Expert consensus on the management model of full-period comprehensive rehabilitation for the functional disability of older adults_West China Medical Journal

Authors：

LIU Rui ^1,2 , YU Zhonghua ^1,2 , ZHANG Xia ^1,2 , LIANG Yuxiang ^1,2 , GAN Li ^1,2,3 , LI Lijuan ^1,2 , WANG Fengyi ^1,2 ,  WEI Quan ^1,2

1. Department of Rehabilitation Medicine and Institute of Rehabilitation Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. Key Laboratory of Rehabilitation Medicine in Sichuan Province, Chengdu, Sichuan 610041, P. R. China;
3. Affiliated Sichuan Provincial Rehabilitation Hospital of Chengdu University of TCM, Chengdu, Sichuan 610000, P. R. China;

Corresponding author：

WEI Quan, Email: weiquan@scu.edu.cn

Keywords：

Older adults; functional disability; comprehensive rehabilitation; experts consensus

DOI：

10.7507/1002-0179.202311284

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

The aging of the population is grim, and the functional disability of older adults is increasing, bringing heavy burden to society. Previous studies have shown that rehabilitation is beneficial to improve the various functional disorders of the functional disability of older adults, and help them recover their activities of daily living and improve their quality of life. However, the multi-disciplinary comprehensive management model is still in its infancy in China, and there is a lack of multi-disciplinary full-period comprehensive rehabilitation management exploration for the functional disability of older adults. Therefore, based on the relevant literature, this experts consensus summarizes the rehabilitation evaluation and intervention of the functional disability of older adults from nine functional dimensions: movement, vision, hearing, cognition, swallowing, cardiopulmonary, defecation, psychology and activities of daily life, in order to provide reference for the comprehensive rehabilitation management of the functional disability of older adults.

