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. Rehabilitation Medicine Center 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, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
3. Department of Rehabilitation, 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：

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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.

Citation： LIU Rui, YU Zhonghua, ZHANG Xia, LIANG Yuxiang, GAN Li, LI Lijuan, WANG Fengyi, WEI Quan. Expert consensus on the management model of full-period comprehensive rehabilitation for the functional disability of older adults. West China Medical Journal, 2024, 39(6): 856-865. doi: 10.7507/1002-0179.202311284 Copy

1.	閆偉, 何夢嬌, 路云, 等. 基于 CLHLS 的我國老年人失能現狀及其影響因素研究. 護理研究, 2021, 35(10): 1807-1811.
2.	黨俊武, 楊曉奇, 張秋霞. 中國老齡產業發展報告(2021-2022). 北京: 社會科學文獻出版社, 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.	高浪麗, 張雪梅, 謝冬梅, 等. 老年人急性期快速恢復病房的建立及其對老年病房醫療指標的影響. 實用老年醫學, 2019, 33(11): 1073-1076.
5.	高超, 于普林. 老年醫學多學科整合團隊工作模式的進展. 中華老年醫學雜志, 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.	趙燁婧, 沈姞, 武文斌, 等. 運動功能維護與健康老齡化. 中華老年醫學雜志, 2022, 41(11): 1386-1389.
8.	吳劍卿, 陳波, 毛擁軍, 等. 老年人軀體功能受損防控干預中國專家共識(2022). 中華老年醫學雜志, 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.	國家重點研發計劃 2020YFC2008200 項目組, 中華醫學會眼科學分會眼視光學組, 中國醫師協會眼科醫師分會眼視光專業委員會. 中國低視力康復臨床指南 (2021). 中華眼視光學與視覺科學雜志, 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.	倪靈芝, 鄭景偉, 朱昱, 等. 中文版低視力者生活質量量表的 Rasch 分析. 中華眼視光學與視覺科學雜志, 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.	魯心靈, 李欣, 邱卓英, 等. 視力殘疾人康復需求和康復服務發展狀況 Logistic 回歸分析研究. 中國康復理論與實踐, 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.	全國防聾治聾技術指導組, 中華醫學會耳鼻咽喉頭頸外科學分會, 中華耳鼻咽喉頭頸外科雜志編輯委員會, 等. 老年聽力損失診斷與干預專家共識(2019). 中華耳鼻咽喉頭頸外科雜志, 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.	鮮圓圓, 高靜, 陳歡, 等. 中國老年聽力損失患病率的 Meta 分析. 現代預防醫學, 2022, 49(13): 2451-2458.
28.	翟秀云, 劉博, 張玉和, 等. 老年聽力障礙篩查量表在老年性聾調查中的應用與相關性分析. 中國耳鼻咽喉頭頸外科, 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.	葛劍力, 耿莎莎, 段吉茸, 等. 老年聽力損失篩查模式研究進展. 中國初級衛生保健, 2022, 36(11): 34-38.
32.	孫晉, 牟宏宇, 沈志豪, 等. 聽力損失老年人佩戴助聽器前后皮層聽覺誘發電位與言語感知的研究. 聽力學及言語疾病雜志, 2022, 30(1): 11-16.
33.	王越, 張華, 鄭中偉, 等. 老年性聽力損失患者普通話雙音節詞表測試結果分析. 聽力學及言語疾病雜志, 2017, 25(6): 557-562.
34.	程子瑋, 陳佳妮, 邱卓英, 等. 聽力殘疾人康復需求與康復服務發展狀況 Logistic 回歸分析研究. 中國康復理論與實踐, 2020, 26(5): 518-522.
