社区和养老院环境中老年人衰弱的相关因素:一项系统评价与荟萃分析
Factors Associated with Frailty in Older Adults in Community and Nursing Home Settings: A Systematic Review with a Meta-Analysis.
作者信息
Liu Jia, Zhu Yuezhi, Tan Jen Kit, Ismail Azera Hasra, Ibrahim Roszita, Hassan Nor Haty
机构信息
Department of Nursing, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur 56000, Malaysia.
Department of Biochemistry, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur 56000, Malaysia.
出版信息
J Clin Med. 2024 Apr 19;13(8):2382. doi: 10.3390/jcm13082382.
Frailty is a globally recognized issue. However, there is a lack of evidence exploring factors associated with frailty among older residents in community and nursing-home settings. To explore the prevalence and factors associated with frailty among older adults in community and nursing-home settings, we conducted a systematic search following the PRISMA guidelines across Web of Science, MEDLINE, EMBASE, PubMed, and Cochrane databases up until January 2024, selecting 38 studies which encompassed 150,642 participants. Our findings showed higher frailty prevalence in nursing homes compared to communities. Frailty was significantly associated with sociodemographic (living alone, poor self-reported health), physiological (poor sleep, low activity of daily living), behavioral (physical inactivity) and disease (chronic conditions, depression) factors in both community and nursing-home settings. There are numerous factors associated with frailty in older adults in nursing-home and community settings. These factors underscore the significance of promptly identifying high-risk individuals and devising appropriate interventions to mitigate frailty among them.
衰弱是一个全球公认的问题。然而,缺乏证据探索社区和养老院环境中老年居民衰弱的相关因素。为了探讨社区和养老院环境中老年人衰弱的患病率及相关因素,我们按照PRISMA指南,在截至2024年1月的Web of Science、MEDLINE、EMBASE、PubMed和Cochrane数据库中进行了系统检索,选择了38项研究,共纳入150,642名参与者。我们的研究结果显示,养老院中的衰弱患病率高于社区。在社区和养老院环境中,衰弱与社会人口学因素(独居、自我报告健康状况差)、生理因素(睡眠差、日常生活活动能力低)、行为因素(身体活动不足)和疾病因素(慢性病、抑郁症)显著相关。在养老院和社区环境中,老年人衰弱存在众多相关因素。这些因素凸显了及时识别高危个体并制定适当干预措施以减轻其衰弱程度的重要性。
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