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Associations between diagnosis with stroke,comorbidities,and activity of daily living among older adults in the United States

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Chronic Diseases and Translational Medicine 2023年第2期9卷 164-176页

作者： Suebsarn Ruksakulpiwat Wendie Zhou Lalipat Phianhasin chitchanok benjasirisan Saeideh Salehizadeh Limin Wang Joachim G.Voss Department of Medical Nursing Faculty of NursingMahidol UniversityBangkokThailand School of Nursing Peking UniversityBeijingChina University Hospitals Cleveland Medical Center ClevelandOhioUSA School of Nursing Zhejiang Chinese Medical UniversityZhejiangChina Frances Payne Bolton School of Nursing Case Western Reserve UniversityClevelandOhioUSA

Background:Stroke is the leading cause of *** study aimed to investigate the association between stroke,comorbidities,and activity of daily living(ADL)among older adults in the United ***:Participants were 1165 older adults aged 60 and older from two waves(2016 and 2018)of the Health and Retirement Study who had a *** statistics were used to describe demographic information and *** regressions and multiple regression analyses were used to determine associations between stroke,comorbidities,and ***:The mean age was 75.32±9.5 years,and 55.6%were *** adjusted analysis shows that older stroke adults living with diabetes as comorbidity are significantly associated with difficulty in dressing,walking,bedding,and ***,depression was significantly associated with difficulty in dressing,walking,bathing,eating,and *** the same time,heart conditions and hypertension as comorbidity were rarely associated with difficulty in *** adjusting for age and sex,heart condition and depression are significantly associated with seeing a doctor for stroke(odds ratio[OR]:0.66;95%confidence interval[CI]:0.49-0.91;p=0.01)and stroke therapy(OR:0.46;95%CI:0.25-0.84;p=0.01).Finally,stroke problem(unstandardizedβ[B]=0.58,p=0.017)and stroke therapy(B=1.42,p<0.001)significantly predict a lower level of ***:This study could benefit healthcare professionals in developing further interventions to improve older stroke adults'lives,especially those with a high level of dependence.

关键词： activity of daily living comorbidity older adults stroke

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