центра экспертизы средств медицинского применения. 2018; 8 (4): 218-24 doi: 10.30895/1991-2919-2018-8-4-218-230
  17. Мамаев А.Н., Кудлай Д.А. Статистические методы в медицине. М.: Практическая медицина, 2021; 136 с

补充文件

附件文件
动作
1. JATS XML

版权所有 © Russkiy Vrach Publishing House, 2021
##common.cookie##