35.	劉博, 趙嘯天, 陳雪清, 等. 老年前期人工耳蝸植入患者聽力言語康復策略探討. 中國聽力語言康復科學雜志, 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.	賈建平, 王蔭華, 張朝東, 等. 中國癡呆與認知障礙診治指南(一): 癡呆診斷流程. 中華醫學雜志, 2011, 91(9): 577-581.
39.	中國醫師協會神經內科醫師分會, 認知訓練中國指南寫作組. 認知訓練中國指南(2022 年版). 中華醫學雜志, 2022, 102(37): 2918-2925.
40.	Harvey PD, Zayas-Bazan M, Tibiri?á 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.	認知訓練中國專家共識寫作組, 中國醫師協會神經內科醫師分會認知障礙疾病專業委員會. 認知訓練中國專家共識. 中華醫學雜志, 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.	陳衛宏, 楊玲, 陳悅, 等. 中國老年人吞咽障礙檢出率的 Meta 分析. 中國療養醫學, 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.	陳歆, 李燕, 劉靖, 等. 高血壓患者高質量血壓管理中國專家建議. 中華高血壓雜志, 2024, 32: 1-8.
78.	中華醫學會心血管病學分會介入心臟病學組, 中華醫學會心血管病學分會動脈粥樣硬化與冠心病學組, 中國醫師協會心血管內科醫師分會血栓防治專業委員會, 等. 穩定性冠心病診斷與治療指南. 中華心血管病雜志, 2018, 46(9): 680-694.
79.	中華醫學會心血管病學分會心力衰竭學組, 中國醫師協會心力衰竭專業委員會, 中華心血管病雜志編輯委員會. 中國心力衰竭診斷和治療指南 2018. 中華心血管病雜志, 2018, 46(10): 760-789.
80.	中華醫學會呼吸病學分會慢性阻塞性肺疾病學組, 中國醫師協會呼吸醫師分會慢性阻塞性肺疾病工作委員會. 慢性阻塞性肺疾病診治指南(2021 年修訂版). 中華結核和呼吸雜志, 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, 李曉琳, 張巖, 等. 國際前列腺癥狀評分的漢化與評價. 全科醫學臨床與教育, 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.	中國醫師協會肛腸醫師分會, 中國醫師協會肛腸醫師分會肛腸疾病專家委員會, 中國醫師協會肛腸醫師分會臨床指南工作委員會. 排糞失禁臨床診治中國專家共識(2022 版). 中華胃腸外科雜志, 2022, 25(12): 1065-1072.
97.	中華醫學會消化病學分會胃腸動力學組, 功能性胃腸病協作組. 中國慢性便秘專家共識意見(2019, 廣州). 中華消化雜志, 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.	吳念韋, 楊帆, 夏靜, 等. 我國中老年人抑郁現況及其影響因素分析. 四川大學學報(醫學版), 2021, 52(5): 776-771.
100.	汪苗, 潘慶. 我國老年人焦慮狀況城鄉差異及影響因素分析. 中國全科醫學, 2021, 24(31): 3963-3970.
101.	中華醫學會精神醫學分會老年精神醫學組. 老年期抑郁障礙診療專家共識. 中華精神科雜志, 2017, 50(5): 329-334.
102.	黃延焱. 關注社區老年人群抑郁障礙問題. 老年醫學與保健, 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. Am J Geriatr Psychiatry, 2009, 17(6): 473-482.
104.	王征宇. 癥狀自評量表(SCL-90). 上海精神醫學, 1984(2): 68-70.
105.	傅宏, 陳慶榮. 積極老齡化: 全球視野下的老年心理健康研究和實踐探索. 心理與行為研究, 2015, 13(5): 713-720.
106.	李紫夢, 羅屹惟, 張春梅, 等. 中國老年心理健康研究的文獻計量學分析. 中國老年學雜志, 2020, 40(4): 810-814.
107.	中華醫學會, 中華醫學會雜志社, 中華醫學會全科醫學分會, 等. 廣泛性焦慮障礙基層診療指南(2021 年). 中華全科醫師雜志, 2021, 20(12): 1232-1241.
108.	盧瑾, 李凌江, 許秀峰. 中國抑郁障礙防治指南(第二版)解讀: 評估與診斷. 中華精神科雜志, 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.	劉夢雅, 張利, 張夢, 等. 中國老年人內在能力與日常生活活動的相關性: 基于 CHARLS 數據. 中國康復理論與實踐, 2023, 29(10): 1140-1146.
116.	張片紅, 郭惠蘭. 老年患者營養診療專家共識. 浙江醫學, 2023, 45(2): 113-120.
117.	陳旭嬌, 嚴靜, 王建業, 等. 中國老年綜合評估技術應用專家共識. 中華老年病研究電子雜志, 2017, 4(2): 1-6.
118.	邱紀方, 李建華, 梁小平, 等. 康復科住院患者功能獨立性測量與住院費用和時間的關系. 中華物理醫學與康復雜志, 2002, 24(7): 391-395.

