Durepos Pamela, Sakamoto Mariko, Alsbury Kyla, Hewston Patricia, Borges Julia, Takaoka Alyson
Canadian Frailty Network Interdisciplinary Fellowship Program, Kingston, Ontario, Canada.
Faculty of Nursing, University of New Brunswick, Fredericton, New Brunswick, Canada.
Can J Aging. 2022 Jun;41(2):193-202. doi: 10.1017/S0714980821000180. Epub 2021 Jul 13.
There is growing interest in conceptualizing and diagnosing frailty. Less is understood, however, about older adults' perceptions of the term "frail", and the implications of being classified as "frail". The purpose of this scoping review was to map the breadth of primary studies; and describe the meaning, perceptions, and perceived implications of frailty language amongst community-dwelling older adults. Eight studies were included in the review and three core themes were identified: (1) understanding frailty as inevitable age-related decline in multiple domains, (2) perceiving frailty as a generalizing label, and (3) perceiving impacts of language on health and health care utilization. Clinical practice recommendations for health care professionals working with individuals with frailty include: (1) maintaining a holistic view of frailty that extends beyond physical function to include psychosocial and environmental constructs, (2) using person-first language, and (3) using a strengths-based approach to discuss aspects of frailty.
人们对衰弱的概念化和诊断的兴趣与日俱增。然而，对于老年人对“衰弱”一词的认知以及被归类为“衰弱”的影响，我们了解得较少。本范围综述的目的是梳理初步研究的广度；并描述社区居住的老年人对衰弱相关语言的含义、认知以及感知到的影响。该综述纳入了八项研究，并确定了三个核心主题：（1）将衰弱理解为多个领域中不可避免的与年龄相关的衰退，（2）将衰弱视为一个概括性标签，（3）感知语言对健康和医疗保健利用的影响。针对为衰弱个体提供服务的医疗保健专业人员的临床实践建议包括：（1）保持对衰弱的整体看法，这种看法不仅限于身体功能，还包括心理社会和环境因素，（2）使用以人为本的语言，（3）采用基于优势的方法来讨论衰弱的各个方面。