1.	闫伟, 何梦娇, 路云, 等. 基于 CLHLS 的我国老年人失能现状及其影响因素研究. 护理研究, 2021, 35(10): 1807-1811.
2.	党俊武, 杨晓奇, 张秋霞. 中国老龄产业发展报告(2021-2022). 北京: 社会科学文献出版社, 2023.
3.	Kresevic D, Pettis JL. Acute care for elders (ACE) units - ensuring age-friendly interdisciplinary care for older. Geriatr Nurs, 2021, 42(3): 776-779.
4.	高浪丽, 张雪梅, 谢冬梅, 等. 老年人急性期快速恢复病房的建立及其对老年病房医疗指标的影响. 实用老年医学, 2019, 33(11): 1073-1076.
5.	高超, 于普林. 老年医学多学科整合团队工作模式的进展. 中华老年医学杂志, 2020, 39(2): 238-240.
6.	Painter P, Stewart AL, Carey S. Physical functioning: definitions, measurement, and expectations. Adv Ren Replace Ther, 1999, 6(2): 110-123.
7.	赵烨婧, 沈姞, 武文斌, 等. 运动功能维护与健康老龄化. 中华老年医学杂志, 2022, 41(11): 1386-1389.
8.	吴剑卿, 陈波, 毛拥军, 等. 老年人躯体功能受损防控干预中国专家共识(2022). 中华老年医学杂志, 2022, 41(10): 1137-1145.
9.	Nelson ME, Rejeski WJ, Blair SN, et al. Physical activity and public health in older adults: recommendation from the American College of Sports Medicine and the American Heart Association. Circulation, 2007, 116(9): 1094-1105.
10.	Sparling PB, Howard BJ, Dunstan DW, et al. Recommendations for physical activity in older adults. BMJ, 2015, 350: h100.
11.	Gillespie LD, Robertson MC, Gillespie WJ, et al. Interventions for preventing falls in older people living in the community. Cochrane Database Syst Rev, 2012, 2012(9): CD007146.
12.	Jin J. Screening for impaired visual acuity in older adults. JAMA, 2016, 315(9): 954.
13.	国家重点研发计划 2020YFC2008200 项目组, 中华医学会眼科学分会眼视光学组, 中国医师协会眼科医师分会眼视光专业委员会. 中国低视力康复临床指南 (2021). 中华眼视光学与视觉科学杂志, 2021, 23(3): 161-170.
14.	Dibben G, Faulkner J, Oldridge N, et al. Exercise-based cardiac rehabilitation for coronary heart disease. Cochrane Database Syst Rev, 2021, 11(11): CD001800.
15.	Williams RD. Visual Acuity Screening in Older Adults. JAMA Ophthalmol, 2022, 140(7): 665-666.
16.	Mangione CM, Lee PP, Gutierrez PR, et al. Development of the 25-item national eye institute visual function questionnaire. Arch Ophthalmol, 2001, 119(7): 1050-1058.
17.	倪灵芝, 郑景伟, 朱昱, 等. 中文版低视力者生活质量量表的 Rasch 分析. 中华眼视光学与视觉科学杂志. 2019, 21(11): 842-848.
18.	Steinberg EP, Tielsch JM, Schein OD, et al. The VF-14. An index of functional impairment in patients with cataract. Arch Ophthalmol, 1994, 112(5): 630-638.
19.	Stein JD, Khawaja AP, Weizer JS. Glaucoma in adults-screening, diagnosis, and management: a review. JAMA, 2021, 325(2): 164-174.
20.	鲁心灵, 李欣, 邱卓英, 等. 视力残疾人康复需求和康复服务发展状况 Logistic 回归分析研究. 中国康复理论与实践. 2020, 26(5): 513-517.
21.	Ye H, Zeng Y, Xiao H, et al. Prevalence and factors associated with visual impairment in middle-aged and older Chinese population. Front Med (Lausanne), 2022, 9: 962729.
22.	Coleman AL, Mcleod SD. Screening for Impaired Visual Acuity in Older Adults. JAMA, 2022, 327(21): 2090-2091.
23.	World Health Organization Prevention of Blindness and Deafness. Guidelines for hearing aids and services for developing countries. (2001-07)[2023-11-27].https://iris.who.int/handle/10665/67889.
24.	Ryan B. Models of low vision care: past, present and future. Clin Exp Optom, 2014, 97(3): 209-213.
25.	全国防聋治聋技术指导组, 中华医学会耳鼻咽喉头颈外科学分会, 中华耳鼻咽喉头颈外科杂志编辑委员会, 等. 老年听力损失诊断与干预专家共识(2019). 中华耳鼻咽喉头颈外科杂志, 2019, 54(3): 166-173.
26.	GBD 2015 Disease and Injury Incidence and Prevalence Collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 310 diseases and injuries, 1990-2015: a systematic analysis for the Global Burden of Disease Study 2015. Lancet, 2016, 388(10053): 1545-1602.
27.	鲜圆圆, 高静, 陈欢, 等. 中国老年听力损失患病率的 Meta 分析. 现代预防医学. 2022, 49(13): 2451-2458.
28.	翟秀云, 刘博, 张玉和, 等. 老年听力障碍筛查量表在老年性聋调查中的应用与相关性分析. 中国耳鼻咽喉头颈外科. 2016, 23(1): 27-30.
29.	Gatehouse S, Noble W. The speech, spatial and qualities of hearing scale (SSQ). Int J Audiol, 2004, 43(2): 85-99.
30.	Potgieter JM, Swanepoel de W, Myburgh HC, et al. Development and validation of a smartphone-based digits-in-noise hearing test in South African English. Int J Audiol, 2015, 55(7): 405-411.
31.	葛剑力, 耿莎莎, 段吉茸, 等. 老年听力损失筛查模式研究进展. 中国初级卫生保健, 2022, 36(11): 34-38.
32.	孙晋, 牟宏宇, 沈志豪, 等. 听力损失老年人佩戴助听器前后皮层听觉诱发电位与言语感知的研究. 听力学及言语疾病杂志, 2022, 30(1): 11-16.
33.	王越, 张华, 郑中伟, 等. 老年性听力损失患者普通话双音节词表测试结果分析. 听力学及言语疾病杂志, 2017, 25(6): 557-562.
34.	程子玮, 陈佳妮, 邱卓英, 等. 听力残疾人康复需求与康复服务发展状况 Logistic 回归分析研究. 中国康复理论与实践. 2020, 26(5): 518-522.
35.	刘博, 赵啸天, 陈雪清, 等. 老年前期人工耳蜗植入患者听力言语康复策略探讨. 中国听力语言康复科学杂志, 2004(2): 13-16.
36.	Jongsiriyanyong S, Limpawattan P. Mild cognitive impairment in clinical practice: a review article. Am J Alzheimers Dis Other Demen, 2018, 33(8): 500-507.
37.	Jia L, Du Y, Chu L, et al. Prevalence, risk factors, and management of dementia and mild cognitive impairment in adults aged 60 years or older in China: a cross-sectional study. Lancet Public Health, 2020, 5(12): e661-e671.
38.	贾建平, 王荫华, 张朝东, 等. 中国痴呆与认知障碍诊治指南(一): 痴呆诊断流程. 中华医学杂志, 2011, 91(9): 577-581.
39.	中国医师协会神经内科医师分会, 认知训练中国指南写作组. 认知训练中国指南(2022 年版). 中华医学杂志, 2022, 102(37): 2918-2925.
40.	Harvey PD, Zayas-Bazan M, Tibiriçá L, et al. Improvements in cognitive performance with computerized training in older people with and without cognitive impairment: synergistic effects of skills-focused and cognitive-focused strategies. Am J Geriatr Psychiatry, 2022, 30(6): 717-726.
41.	Manera V, Chapoulie E, Bourgeois J, et al. A feasibility study with image-based rendered virtual reality in patients with mild cognitive impairment and dementia. PloS one, 2016, 11(3): e0151487.
42.	认知训练中国专家共识写作组, 中国医师协会神经内科医师分会认知障碍疾病专业委员会. 认知训练中国专家共识. 中华医学杂志, 2019, 99(1): 4-8.
43.	Wang CM, Chen JY, Chuang CC, et al. Aging-related changes in swallowing, and in the coordination of swallowing and respiration determined by novel non-invasive measurement techniques. Geriatr Gerontol Int, 2015, 15(6): 736-744.
44.	Logemann JA. Effects of aging on the swallowing mechanism. Otolaryngol Clin North Am, 1990, 23(6): 1045-1056.
