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识别和管理虚弱:英国医疗保健专业人员的调查。

Identifying and Managing Frailty: A Survey of UK Healthcare Professionals.

机构信息

Research Department of Primary Care and Population Health, University College London, London, UK.

Division of Medical Sciences and Graduate Entry Medicine, University of Nottingham, Nottingham, UK.

出版信息

J Appl Gerontol. 2024 Apr;43(4):402-412. doi: 10.1177/07334648231206321. Epub 2023 Oct 20.

Abstract

Frailty is a common condition that leads to multiple adverse outcomes. Frailty should be identified and managed in a holistic, evidence-based and patient-centered way. We aimed to understand how UK healthcare professionals (HCPs) identify and manage frailty in comparison with UK Fit for Frailty guidelines, their frailty training, their confidence in providing support and organizational pathways for this. An online mixed-methods survey was distributed to UK HCPs supporting older people through professional bodies, special interest groups, key contacts, and social media. From 137 responses, HCPs valued frailty assessment but used a mixture of tools that varied by profession. HCPs felt confident managing frailty and referred older people to a wide range of supportive services, but acknowledged a lack of formalized training opportunities, systems, and pathways for frailty management. Clearer pathways, more training, and stronger interprofessional communication, appropriate to each setting, may further support HCPs in frailty management.

摘要

衰弱是一种常见的状况,会导致多种不良后果。衰弱应该以整体的、基于证据的和以患者为中心的方式来识别和管理。我们旨在了解与英国衰弱综合管理指南相比,英国医疗保健专业人员(HCPs)如何识别和管理衰弱,他们的衰弱培训,他们在提供支持方面的信心,以及为此制定的组织途径。我们通过专业机构、特别利益集团、主要联系人以及社交媒体向支持老年人的英国 HCPs 分发了一份在线混合方法调查。在 137 份回复中,HCPs 重视衰弱评估,但使用的工具因专业而异。HCPs 对管理衰弱有信心,并将老年人转介到广泛的支持服务,但承认缺乏规范化的培训机会、系统和衰弱管理途径。更清晰的途径、更多的培训以及更强的跨专业沟通,针对每个环境进行适当调整,可能会进一步支持 HCPs 进行衰弱管理。

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