1. 閆偉, 何夢嬌, 路云, 等. 基于 CLHLS 的我國老年人失能現狀及其影響因素研究. 護理研究, 2021, 35(10): 1807-1811.
2. 黨俊武, 楊曉奇, 張秋霞. 中國老齡產業發展報告(2021-2022). 北京: 社會科學文獻出版社, 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. 高浪麗, 張雪梅, 謝冬梅, 等. 老年人急性期快速恢復病房的建立及其對老年病房醫療指標的影響. 實用老年醫學, 2019, 33(11): 1073-1076.
5. 高超, 于普林. 老年醫學多學科整合團隊工作模式的進展. 中華老年醫學雜志, 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. 趙燁婧, 沈姞, 武文斌, 等. 運動功能維護與健康老齡化. 中華老年醫學雜志, 2022, 41(11): 1386-1389.
8. 吳劍卿, 陳波, 毛擁軍, 等. 老年人軀體功能受損防控干預中國專家共識(2022). 中華老年醫學雜志, 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. 國家重點研發計劃 2020YFC2008200 項目組, 中華醫學會眼科學分會眼視光學組, 中國醫師協會眼科醫師分會眼視光專業委員會. 中國低視力康復臨床指南 (2021). 中華眼視光學與視覺科學雜志, 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. 倪靈芝, 鄭景偉, 朱昱, 等. 中文版低視力者生活質量量表的 Rasch 分析. 中華眼視光學與視覺科學雜志, 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. 魯心靈, 李欣, 邱卓英, 等. 視力殘疾人康復需求和康復服務發展狀況 Logistic 回歸分析研究. 中國康復理論與實踐, 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. 全國防聾治聾技術指導組, 中華醫學會耳鼻咽喉頭頸外科學分會, 中華耳鼻咽喉頭頸外科雜志編輯委員會, 等. 老年聽力損失診斷與干預專家共識(2019). 中華耳鼻咽喉頭頸外科雜志, 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. 鮮圓圓, 高靜, 陳歡, 等. 中國老年聽力損失患病率的 Meta 分析. 現代預防醫學, 2022, 49(13): 2451-2458.
28. 翟秀云, 劉博, 張玉和, 等. 老年聽力障礙篩查量表在老年性聾調查中的應用與相關性分析. 中國耳鼻咽喉頭頸外科, 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. 葛劍力, 耿莎莎, 段吉茸, 等. 老年聽力損失篩查模式研究進展. 中國初級衛生保健, 2022, 36(11): 34-38.
32. 孫晉, 牟宏宇, 沈志豪, 等. 聽力損失老年人佩戴助聽器前后皮層聽覺誘發電位與言語感知的研究. 聽力學及言語疾病雜志, 2022, 30(1): 11-16.
33. 王越, 張華, 鄭中偉, 等. 老年性聽力損失患者普通話雙音節詞表測試結果分析. 聽力學及言語疾病雜志, 2017, 25(6): 557-562.
34. 程子瑋, 陳佳妮, 邱卓英, 等. 聽力殘疾人康復需求與康復服務發展狀況 Logistic 回歸分析研究. 中國康復理論與實踐, 2020, 26(5): 518-522.
35. 劉博, 趙嘯天, 陳雪清, 等. 老年前期人工耳蝸植入患者聽力言語康復策略探討. 中國聽力語言康復科學雜志, 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. 賈建平, 王蔭華, 張朝東, 等. 中國癡呆與認知障礙診治指南(一): 癡呆診斷流程. 中華醫學雜志, 2011, 91(9): 577-581.
39. 中國醫師協會神經內科醫師分會, 認知訓練中國指南寫作組. 認知訓練中國指南(2022 年版). 中華醫學雜志, 2022, 102(37): 2918-2925.
40. Harvey PD, Zayas-Bazan M, Tibiri?á 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. 認知訓練中國專家共識寫作組, 中國醫師協會神經內科醫師分會認知障礙疾病專業委員會. 認知訓練中國專家共識. 中華醫學雜志, 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. 陳衛宏, 楊玲, 陳悅, 等. 中國老年人吞咽障礙檢出率的 Meta 分析. 中國療養醫學, 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. 陳歆, 李燕, 劉靖, 等. 高血壓患者高質量血壓管理中國專家建議. 中華高血壓雜志, 2024, 32: 1-8.