45.	Ekberg O, Feinberg MJ. Altered swallowing function in elderly patients without dysphagia: radiologic findings in 56 cases. AJR Am J Roentgenol, 1991, 156(6): 1181-1184.
46.	Sonies BC. Oropharyngeal dysphagia in the elderly. Clin Geriatr Med, 1992, 8(3): 569-577.
47.	Aslam M, Vaezi MF. Dysphagia in the elderly. Gastroenterol Hepatol (N Y), 2013, 9(12): 784-795.
48.	Logemann JA, Curro FA, Pauloski B, et al. Aging effects on oropharyngeal swallow and the role of dental care in oropharyngeal dysphagia. Oral Dis, 2013, 19(8): 733-737.
49.	陈卫宏, 杨玲, 陈悦, 等. 中国老年人吞咽障碍检出率的 Meta 分析. 中国疗养医学, 2023, 32(10): 1045-1051.
50.	Keeling WB, Hernandez JM, Lewis V, et al. Increased age is an independent risk factor for radiographic aspiration and laryngeal penetration after thoracotomy for pulmonary resection. J Thorac Cardiovasc Surg, 2010, 140(3): 573-577.
51.	Hiramatsu T, Kataoka H, Osaki M, et al. Effect of aging on oral and swallowing function after meal consumption. Clin Interv Aging, 2015, 10: 229-235.
52.	Joundi RA, Martino R, Saposnik G, et al. Predictors and outcomes of dysphagia screening after acute ischemic stroke. Stroke, 2017, 48(4): 900-906.
53.	Andrade PA, Santos CAD, Firmino HH, et al. The importance of dysphagia screening and nutritional assessment in hospitalized patients. Einstein (Sao Paulo), 2018, 16(2): eAO4189.
54.	Díez-Manglano J, Arnal-Longares MJ, AL-Cheikh-Felices P, et al. Norton scale score on admission and mortality of patients hospitalised in internal medicine departments. Rev Clin Esp (Barc), 2018, 218(4): 177-184.
55.	Chase JD, Phillips LJ, Brown M. Physical activity intervention effects on physical function among community-dwelling older adults: a systematic review and meta-analysis. J Aging Phys Act, 2017, 25(1): 149-170.
56.	de Lima Alvarenga EH, Dall'Oglio GP, Murano EZ, et al. Continuum theory: presbyphagia to dysphagia? Functional assessment of swallowing in the elderly. Eur Arch Otorhinolaryngol, 2018, 275(2): 443-449.
57.	Cock C, Besanko LK, Burgstad CM, et al. Age-related impairment of esophagogastric junction relaxation and bolus flow time. World J Gastroenterol, 2017, 23(15): 2785-2794.
58.	Wada S, Kawate N, Mizuma M. What type of food can older adults masticate?: evaluation of mastication performance using color-changeable chewing gum. Dysphagia, 2017, 32(5): 636-643.
59.	Miles A, Jardine M, Johnston F, et al. Effect of lee silverman voice treatment (LSVT LOUD^®) on swallowing and cough in Parkinson's disease: a pilot study. J Neurol Sci, 2017, 383: 180-187.
60.	Oba S, Tohara H, Nakane A, et al. Screening tests for predicting the prognosis of oral intake in elderly patients with acute pneumonia. Odontology, 2017, 105(1): 96-102.
61.	Lan SH, Lu LC, Yen YY, et al. Tube feeding among elder in long-term care facilities: a systematic review and meta-analysis. J Nutr Health Aging, 2017, 21(1): 31-37.
62.	Morisaki N. Relationship between swallowing functions and health-related quality of life among community-dwelling dependent older individuals. Jpn J Nurs Sci, 2017, 14(4): 353-363.
63.	Moon HI, Nam JS, Leem MJ, et al. Periventricular white matter lesions as a prognostic factor of swallowing function in older patients with mild stroke. Dysphagia, 2017, 32(4): 480-486.
64.	Moon HI, Kim GS, Lee E. Is the location of white matter lesions important in the swallowing function of older patients with mild stroke?. Dysphagia, 2019, 34(3): 407-414.
65.	Pryor LN, Ward EC, Cornwell PL, et al. Impact of nasogastric tubes on swallowing physiology in older, healthy subjects: a randomized controlled crossover trial. Clin Nutr, 2015, 34(4): 572-578.
66.	Wang ZY, Chen JM, Ni GX. Effect of an indwelling nasogastric tube on swallowing function in elderly post-stroke dysphagia patients with long-term nasal feeding. BMC neurology, 2019, 19(1): 83.
67.	Wilmskoetter J, Bonilha L, Martin-Harris B, et al. Mapping acute lesion locations to physiological swallow impairments after stroke. Neuroimage Clin, 2019, 22: 101685.
68.	Bath PM, Lee HS, Everton LF. Swallowing therapy for dysphagia in acute and subacute stroke. Cochrane Database Syst Rev, 2018, 10(10): CD000323.
69.	Ashiga H, Takei E, Mangara J, et al. Effect of attention on chewing and swallowing behaviors in healthy humans. Sci Rep, 2019, 9(1): 6013.
70.	Castagna A, Ferrara L, Asnaghi E, et al. Functional limitations and cognitive impairment predict the outcome of dysphagia in older patients after an acute neurologic event. NeuroRehabilitation, 2019, 44(3): 413-418.
71.	Sniderman AD, Furberg CD. Age as a modifiable risk factor for cardiovascular disease. Lancet, 2008, 371(9623): 1547-1549.
72.	Zhao D, Liu J, Xie W, et al. Cardiovascular risk assessment: a global perspective. Nat Rev Cardiol, 2015, 12(5): 301-311.
73.	The Lancet. GBD 2017: a fragile world. Lancet, 2018, 392(10159): 1683.
74.	India State-Level Disease Burden Initiative CRD Collaborators. The burden of chronic respiratory diseases and their heterogeneity across the states of India: the global burden of disease study 1990-2016. Lancet Glob Health, 2018, 6(12): e1363-e1374.
75.	GBD 2017 Causes of Death Collaborators. Global, regional, and national age-sex-specific mortality for 282 causes of death in 195 countries and territories, 1980-2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet, 2018, 392(10159): 1736-1788.
76.	GBD 2017 Disease and Injury Incidence and Prevalence Collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet, 2018, 392(10159): 1789-1858.
77.	陈歆, 李燕, 刘靖, 等. 高血压患者高质量血压管理中国专家建议. 中华高血压杂志, 2024, 32: 1-8.
78.	中华医学会心血管病学分会介入心脏病学组, 中华医学会心血管病学分会动脉粥样硬化与冠心病学组, 中国医师协会心血管内科医师分会血栓防治专业委员会, 等. 稳定性冠心病诊断与治疗指南. 中华心血管病杂志, 2018, 46(9): 680-694.
