Centre for Applied Dementia Studies, Faculty of Health Studies, University of Bradford, Bradford BD7 1DP, UK.
Leeds Institute of Health Sciences, University of Leeds, Leeds, LS2 9LH, UK.
Age Ageing. 2023 Apr 1;52(4). doi: 10.1093/ageing/afad045.
Perceptions of frailty can influence how families cope, quality of life and access to support services. Yet little is known of how lay members of the UK general public perceive frailty. This scoping review aimed to explore how frailty is perceived among the lay public in the United Kingdom.
The established scoping review methodology by Arksey and O'Malley was followed and searches were conducted across eight electronic databases and grey literature websites for articles published between 1990 and August 2022. In total, 6,705 articles were identified, of which six were included in the review. Data were analysed using Braun and Clarke's thematic analysis framework.
Three key themes were identified; frailty as a normal part of ageing, perceived consequences of frailty and coping with frailty. Overall, frailty has negative connotations and is perceived as linked to a natural part of the ageing process, increased dependency, loss of identity and social exclusion and stigma. However, it is unclear whether these perceptions have a direct bearing on access to support services for communities.
This review identifies that it is imperative for health and social care service providers to consider the individual meaning of frailty for older people and families, to understand and integrate their particular needs and preferences when planning and delivering person centred frailty care and support. There is also a need for development of interventions that focus on increasing education and reducing stigma around frailty in order to change frailty perceptions in the UK.
对虚弱的认知会影响家庭的应对方式、生活质量和获得支持服务的机会。然而，对于英国普通公众如何感知虚弱，我们知之甚少。本范围综述旨在探索英国普通公众对虚弱的看法。
我们遵循了 Arksey 和 O'Malley 确立的范围综述方法，并在 1990 年至 2022 年 8 月期间，在八个电子数据库和灰色文献网站上进行了搜索，以确定发表的文章。共确定了 6705 篇文章，其中 6 篇文章被纳入综述。使用 Braun 和 Clarke 的主题分析框架对数据进行分析。
确定了三个关键主题；虚弱是衰老的正常部分、虚弱的感知后果和虚弱的应对。总体而言，虚弱具有负面含义，被认为与衰老过程的自然部分、依赖性增加、身份丧失和社会排斥和污名有关。然而，尚不清楚这些看法是否对社区获得支持服务有直接影响。
本综述表明，卫生和社会保健服务提供者必须考虑老年人和家庭对虚弱的个人意义，在规划和提供以患者为中心的虚弱护理和支持时，了解并整合他们的特定需求和偏好。还需要开发干预措施，重点是增加虚弱方面的教育并减少耻辱感，以改变英国对虚弱的看法。
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