Freer Karen, Wallington Sophie Louise
Senior Occupational Therapist, Bolton Hospitals NHS Foundation Trust.
Advanced Physiotherapist Practitioner, Manchester University NHS Foundation Trust Clinical Lecturer, Work-based Learning Facilitator, University of Bolton.
Br J Community Nurs. 2019 Oct 2;24(10):486-492. doi: 10.12968/bjcn.2019.24.10.486.
Frailty can have multifaceted contributors, including physical, psychological, social and environmental elements. There is a lack of clarity surrounding frailty as it lacks a universal common definition, multiple factors are attributed to frailty and no definitive assessment tool is available. The evidence suggests that there is a lack of research to indicate causal relationships between the various determinants of frailty in ageing individuals. This review discusses the important role that social and environmental factors play in predicting the risk of frailty in older adults, as well as discussing the various signs of frailty. Health professionals in primary and community care settings are well placed to prevent and identify social frailty in the persons they care for.
衰弱可能有多种促成因素,包括身体、心理、社会和环境因素。由于缺乏通用的明确定义、多种因素被归因于衰弱且没有确定的评估工具,因此围绕衰弱的界定并不清晰。有证据表明,缺乏研究来表明老年个体衰弱的各种决定因素之间的因果关系。本综述讨论了社会和环境因素在预测老年人衰弱风险方面所起的重要作用,以及探讨了衰弱的各种迹象。初级和社区护理机构中的卫生专业人员非常适合预防和识别他们所护理人群中的社会衰弱情况。