79.	中华医学会心血管病学分会心力衰竭学组, 中国医师协会心力衰竭专业委员会, 中华心血管病杂志编辑委员会. 中国心力衰竭诊断和治疗指南 2018. 中华心血管病杂志, 2018, 46(10): 760-789.
80.	中华医学会呼吸病学分会慢性阻塞性肺疾病学组, 中国医师协会呼吸医师分会慢性阻塞性肺疾病工作委员会. 慢性阻塞性肺疾病诊治指南(2021 年修订版). 中华结核和呼吸杂志, 2021, 44(3): 170-205.
81.	Moore KJ, Koplev S, Fisher EA, et al. Macrophage trafficking, inflammatory resolution, and genomics in atherosclerosis: JACC Macrophage in CVD Series (part 2). J Am Coll Cardiol, 2018, 72(18): 2181-2197.
82.	Furman D, Chang J, Lartigue L, et al. Expression of specific inflammasome gene modules stratifies older individuals into two extreme clinical and immunological states. Nat Med, 2017, 23(2): 174-184.
83.	Jaiswal S, Natarajan P, Silver AJ, et al. Clonal hematopoiesis and risk of atherosclerotic cardiovascular disease. N Engl J Med, 2017, 377(2): 111-121.
84.	Gibson CJ, Lindsley RC, Tchekmedyian V, et al. Clonal hematopoiesis associated with adverse outcomes after autologous stem-cell transplantation for lymphoma. J Clin Oncol, 2017, 35(14): 1598-1605.
85.	Buscarlet M, Provost S, Zada YF, et al. DNMT3A and TET2 dominate clonal hematopoiesis and demonstrate benign phenotypes and different genetic predispositions. Blood, 2017, 130(6): 753-762.
86.	Abelson S, Collord G, NG SWK, et al. Prediction of acute myeloid leukaemia risk in healthy individuals. Nature, 2018, 559(7714): 400-404.
87.	Taylor MS, Chivukula RR, Myers LC, et al. A conserved distal lung regenerative pathway in acute lung injury. Am J Pathol, 2018, 188(5): 1149-1160.
88.	Lee JH, Rawlins EL. Developmental mechanisms and adult stem cells for therapeutic lung regeneration. Dev Biol, 2018, 433(2): 166-176.
89.	Tata PR, Rajagopal J. Plasticity in the lung: making and breaking cell identity. Development, 2017, 144(5): 755-766.
90.	Zacharias WJ, Frank DB, Zepp JA, et al. Regeneration of the lung alveolus by an evolutionarily conserved epithelial progenitor. Nature, 2018, 555(7695): 251-255.
91.	Yang J, Zuo WL, Fukui T, et al. Smoking-dependent distal-to-proximal repatterning of the adult human small airway epithelium. Am J Respir Crit Care Med, 2017, 196(3): 340-352.
92.	NG-Blichfeldt JP, Schrik A, Kortekaas RK, et al. Retinoic acid signaling balances adult distal lung epithelial progenitor cell growth and differentiation. EBioMedicine, 2018, 36: 461-474.
93.	Kavanagh A, Baverstock R, Campeau L, et al. Canadian Urological Association Guideline: diagnosis, management, and surveillance of neurogenic lower urinary tract dysfunction-executive summary. Can Urol Assoc J, 2019, 13(6): 156-165.
94.	李一夫, 李晓琳, 张岩, 等. 国际前列腺症状评分的汉化与评价. 全科医学临床与教育, 2019, 17(4): 305-307.
95.	Homma Y, Yoshida M, Seki N, et al. Symptom assessment tool for overactive bladder syndrome--overactive bladder symptom score. Urology, 2006, 68(2): 318-323.
96.	中国医师协会肛肠医师分会, 中国医师协会肛肠医师分会肛肠疾病专家委员会, 中国医师协会肛肠医师分会临床指南工作委员会. 排粪失禁临床诊治中国专家共识(2022 版). 中华胃肠外科杂志, 2022, 25(12): 1065-1072.
97.	中华医学会消化病学分会胃肠动力学组, 功能性胃肠病协作组. 中国慢性便秘专家共识意见(2019, 广州). 中华消化杂志, 2019, 39(9): 577-598.
98.	Denormandie A, Chartier-Kastler E, Haddad R, et al. Long-term functional outcomes of artificial urinary sphincter (AMS 800^TM) implantation in women aged over 75 years and suffering from stress urinary incontinence caused by intrinsic sphincter deficiency. World J Urol, 2021, 39(10): 3897-3902.
99.	吴念韦, 杨帆, 夏静, 等. 我国中老年人抑郁现况及其影响因素分析. 四川大学学报(医学版), 2021, 52(5): 776-771.
100.	汪苗, 潘庆. 我国老年人焦虑状况城乡差异及影响因素分析. 中国全科医学, 2021, 24(31): 3963-3970.
101.	中华医学会精神医学分会老年精神医学组. 老年期抑郁障碍诊疗专家共识. 中华精神科杂志, 2017, 50(5): 329-334.
102.	黄延焱. 关注社区老年人群抑郁障碍问题. 老年医学与保健, 2022, 28(5): 958-960.
103.	Porensky EK, Dew MA, Karp JF, et al. The burden of late-life generalized anxiety disorder: effects on disability, health-related quality of life, and healthcare utilization. The American journal of geriatric psychiatry : official journal of the American Associatio Am J Geriatr Psychiatry, 2009, 17(6): 473-482.
104.	王征宇. 症状自评量表(SCL-90). 上海精神医学, 1984(2): 68-70.
105.	傅宏, 陈庆荣. 积极老龄化: 全球视野下的老年心理健康研究和实践探索. 心理与行为研究, 2015, 13(5): 713-720.
106.	李紫梦, 罗屹惟, 张春梅, 等. 中国老年心理健康研究的文献计量学分析. 中国老年学杂志, 2020, 40(4): 810-814.
107.	中华医学会, 中华医学会杂志社, 中华医学会全科医学分会, 等. 广泛性焦虑障碍基层诊疗指南(2021 年). 中华全科医师杂志, 2021, 20(12): 1232-1241.
108.	卢瑾, 李凌江, 许秀峰. 中国抑郁障碍防治指南(第二版)解读: 评估与诊断. 中华精神科杂志, 2017, 50(3): 169-171.
109.	National Institute for Health and Care Excellence: Guidelines. Depression in adults: treatment and management. London: National Institute for Health and Care Excellence (NICE) Copyright ^© NICE 2022, 2022.
110.	Tian H, Li G, Xu G, et al. Inflammatory cytokines derived from peripheral blood contribute to the modified electroconvulsive therapy-induced cognitive deficits in major depressive disorder. Eur Arch Psychiatry Clin Neurosci, 2021, 271(3): 475-485.
111.	Abo Aoun M, Meek BP, Modirrousta M. Cognitive profiles in major depressive disorder: comparing remitters and non-remitters to rTMS treatment. Psychiatry Res, 2019, 279: 55-61.
112.	Zhao X, Ma J, Wu S, et al. Light therapy for older patients with non-seasonal depression: a systematic review and meta-analysis. J Affect Disord, 2018, 232: 291-299.
113.	Pearce M, Garcia L, Abbas A, et al. Association between physical activity and risk of depression: a systematic review and meta-analysis. JAMA Psychiatry, 2022, 79(6): 550-559.
114.	Heissel A, Heinen D, Brokmeier LL, et al. Exercise as medicine for depressive symptoms? A systematic review and meta-analysis with meta-regression. Br J Sports Med, 2023, 57(16): 1049-1057.
115.	刘梦雅, 张利, 张梦, 等. 中国老年人内在能力与日常生活活动的相关性: 基于 CHARLS 数据. 中国康复理论与实践, 2023, 29(10): 1140-1146.
116.	张片红, 郭惠兰. 老年患者营养诊疗专家共识. 浙江医学, 2023, 45(2): 113-120.
117.	陈旭娇, 严静, 王建业, 等. 中国老年综合评估技术应用专家共识. 中华老年病研究电子杂志, 2017, 4(2): 1-6.
118.	邱纪方, 李建华, 梁小平, 等. 康复科住院患者功能独立性测量与住院费用和时间的关系. 中华物理医学与康复杂志, 2002, 24(7): 391-395.

