MSN, RN, Nurse, U Sweet Postpartum Nursing Home.
MSN, RN, Nurse, Medical Intensive Care Unit, MacKay Memorial Hospital.
J Nurs Res. 2019 Jun;27(3):e28. doi: 10.1097/jnr.0000000000000299.
The World Health Organization has identified frailty as a crucial factor affecting successful aging. Systematic literature reviews have yet to focus on the relationship between stages of frailty and disability in community-dwelling older adults.
The purpose of this study was to investigate the relationships between various frailty types and disability in community-dwelling older adults and to explore how various frailty criteria have been used to assess disability in this population.
A systematic literature review and meta-analysis were conducted on articles from the following databases: Cochrane Library, CINAHL, PubMed, and Ovid. Database search criteria included articles that were published between January 2001 and July 2017 and study samples that included community-dwelling adults aged 60 years and older. We excluded studies that were conducted in institutions or hospitals and experimental studies on frailty. Two reviewers independently assessed eligibility and extracted data. A random-effects model was used to analyze the literature and to calculate the pooled disability of frailty.
In total, nine studies with a total sample of 32,998 participants that recorded 8,666 disabilities and a mean follow-up time of 30.4 months (SD = 29.26) were pooled for the meta-analysis. Using various indicators to predict the risk of disability compared with robust older adults, those with frailty faced a higher risk of disability, followed by older adults at risk of frailty.
CONCLUSIONS/IMPLICATIONS FOR PRACTICE: Frailty is a crucial health consideration among older adults. Those who are frail have the highest relative risk of disability, followed by those at risk of frailty. Early assessment of frailty may effectively prevent the occurrence of frailty-induced disability in older adults.
世界卫生组织已将衰弱确定为影响成功老龄化的关键因素。系统的文献综述尚未集中研究社区居住的老年人衰弱阶段与残疾之间的关系。
本研究旨在探讨各种衰弱类型与社区居住的老年人残疾之间的关系，并探讨在该人群中如何使用各种衰弱标准来评估残疾。
对来自 Cochrane 图书馆、CINAHL、PubMed 和 Ovid 的文章进行了系统的文献回顾和荟萃分析。数据库搜索标准包括发表于 2001 年 1 月至 2017 年 7 月的文章和研究样本，包括年龄在 60 岁及以上的社区居住成年人。我们排除了在机构或医院进行的研究以及对衰弱的实验研究。两位审查员独立评估了资格并提取了数据。使用随机效应模型对文献进行分析，并计算出衰弱的总体残疾率。
共有 9 项研究纳入了 32998 名参与者的总样本，记录了 8666 例残疾，平均随访时间为 30.4 个月（SD=29.26），用于荟萃分析。使用各种指标预测与健康强壮的老年人相比残疾的风险，衰弱者面临更高的残疾风险，其次是衰弱风险者。
结论/对实践的启示：衰弱是老年人健康的关键考虑因素。衰弱者发生残疾的相对风险最高，其次是衰弱风险者。早期评估衰弱可能会有效预防老年人衰弱导致的残疾发生。
