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社区老年人的多重疾病、创伤暴露与衰弱

Multimorbidity, Trauma Exposure, and Frailty of Older Adults in the Community.

作者信息

Papathanasiou Ioanna V, Fradelos Evangelos C, Mantzaris Dimitrios, Rammogianni Anna, Malli Foteini, Papagiannis Dimitrios, Gourgoulianis Konstantinos I

机构信息

Community Nursing Lab, Faculty of Nursing, University of Thessaly, Volos, Greece.

General Department, University of Thessaly, Volos, Greece.

出版信息

Front Genet. 2021 Mar 24;12:634742. doi: 10.3389/fgene.2021.634742. eCollection 2021.

Abstract

The aim of this study is to investigate the relation between multimorbidity, traumatic events and frailty among older adults in the community. The studied population consisted of 257 older people who were recipients of the services and active members of Open Care Centers for the Elderly (OCCE) of the Municipality of Grevena and meet a set of selection criteria. The collection of the data was carried out using a fully structured questionnaire, which consisted of two sections: a form of individual features and the Tilburg Frailty Indicator (TFI). The sample consisted of 114 men (44.4%) and 143 women (55.6%) aged between 61 and 96 years with an average of 75.12 years. The results showed that the mean scores were 2.70 for the Physical Frailty (standard deviation = 2.16), 1.43 for the Psychological Frailty (standard deviation = 1.21), 1.32 for the Social Frailty (standard deviation = 0.64) and 5.44 for the total Frailty (standard deviation = 3.02). We took into account the cut-off point five of 54.1% ( = 139) in terms of the participants' frailty. Physical, Psychological, and Total Frailty are related to (a) the presence of two or more chronic diseases or disorders, (b) the experience of a serious illness in the previous year, and (c) the experience of a serious illness of a loved one during the previous year. The outcomes helped to identify frailty syndrome in older people and the factors associated with it.

摘要

本研究的目的是调查社区老年人中多种疾病共存、创伤性事件与虚弱之间的关系。研究人群包括257名老年人,他们是格雷韦纳市老年人开放护理中心(OCCE)的服务对象和活跃成员,并符合一系列选择标准。数据收集使用了一份完全结构化的问卷,该问卷由两部分组成:个人特征表格和蒂尔堡虚弱指标(TFI)。样本包括114名男性(44.4%)和143名女性(55.6%),年龄在61岁至96岁之间,平均年龄为75.12岁。结果显示,身体虚弱的平均得分为2.70(标准差=2.16),心理虚弱的平均得分为1.43(标准差=1.21),社会虚弱的平均得分为1.32(标准差=0.64),总虚弱的平均得分为5.44(标准差=3.02)。我们根据参与者的虚弱程度考虑了54.1%(=139)的临界点5。身体虚弱、心理虚弱和总虚弱与以下因素相关:(a)存在两种或更多种慢性疾病或障碍,(b)前一年经历过严重疾病,(c)前一年亲人经历过严重疾病。这些结果有助于识别老年人的虚弱综合征及其相关因素。

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