1. 闫伟, 何梦娇, 路云, 等. 基于 CLHLS 的我国老年人失能现状及其影响因素研究. 护理研究, 2021, 35(10): 1807-1811.
2. 党俊武, 杨晓奇, 张秋霞. 中国老龄产业发展报告(2021-2022). 北京: 社会科学文献出版社, 2023.
3. Kresevic D, Pettis JL. Acute care for elders (ACE) units - ensuring age-friendly interdisciplinary care for older. Geriatr Nurs, 2021, 42(3): 776-779.
4. 高浪丽, 张雪梅, 谢冬梅, 等. 老年人急性期快速恢复病房的建立及其对老年病房医疗指标的影响. 实用老年医学, 2019, 33(11): 1073-1076.
5. 高超, 于普林. 老年医学多学科整合团队工作模式的进展. 中华老年医学杂志, 2020, 39(2): 238-240.
6. Painter P, Stewart AL, Carey S. Physical functioning: definitions, measurement, and expectations. Adv Ren Replace Ther, 1999, 6(2): 110-123.
7. 赵烨婧, 沈姞, 武文斌, 等. 运动功能维护与健康老龄化. 中华老年医学杂志, 2022, 41(11): 1386-1389.
8. 吴剑卿, 陈波, 毛拥军, 等. 老年人躯体功能受损防控干预中国专家共识(2022). 中华老年医学杂志, 2022, 41(10): 1137-1145.
9. Nelson ME, Rejeski WJ, Blair SN, et al. Physical activity and public health in older adults: recommendation from the American College of Sports Medicine and the American Heart Association. Circulation, 2007, 116(9): 1094-1105.
10. Sparling PB, Howard BJ, Dunstan DW, et al. Recommendations for physical activity in older adults. BMJ, 2015, 350: h100.
11. Gillespie LD, Robertson MC, Gillespie WJ, et al. Interventions for preventing falls in older people living in the community. Cochrane Database Syst Rev, 2012, 2012(9): CD007146.
12. Jin J. Screening for impaired visual acuity in older adults. JAMA, 2016, 315(9): 954.
13. 国家重点研发计划 2020YFC2008200 项目组, 中华医学会眼科学分会眼视光学组, 中国医师协会眼科医师分会眼视光专业委员会. 中国低视力康复临床指南 (2021). 中华眼视光学与视觉科学杂志, 2021, 23(3): 161-170.
14. Dibben G, Faulkner J, Oldridge N, et al. Exercise-based cardiac rehabilitation for coronary heart disease. Cochrane Database Syst Rev, 2021, 11(11): CD001800.
15. Williams RD. Visual Acuity Screening in Older Adults. JAMA Ophthalmol, 2022, 140(7): 665-666.
16. Mangione CM, Lee PP, Gutierrez PR, et al. Development of the 25-item national eye institute visual function questionnaire. Arch Ophthalmol, 2001, 119(7): 1050-1058.
17. 倪灵芝, 郑景伟, 朱昱, 等. 中文版低视力者生活质量量表的 Rasch 分析. 中华眼视光学与视觉科学杂志. 2019, 21(11): 842-848.
18. Steinberg EP, Tielsch JM, Schein OD, et al. The VF-14. An index of functional impairment in patients with cataract. Arch Ophthalmol, 1994, 112(5): 630-638.
19. Stein JD, Khawaja AP, Weizer JS. Glaucoma in adults-screening, diagnosis, and management: a review. JAMA, 2021, 325(2): 164-174.
20. 鲁心灵, 李欣, 邱卓英, 等. 视力残疾人康复需求和康复服务发展状况 Logistic 回归分析研究. 中国康复理论与实践. 2020, 26(5): 513-517.
21. Ye H, Zeng Y, Xiao H, et al. Prevalence and factors associated with visual impairment in middle-aged and older Chinese population. Front Med (Lausanne), 2022, 9: 962729.
22. Coleman AL, Mcleod SD. Screening for Impaired Visual Acuity in Older Adults. JAMA, 2022, 327(21): 2090-2091.
23. World Health Organization Prevention of Blindness and Deafness. Guidelines for hearing aids and services for developing countries. (2001-07)[2023-11-27].https://iris.who.int/handle/10665/67889.
24. Ryan B. Models of low vision care: past, present and future. Clin Exp Optom, 2014, 97(3): 209-213.
25. 全国防聋治聋技术指导组, 中华医学会耳鼻咽喉头颈外科学分会, 中华耳鼻咽喉头颈外科杂志编辑委员会, 等. 老年听力损失诊断与干预专家共识(2019). 中华耳鼻咽喉头颈外科杂志, 2019, 54(3): 166-173.
26. GBD 2015 Disease and Injury Incidence and Prevalence Collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 310 diseases and injuries, 1990-2015: a systematic analysis for the Global Burden of Disease Study 2015. Lancet, 2016, 388(10053): 1545-1602.
27. 鲜圆圆, 高静, 陈欢, 等. 中国老年听力损失患病率的 Meta 分析. 现代预防医学. 2022, 49(13): 2451-2458.
28. 翟秀云, 刘博, 张玉和, 等. 老年听力障碍筛查量表在老年性聋调查中的应用与相关性分析. 中国耳鼻咽喉头颈外科. 2016, 23(1): 27-30.
29. Gatehouse S, Noble W. The speech, spatial and qualities of hearing scale (SSQ). Int J Audiol, 2004, 43(2): 85-99.
30. Potgieter JM, Swanepoel de W, Myburgh HC, et al. Development and validation of a smartphone-based digits-in-noise hearing test in South African English. Int J Audiol, 2015, 55(7): 405-411.
31. 葛剑力, 耿莎莎, 段吉茸, 等. 老年听力损失筛查模式研究进展. 中国初级卫生保健, 2022, 36(11): 34-38.
32. 孙晋, 牟宏宇, 沈志豪, 等. 听力损失老年人佩戴助听器前后皮层听觉诱发电位与言语感知的研究. 听力学及言语疾病杂志, 2022, 30(1): 11-16.
33. 王越, 张华, 郑中伟, 等. 老年性听力损失患者普通话双音节词表测试结果分析. 听力学及言语疾病杂志, 2017, 25(6): 557-562.
34. 程子玮, 陈佳妮, 邱卓英, 等. 听力残疾人康复需求与康复服务发展状况 Logistic 回归分析研究. 中国康复理论与实践. 2020, 26(5): 518-522.
35. 刘博, 赵啸天, 陈雪清, 等. 老年前期人工耳蜗植入患者听力言语康复策略探讨. 中国听力语言康复科学杂志, 2004(2): 13-16.
36. Jongsiriyanyong S, Limpawattan P. Mild cognitive impairment in clinical practice: a review article. Am J Alzheimers Dis Other Demen, 2018, 33(8): 500-507.
