Jang Hye-Young, Kim Ji-Hye
College of Nursing, Hanyang University, Seoul 04763, Korea.
College of Nursing, Woosuk University, Chonbuk 55338, Korea.
Healthcare (Basel). 2021 Apr 16;9(4):475. doi: 10.3390/healthcare9040475.
This study was conducted to identify the factors associated with frailty according to gender of older adults living alone in Korea. Data from the National Survey of the Living Conditions of Korean Elderly in 2017 were used. Participants were 2340 older adults who live alone. Frailty was determined based on the frailty criteria developed by van Kan et al. that consist of fatigue, resistance, ambulation, and illness. The collected data were analyzed using descriptive statistics, chi-squared test, -test, Jonckheere-Terpstra test and multinomial logistic regression. Among the older men living alone, 47.7% were in the pre-frail and 5.1% were in the frail. On the other hand, 51.8% were in the pre-frail and 12.2% were in the frail among the older women living alone. The factors associated with frailty according to gender are as follows. In males, depressive symptoms, limitation in IADL, and number of medications in pre-frail; BMI, limitation in IADL, and number of chronic diseases in frail. In females, depressive symptoms, number of chronic diseases, age, and nutritional status in pre-frail; limitation in IADL, depressive symptoms, age, number of chronic diseases, number of medications, nutritional status in frail. Based on the findings of this study, it is considered necessary to approach frailty management considering gender as well as the classification of frailty.
本研究旨在确定韩国独居老年人中与衰弱相关的因素,并根据性别进行分析。研究使用了2017年韩国老年人生活状况全国调查的数据。参与者为2340名独居老年人。衰弱是根据van Kan等人制定的衰弱标准来确定的,该标准包括疲劳、抵抗力、步行能力和疾病情况。收集到的数据采用描述性统计、卡方检验、t检验、Jonckheere-Terpstra检验和多项逻辑回归进行分析。在独居老年男性中,47.7%处于衰弱前期,5.1%处于衰弱状态。另一方面,在独居老年女性中,51.8%处于衰弱前期,12.2%处于衰弱状态。按性别划分,与衰弱相关的因素如下。在男性中,衰弱前期的因素为抑郁症状、日常生活活动能力受限和用药数量;衰弱状态的因素为体重指数、日常生活活动能力受限和慢性病数量。在女性中,衰弱前期的因素为抑郁症状、慢性病数量、年龄和营养状况;衰弱状态的因素为日常生活活动能力受限、抑郁症状、年龄、慢性病数量、用药数量和营养状况。基于本研究的结果,认为在进行衰弱管理时,有必要考虑性别以及衰弱的分类。