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首页> 外文期刊>European Journal of Preventive Medicine >Predictors of limitations of physical activities of daily living among geriatric Nigerians with musculoskeletal disorders in under-resourced environment of a primary care clinic of a tertiary hospital in Eastern Nigeria
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Predictors of limitations of physical activities of daily living among geriatric Nigerians with musculoskeletal disorders in under-resourced environment of a primary care clinic of a tertiary hospital in Eastern Nigeria

机译：在资源匮乏的环境中，尼日利亚东部三级医院的初级保健诊所，患有肌肉骨骼疾病的尼日利亚老年人中，日常生活活动受限的预测因素

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Background: Musculoskeletal disorders (MSDs) can have detrimental impact on physical activities of daily living (PADLs) of geriatric Nigerians and can trigger other chronic medical conditions. The virility of Nigerian elderly population therefore depends largely on their PADLs which are often challenged by MSDs. Aim: The study was designed to determine the predictors of limitations of physical activities of daily living among geriatric Nigerians with musculoskeletal disorders in under-resourced environment of a primary care clinic of a tertiary hospital in Eastern Nigeria. Materials and Methods: A cross-sectional study carried out on 894 geriatric patients who were screened for MSDs, 130 of them had diagnoses of MSDs and 116 who had limitations of their PADLs were studied for predictor variables. Data was collected using a pretested, structured and interviewer administered questionnaire. The PADL was scored on a four points Likert scale and assessed in the previous one month. Patients who scored 0 had no affectation of PADLs while those who scored 1-3 were variably affected. Results: The prevalence of MSDs was 14.5%. One hundred and sixteen (89.2%) out of 130 patients had their PADLs affected. Limitations of PADLs was significantly associated with age ≥75 years(p=0.022) and urban residence(p=0.003). The most significant predictor of limitations of PADLs was urban residence (p=0.010, OR=2.516 (1.34 - 5.02). The geriatric patients with MSDs in urban residence were two and half times more likely to have limitations of PADLs compared to their counterparts in rural residence. Conclusion: Limitations of PADLs was significantly associated with age ≥75 years and urban residence. The most significant predictor of limitations of PADLs was urban residence. Measures targeted at these variables and widespread clinic, public health and diverse health promotion strategies to improve PADLs should constitute targets for intervention.
机译：背景：肌肉骨骼疾病（MSD）可能会对老年尼日利亚人的日常生活（PADL）的身体活动产生有害影响，并可能引发其他慢性医学疾病。因此，尼日利亚老年人的健壮性很大程度上取决于他们的PADL，而PADL经常受到MSD的挑战。目的：该研究旨在确定资源匮乏环境下尼日利亚东部三级医院初级保健诊所中患有骨骼肌肉疾病的尼日利亚老年人的身体活动受限的预测因素。材料和方法：横断面研究对894名筛查MSD的老年患者进行了横断面研究，其中130例诊断为MSD，116例PADL受限者进行了预测变量研究。使用预先测试，结构化且由访调员管理的问卷收集数据。 PADL用李克特（Likert）四分制评分，并在前一个月进行了评估。得分为0的患者对PADL的影响没有，而得分为1-3的患者则受到不同的影响。结果：MSD的患病率为14.5％。 130名患者中有116名（89.2％）的PADL受累。 PADLs的局限性与年龄≥75岁（p = 0.022）和城市居民（p = 0.003）显着相关。 PADLs限制的最重要预测因素是城市居民（p = 0.010，OR = 2.516（1.34-5.02）。老年MSDs在城市居住者的可能性是其PADLs限制的两倍和一半。结论：PADLs的局限性与年龄≥75岁和城市居住者显着相关; PADLs局限性的最重要预测因素是城市居住者，针对这些变量的措施以及广泛的诊所，公共卫生和各种健康促进策略以改善PADL应该构成干预目标。

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