37. Jia L, Du Y, Chu L, et al. Prevalence, risk factors, and management of dementia and mild cognitive impairment in adults aged 60 years or older in China: a cross-sectional study. Lancet Public Health, 2020, 5(12): e661-e671.
38. 贾建平, 王荫华, 张朝东, 等. 中国痴呆与认知障碍诊治指南(一): 痴呆诊断流程. 中华医学杂志, 2011, 91(9): 577-581.
39. 中国医师协会神经内科医师分会, 认知训练中国指南写作组. 认知训练中国指南(2022 年版). 中华医学杂志, 2022, 102(37): 2918-2925.
40. Harvey PD, Zayas-Bazan M, Tibiriçá L, et al. Improvements in cognitive performance with computerized training in older people with and without cognitive impairment: synergistic effects of skills-focused and cognitive-focused strategies. Am J Geriatr Psychiatry, 2022, 30(6): 717-726.
41. Manera V, Chapoulie E, Bourgeois J, et al. A feasibility study with image-based rendered virtual reality in patients with mild cognitive impairment and dementia. PloS one, 2016, 11(3): e0151487.
42. 认知训练中国专家共识写作组, 中国医师协会神经内科医师分会认知障碍疾病专业委员会. 认知训练中国专家共识. 中华医学杂志, 2019, 99(1): 4-8.
43. Wang CM, Chen JY, Chuang CC, et al. Aging-related changes in swallowing, and in the coordination of swallowing and respiration determined by novel non-invasive measurement techniques. Geriatr Gerontol Int, 2015, 15(6): 736-744.
44. Logemann JA. Effects of aging on the swallowing mechanism. Otolaryngol Clin North Am, 1990, 23(6): 1045-1056.
45. Ekberg O, Feinberg MJ. Altered swallowing function in elderly patients without dysphagia: radiologic findings in 56 cases. AJR Am J Roentgenol, 1991, 156(6): 1181-1184.
46. Sonies BC. Oropharyngeal dysphagia in the elderly. Clin Geriatr Med, 1992, 8(3): 569-577.
47. Aslam M, Vaezi MF. Dysphagia in the elderly. Gastroenterol Hepatol (N Y), 2013, 9(12): 784-795.
48. Logemann JA, Curro FA, Pauloski B, et al. Aging effects on oropharyngeal swallow and the role of dental care in oropharyngeal dysphagia. Oral Dis, 2013, 19(8): 733-737.
49. 陈卫宏, 杨玲, 陈悦, 等. 中国老年人吞咽障碍检出率的 Meta 分析. 中国疗养医学, 2023, 32(10): 1045-1051.
50. Keeling WB, Hernandez JM, Lewis V, et al. Increased age is an independent risk factor for radiographic aspiration and laryngeal penetration after thoracotomy for pulmonary resection. J Thorac Cardiovasc Surg, 2010, 140(3): 573-577.
51. Hiramatsu T, Kataoka H, Osaki M, et al. Effect of aging on oral and swallowing function after meal consumption. Clin Interv Aging, 2015, 10: 229-235.
52. Joundi RA, Martino R, Saposnik G, et al. Predictors and outcomes of dysphagia screening after acute ischemic stroke. Stroke, 2017, 48(4): 900-906.
53. Andrade PA, Santos CAD, Firmino HH, et al. The importance of dysphagia screening and nutritional assessment in hospitalized patients. Einstein (Sao Paulo), 2018, 16(2): eAO4189.
54. Díez-Manglano J, Arnal-Longares MJ, AL-Cheikh-Felices P, et al. Norton scale score on admission and mortality of patients hospitalised in internal medicine departments. Rev Clin Esp (Barc), 2018, 218(4): 177-184.
55. Chase JD, Phillips LJ, Brown M. Physical activity intervention effects on physical function among community-dwelling older adults: a systematic review and meta-analysis. J Aging Phys Act, 2017, 25(1): 149-170.
56. de Lima Alvarenga EH, Dall'Oglio GP, Murano EZ, et al. Continuum theory: presbyphagia to dysphagia? Functional assessment of swallowing in the elderly. Eur Arch Otorhinolaryngol, 2018, 275(2): 443-449.
57. Cock C, Besanko LK, Burgstad CM, et al. Age-related impairment of esophagogastric junction relaxation and bolus flow time. World J Gastroenterol, 2017, 23(15): 2785-2794.
58. Wada S, Kawate N, Mizuma M. What type of food can older adults masticate?: evaluation of mastication performance using color-changeable chewing gum. Dysphagia, 2017, 32(5): 636-643.
59. Miles A, Jardine M, Johnston F, et al. Effect of lee silverman voice treatment (LSVT LOUD^®) on swallowing and cough in Parkinson's disease: a pilot study. J Neurol Sci, 2017, 383: 180-187.
60. Oba S, Tohara H, Nakane A, et al. Screening tests for predicting the prognosis of oral intake in elderly patients with acute pneumonia. Odontology, 2017, 105(1): 96-102.
61. Lan SH, Lu LC, Yen YY, et al. Tube feeding among elder in long-term care facilities: a systematic review and meta-analysis. J Nutr Health Aging, 2017, 21(1): 31-37.
62. Morisaki N. Relationship between swallowing functions and health-related quality of life among community-dwelling dependent older individuals. Jpn J Nurs Sci, 2017, 14(4): 353-363.
