使用衰弱指数和FRAIL-NH量表测量的老年居住护理机构中的衰弱水平。
Frailty Levels in Residential Aged Care Facilities Measured Using the Frailty Index and FRAIL-NH Scale.
作者信息
Theou Olga, Tan Edwin C K, Bell J Simon, Emery Tina, Robson Leonie, Morley John E, Rockwood Kenneth, Visvanathan Renuka
机构信息
National Health and Medical Research Council Centre of Research Excellence, Trans-disciplinary Frailty Research to Achieve Healthy Aging, South Australia, Australia.
Geriatric Medicine, Dalhousie University and Nova Scotia Health Authority, Halifax, Nova Scotia, Canada.
出版信息
J Am Geriatr Soc. 2016 Nov;64(11):e207-e212. doi: 10.1111/jgs.14490. Epub 2016 Oct 26.
OBJECTIVES
To compare the FRAIL-NH scale with the Frailty Index in assessing frailty in residential aged care facilities.
DESIGN
Cross-sectional.
SETTING
Six Australian residential aged care facilities.
PARTICIPANTS
Individuals aged 65 and older (N = 383, mean aged 87.5 ± 6.2, 77.5% female).
MEASUREMENTS
Frailty was assessed using the 66-item Frailty Index and the FRAIL-NH scale. Other measures examined were dementia diagnosis, level of care, resident satisfaction with care, nurse-reported resident quality of life, neuropsychiatric symptoms, and professional caregiver burden.
RESULTS
The FRAIL-NH scale was significantly associated with the Frailty Index (correlation coefficient = 0.81, P < .001). Based on the Frailty Index, 60.8% of participants were categorized as frail and 24.4% as most frail. Based on the FRAIL-NH, 37.5% of participants were classified as frail and 35.9% as most frail. Women were assessed as being frailer than men using both tools (P = .006 for FI; P = .03 for FRAIL-NH). Frailty Index levels were higher in participants aged 95 and older (0.39 ± 0.13) than in those aged younger than 85 (0.33 ± 0.13; P = .008) and in participants born outside Australia (0.38 ± 0.13) than in those born in Australia (0.34 ± 0.13; P = .01). Both frailty tools were associated with most characteristics that would indicate higher care needs, with the Frailty Index having stronger associations with all of these measures.
CONCLUSION
The FRAIL-NH scale is a simple and practical method to screen for frailty in residential aged care facilities.
目的
比较FRAIL-NH量表与衰弱指数在评估老年护理机构中衰弱情况的差异。
设计
横断面研究。
地点
澳大利亚六家老年护理机构。
参与者
65岁及以上的个体（N = 383，平均年龄87.5±6.2岁，女性占77.5%）。
测量指标
使用66项衰弱指数和FRAIL-NH量表评估衰弱情况。其他检查指标包括痴呆诊断、护理级别、居民对护理的满意度、护士报告的居民生活质量、神经精神症状以及专业护理人员负担。
结果
FRAIL-NH量表与衰弱指数显著相关（相关系数 = 0.81，P <.001）。根据衰弱指数，60.8%的参与者被归类为衰弱，24.4%为最衰弱。根据FRAIL-NH量表，37.5%的参与者被归类为衰弱，35.9%为最衰弱。使用两种工具评估，女性均被认为比男性更衰弱（衰弱指数P =.006；FRAIL-NH量表P =.03）。95岁及以上参与者的衰弱指数水平（0.39±0.13）高于85岁以下参与者（0.33±0.13；P =.008），出生在澳大利亚境外的参与者（0.38±0.13）高于出生在澳大利亚的参与者（0.34±0.13；P =.01）。两种衰弱评估工具均与大多数表明更高护理需求的特征相关，衰弱指数与所有这些指标的相关性更强。
结论
FRAIL-NH量表是一种筛查老年护理机构中衰弱情况的简单实用方法。
Zotero 插件