长期护理机构居民的衰弱状况和与健康相关的生活质量。
Frailty and health-related quality of life among residents of long-term care facilities.
机构信息
University of Wisconsin, Madison, WI, USA.
出版信息
J Aging Health. 2013 Aug;25(5):792-802. doi: 10.1177/0898264313493003. Epub 2013 Jun 25.
Abstract
OBJECTIVE
To determine the prevalence and relationship of frailty and health-related quality of life (HRQOL) among residents of long-term care [nursing homes (NH) and assisted living (AL)] facilities.
METHODS
Residents of NH and AL facilities in La Crosse County, Wisconsin, were recruited 1/2009-6/2010 and assessed for frailty (gait speed, unintended weight loss, grip strength), comorbidity (Charlson index), and HRQOL [Short Form (SF)-36].
RESULTS
Among 137 participants, 85% were frail. Frail residents were older, had more comorbidities (2.0 vs. 0, p < .001) and lower mean SF-36 Physical Component Score (PCS, 32 vs. 48, p < .001). Following adjustments for age, sex, and comorbidities, compared to nonfrail residents, frail residents had lower SF-36 PCS (mean difference -14.7, 95% CI. -19.3,-10.1, p < .001). Frailty, comorbidity, and HRQOL did not differ between NH and AL facilities.
DISCUSSION
Frail residents had lower HRQOL, suggesting that preventing frailty may lead to better HRQOL among residents of long-term care facilities.
摘要
目的
确定长期护理机构（养老院[NH]和辅助生活[AL]）居民衰弱和健康相关生活质量（HRQOL）的患病率和相关性。
方法
威斯康星州拉克罗斯县 NH 和 AL 设施的居民于 2009 年 1 月至 2010 年 6 月被招募并进行衰弱评估（步态速度、非计划体重减轻、握力）、合并症（Charlson 指数）和 HRQOL[短格式（SF）-36]。
结果
在 137 名参与者中，85%为虚弱。虚弱的居民年龄较大，合并症更多（2.0 与 0，p <.001），SF-36 身体成分评分（PCS）平均值较低（32 与 48，p <.001）。在调整年龄、性别和合并症后，与非虚弱居民相比，虚弱居民的 SF-36 PCS 较低（平均差异 -14.7，95%CI -19.3,-10.1，p <.001）。NH 和 AL 设施之间的衰弱、合并症和 HRQOL 没有差异。
讨论
虚弱的居民 HRQOL 较低，这表明预防衰弱可能会提高长期护理机构居民的 HRQOL。
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