63. Moon HI, Nam JS, Leem MJ, et al. Periventricular white matter lesions as a prognostic factor of swallowing function in older patients with mild stroke. Dysphagia, 2017, 32(4): 480-486.
64. Moon HI, Kim GS, Lee E. Is the location of white matter lesions important in the swallowing function of older patients with mild stroke?. Dysphagia, 2019, 34(3): 407-414.
65. Pryor LN, Ward EC, Cornwell PL, et al. Impact of nasogastric tubes on swallowing physiology in older, healthy subjects: a randomized controlled crossover trial. Clin Nutr, 2015, 34(4): 572-578.
66. Wang ZY, Chen JM, Ni GX. Effect of an indwelling nasogastric tube on swallowing function in elderly post-stroke dysphagia patients with long-term nasal feeding. BMC neurology, 2019, 19(1): 83.
67. Wilmskoetter J, Bonilha L, Martin-Harris B, et al. Mapping acute lesion locations to physiological swallow impairments after stroke. Neuroimage Clin, 2019, 22: 101685.
68. Bath PM, Lee HS, Everton LF. Swallowing therapy for dysphagia in acute and subacute stroke. Cochrane Database Syst Rev, 2018, 10(10): CD000323.
69. Ashiga H, Takei E, Mangara J, et al. Effect of attention on chewing and swallowing behaviors in healthy humans. Sci Rep, 2019, 9(1): 6013.
70. Castagna A, Ferrara L, Asnaghi E, et al. Functional limitations and cognitive impairment predict the outcome of dysphagia in older patients after an acute neurologic event. NeuroRehabilitation, 2019, 44(3): 413-418.
71. Sniderman AD, Furberg CD. Age as a modifiable risk factor for cardiovascular disease. Lancet, 2008, 371(9623): 1547-1549.
72. Zhao D, Liu J, Xie W, et al. Cardiovascular risk assessment: a global perspective. Nat Rev Cardiol, 2015, 12(5): 301-311.
73. The Lancet. GBD 2017: a fragile world. Lancet, 2018, 392(10159): 1683.
74. India State-Level Disease Burden Initiative CRD Collaborators. The burden of chronic respiratory diseases and their heterogeneity across the states of India: the global burden of disease study 1990-2016. Lancet Glob Health, 2018, 6(12): e1363-e1374.
75. GBD 2017 Causes of Death Collaborators. Global, regional, and national age-sex-specific mortality for 282 causes of death in 195 countries and territories, 1980-2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet, 2018, 392(10159): 1736-1788.
76. GBD 2017 Disease and Injury Incidence and Prevalence Collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet, 2018, 392(10159): 1789-1858.
77. 陈歆, 李燕, 刘靖, 等. 高血压患者高质量血压管理中国专家建议. 中华高血压杂志, 2024, 32: 1-8.
78. 中华医学会心血管病学分会介入心脏病学组, 中华医学会心血管病学分会动脉粥样硬化与冠心病学组, 中国医师协会心血管内科医师分会血栓防治专业委员会, 等. 稳定性冠心病诊断与治疗指南. 中华心血管病杂志, 2018, 46(9): 680-694.
79. 中华医学会心血管病学分会心力衰竭学组, 中国医师协会心力衰竭专业委员会, 中华心血管病杂志编辑委员会. 中国心力衰竭诊断和治疗指南 2018. 中华心血管病杂志, 2018, 46(10): 760-789.
80. 中华医学会呼吸病学分会慢性阻塞性肺疾病学组, 中国医师协会呼吸医师分会慢性阻塞性肺疾病工作委员会. 慢性阻塞性肺疾病诊治指南(2021 年修订版). 中华结核和呼吸杂志, 2021, 44(3): 170-205.
81. Moore KJ, Koplev S, Fisher EA, et al. Macrophage trafficking, inflammatory resolution, and genomics in atherosclerosis: JACC Macrophage in CVD Series (part 2). J Am Coll Cardiol, 2018, 72(18): 2181-2197.
82. Furman D, Chang J, Lartigue L, et al. Expression of specific inflammasome gene modules stratifies older individuals into two extreme clinical and immunological states. Nat Med, 2017, 23(2): 174-184.
83. Jaiswal S, Natarajan P, Silver AJ, et al. Clonal hematopoiesis and risk of atherosclerotic cardiovascular disease. N Engl J Med, 2017, 377(2): 111-121.
84. Gibson CJ, Lindsley RC, Tchekmedyian V, et al. Clonal hematopoiesis associated with adverse outcomes after autologous stem-cell transplantation for lymphoma. J Clin Oncol, 2017, 35(14): 1598-1605.
85. Buscarlet M, Provost S, Zada YF, et al. DNMT3A and TET2 dominate clonal hematopoiesis and demonstrate benign phenotypes and different genetic predispositions. Blood, 2017, 130(6): 753-762.
86. Abelson S, Collord G, NG SWK, et al. Prediction of acute myeloid leukaemia risk in healthy individuals. Nature, 2018, 559(7714): 400-404.
87. Taylor MS, Chivukula RR, Myers LC, et al. A conserved distal lung regenerative pathway in acute lung injury. Am J Pathol, 2018, 188(5): 1149-1160.
88. Lee JH, Rawlins EL. Developmental mechanisms and adult stem cells for therapeutic lung regeneration. Dev Biol, 2018, 433(2): 166-176.