78. 中華醫學會心血管病學分會介入心臟病學組, 中華醫學會心血管病學分會動脈粥樣硬化與冠心病學組, 中國醫師協會心血管內科醫師分會血栓防治專業委員會, 等. 穩定性冠心病診斷與治療指南. 中華心血管病雜志, 2018, 46(9): 680-694.
79. 中華醫學會心血管病學分會心力衰竭學組, 中國醫師協會心力衰竭專業委員會, 中華心血管病雜志編輯委員會. 中國心力衰竭診斷和治療指南 2018. 中華心血管病雜志, 2018, 46(10): 760-789.
80. 中華醫學會呼吸病學分會慢性阻塞性肺疾病學組, 中國醫師協會呼吸醫師分會慢性阻塞性肺疾病工作委員會. 慢性阻塞性肺疾病診治指南(2021 年修訂版). 中華結核和呼吸雜志, 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, 李曉琳, 張巖, 等. 國際前列腺癥狀評分的漢化與評價. 全科醫學臨床與教育, 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. 中國醫師協會肛腸醫師分會, 中國醫師協會肛腸醫師分會肛腸疾病專家委員會, 中國醫師協會肛腸醫師分會臨床指南工作委員會. 排糞失禁臨床診治中國專家共識(2022 版). 中華胃腸外科雜志, 2022, 25(12): 1065-1072.
97. 中華醫學會消化病學分會胃腸動力學組, 功能性胃腸病協作組. 中國慢性便秘專家共識意見(2019, 廣州). 中華消化雜志, 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. 吳念韋, 楊帆, 夏靜, 等. 我國中老年人抑郁現況及其影響因素分析. 四川大學學報(醫學版), 2021, 52(5): 776-771.
100. 汪苗, 潘慶. 我國老年人焦慮狀況城鄉差異及影響因素分析. 中國全科醫學, 2021, 24(31): 3963-3970.
101. 中華醫學會精神醫學分會老年精神醫學組. 老年期抑郁障礙診療專家共識. 中華精神科雜志, 2017, 50(5): 329-334.
102. 黃延焱. 關注社區老年人群抑郁障礙問題. 老年醫學與保健, 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. Am J Geriatr Psychiatry, 2009, 17(6): 473-482.
104. 王征宇. 癥狀自評量表(SCL-90). 上海精神醫學, 1984(2): 68-70.
105. 傅宏, 陳慶榮. 積極老齡化: 全球視野下的老年心理健康研究和實踐探索. 心理與行為研究, 2015, 13(5): 713-720.
106. 李紫夢, 羅屹惟, 張春梅, 等. 中國老年心理健康研究的文獻計量學分析. 中國老年學雜志, 2020, 40(4): 810-814.
107. 中華醫學會, 中華醫學會雜志社, 中華醫學會全科醫學分會, 等. 廣泛性焦慮障礙基層診療指南(2021 年). 中華全科醫師雜志, 2021, 20(12): 1232-1241.
108. 盧瑾, 李凌江, 許秀峰. 中國抑郁障礙防治指南(第二版)解讀: 評估與診斷. 中華精神科雜志, 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. 劉夢雅, 張利, 張夢, 等. 中國老年人內在能力與日常生活活動的相關性: 基于 CHARLS 數據. 中國康復理論與實踐, 2023, 29(10): 1140-1146.
116. 張片紅, 郭惠蘭. 老年患者營養診療專家共識. 浙江醫學, 2023, 45(2): 113-120.
117. 陳旭嬌, 嚴靜, 王建業, 等. 中國老年綜合評估技術應用專家共識. 中華老年病研究電子雜志, 2017, 4(2): 1-6.
118. 邱紀方, 李建華, 梁小平, 等. 康復科住院患者功能獨立性測量與住院費用和時間的關系. 中華物理醫學與康復雜志, 2002, 24(7): 391-395.

West China Medical Journal

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

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