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居家环境和养老院中衰弱患者的社会人口学、临床和心理特征:一项横断面研究。

Socio-Demographic, Clinical and Psychological Profile of Frailty Patients Living in the Home Environment and Nursing Homes: A Cross-Sectional Study.

作者信息

Muszalik Marta, Kotarba Agnieszka, Borowiak Ewa, Puto Grażyna, Cybulski Mateusz, Kȩdziora-Kornatowska Kornelia

机构信息

Department of Geriatrics, Faculty of Health Sciences, Ludwik Rydygier Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, Bydgoszcz, Poland.

Department of Nursing Pedagogics, Faculty of Health Sciences, Medical University of Lodz, Lodz, Poland.

出版信息

Front Psychiatry. 2021 Dec 7;12:736804. doi: 10.3389/fpsyt.2021.736804. eCollection 2021.

Abstract

Frailty syndrome, as a physiological syndrome, is characterized by a gradual decline in physiological reserve and a lowered resistance to stress-inducing factors, leading to an increased risk of adverse outcomes. It is significantly connected with dependence on care and frequent hospitalizations. The aim of the study was to describe socio-demographic, clinical and psychological profile of frailty older adults living in their own homes and to nursing homes. The study was conducted with 180 patients who were over 60 years of age, the mean (±SD) was 74.1 (±8.8) years. Among the subjects, 90 individuals were community-dwelling older adults. The survey used a list of socio-demographic questions, as well as the following scales: Mini-Mental State Examination (MMSE), Geriatric Depression Scale (GDS), SHARE-FI, and The World Health Organization Quality of Life (WHOQOL-Bref). Pre-frailty was confirmed in 49 (27.2%) patients, and frailty syndrome was noticed in 47 patients (26.1%). The prevalence of frailty syndrome in the study group was related to: place of living ( < 0.001), age ( < 0.001), widowhood ( < 0.001), a poor economic situation ( < 0.001), basic education level ( < 0.001), living alone ( < 0.001), longer duration of illness ( < 0.001), comorbidities ( < 0.001), more medications taken ( < 0.001), deterioration of hearing ( = 0.003), impairment of cognitive functions ( < 0.001), depression ( < 0.001), and decreased quality of life ( < 0.001). A lot of socio-demographic and medical factors, particularly cognitive and mental functioning were connected with the prevalence and progression of frailty syndrome in the study group. Quality of life was significantly dependent on the presence of frailty syndrome, both in homes and in nursing homes.

摘要

衰弱综合征作为一种生理综合征,其特征是生理储备逐渐下降,对应激诱导因素的抵抗力降低,导致不良后果风险增加。它与护理依赖和频繁住院密切相关。本研究的目的是描述居住在自己家中和养老院的衰弱老年人的社会人口学、临床和心理特征。该研究对180名60岁以上的患者进行,平均年龄(±标准差)为74.1(±8.8)岁。其中,90名个体为社区居住的老年人。该调查使用了一系列社会人口学问题清单,以及以下量表:简易精神状态检查表(MMSE)、老年抑郁量表(GDS)、SHARE-FI和世界卫生组织生活质量量表(WHOQOL-Bref)。49名(27.2%)患者被确诊为衰弱前期,47名患者(26.1%)被发现患有衰弱综合征。研究组中衰弱综合征的患病率与以下因素有关:居住地点(<0.001)、年龄(<0.001)、丧偶(<0.001)、经济状况差(<0.001)、基础教育水平(<0.001)、独居(<0.001)、病程较长(<0.001)、合并症(<0.001)、服用药物较多(<0.001)、听力下降(=0.003)、认知功能障碍(<0.001)、抑郁(<0.001)以及生活质量下降(<0.001)。许多社会人口学和医学因素,特别是认知和心理功能,与研究组中衰弱综合征的患病率和进展有关。生活质量在很大程度上取决于衰弱综合征的存在,无论是在家庭还是在养老院中。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ac0/8689074/7f28d3a9203d/fpsyt-12-736804-g0001.jpg

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