89. Tata PR, Rajagopal J. Plasticity in the lung: making and breaking cell identity. Development, 2017, 144(5): 755-766.
90. Zacharias WJ, Frank DB, Zepp JA, et al. Regeneration of the lung alveolus by an evolutionarily conserved epithelial progenitor. Nature, 2018, 555(7695): 251-255.
91. Yang J, Zuo WL, Fukui T, et al. Smoking-dependent distal-to-proximal repatterning of the adult human small airway epithelium. Am J Respir Crit Care Med, 2017, 196(3): 340-352.
92. NG-Blichfeldt JP, Schrik A, Kortekaas RK, et al. Retinoic acid signaling balances adult distal lung epithelial progenitor cell growth and differentiation. EBioMedicine, 2018, 36: 461-474.
93. Kavanagh A, Baverstock R, Campeau L, et al. Canadian Urological Association Guideline: diagnosis, management, and surveillance of neurogenic lower urinary tract dysfunction-executive summary. Can Urol Assoc J, 2019, 13(6): 156-165.
94. 李一夫, 李晓琳, 张岩, 等. 国际前列腺症状评分的汉化与评价. 全科医学临床与教育, 2019, 17(4): 305-307.
95. Homma Y, Yoshida M, Seki N, et al. Symptom assessment tool for overactive bladder syndrome--overactive bladder symptom score. Urology, 2006, 68(2): 318-323.
96. 中国医师协会肛肠医师分会, 中国医师协会肛肠医师分会肛肠疾病专家委员会, 中国医师协会肛肠医师分会临床指南工作委员会. 排粪失禁临床诊治中国专家共识(2022 版). 中华胃肠外科杂志, 2022, 25(12): 1065-1072.
97. 中华医学会消化病学分会胃肠动力学组, 功能性胃肠病协作组. 中国慢性便秘专家共识意见(2019, 广州). 中华消化杂志, 2019, 39(9): 577-598.
98. Denormandie A, Chartier-Kastler E, Haddad R, et al. Long-term functional outcomes of artificial urinary sphincter (AMS 800^TM) implantation in women aged over 75 years and suffering from stress urinary incontinence caused by intrinsic sphincter deficiency. World J Urol, 2021, 39(10): 3897-3902.
99. 吴念韦, 杨帆, 夏静, 等. 我国中老年人抑郁现况及其影响因素分析. 四川大学学报(医学版), 2021, 52(5): 776-771.
100. 汪苗, 潘庆. 我国老年人焦虑状况城乡差异及影响因素分析. 中国全科医学, 2021, 24(31): 3963-3970.
101. 中华医学会精神医学分会老年精神医学组. 老年期抑郁障碍诊疗专家共识. 中华精神科杂志, 2017, 50(5): 329-334.
102. 黄延焱. 关注社区老年人群抑郁障碍问题. 老年医学与保健, 2022, 28(5): 958-960.
103. Porensky EK, Dew MA, Karp JF, et al. The burden of late-life generalized anxiety disorder: effects on disability, health-related quality of life, and healthcare utilization. The American journal of geriatric psychiatry : official journal of the American Associatio Am J Geriatr Psychiatry, 2009, 17(6): 473-482.
104. 王征宇. 症状自评量表(SCL-90). 上海精神医学, 1984(2): 68-70.
105. 傅宏, 陈庆荣. 积极老龄化: 全球视野下的老年心理健康研究和实践探索. 心理与行为研究, 2015, 13(5): 713-720.
106. 李紫梦, 罗屹惟, 张春梅, 等. 中国老年心理健康研究的文献计量学分析. 中国老年学杂志, 2020, 40(4): 810-814.
107. 中华医学会, 中华医学会杂志社, 中华医学会全科医学分会, 等. 广泛性焦虑障碍基层诊疗指南(2021 年). 中华全科医师杂志, 2021, 20(12): 1232-1241.
108. 卢瑾, 李凌江, 许秀峰. 中国抑郁障碍防治指南(第二版)解读: 评估与诊断. 中华精神科杂志, 2017, 50(3): 169-171.
109. National Institute for Health and Care Excellence: Guidelines. Depression in adults: treatment and management. London: National Institute for Health and Care Excellence (NICE) Copyright ^© NICE 2022, 2022.
110. Tian H, Li G, Xu G, et al. Inflammatory cytokines derived from peripheral blood contribute to the modified electroconvulsive therapy-induced cognitive deficits in major depressive disorder. Eur Arch Psychiatry Clin Neurosci, 2021, 271(3): 475-485.
111. Abo Aoun M, Meek BP, Modirrousta M. Cognitive profiles in major depressive disorder: comparing remitters and non-remitters to rTMS treatment. Psychiatry Res, 2019, 279: 55-61.
112. Zhao X, Ma J, Wu S, et al. Light therapy for older patients with non-seasonal depression: a systematic review and meta-analysis. J Affect Disord, 2018, 232: 291-299.
113. Pearce M, Garcia L, Abbas A, et al. Association between physical activity and risk of depression: a systematic review and meta-analysis. JAMA Psychiatry, 2022, 79(6): 550-559.
114. Heissel A, Heinen D, Brokmeier LL, et al. Exercise as medicine for depressive symptoms? A systematic review and meta-analysis with meta-regression. Br J Sports Med, 2023, 57(16): 1049-1057.
115. 刘梦雅, 张利, 张梦, 等. 中国老年人内在能力与日常生活活动的相关性: 基于 CHARLS 数据. 中国康复理论与实践, 2023, 29(10): 1140-1146.
116. 张片红, 郭惠兰. 老年患者营养诊疗专家共识. 浙江医学, 2023, 45(2): 113-120.
117. 陈旭娇, 严静, 王建业, 等. 中国老年综合评估技术应用专家共识. 中华老年病研究电子杂志, 2017, 4(2): 1-6.
118. 邱纪方, 李建华, 梁小平, 等. 康复科住院患者功能独立性测量与住院费用和时间的关系. 中华物理医学与康复杂志, 2002, 24(7): 391-395.

West China Medical Journal

Latest ArticlesExpert consensus on the management model of full-period comprehensive rehabilitation for the functional disability of older adults

Abstract Full text Figures/Tables Video References Cited by

Format

Content