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老年门诊患者中与衰弱、衰弱前期以及弗里德衰弱标准各项相关的因素。

Factors associated with frailty, pre-frailty, and each of Fried's criteria of frailty among older adult outpatients.

作者信息

Almeida Barros Ariane Aparecida, Lucchetti Giancarlo, Guilhermino Alves Eliane Baião, de Carvalho Souza Sophia Queiroz, Rocha Rick Pablo Rodrigues, Almeida Sarah Monti, Silva Ezequiel Oscarina da, Granero Lucchetti Alessandra Lamas

机构信息

School of Medicine, Federal University of Juiz de Fora, Brazil.

School of Medicine, Federal University of Juiz de Fora, Brazil.

出版信息

Geriatr Nurs. 2024 Nov-Dec;60:85-91. doi: 10.1016/j.gerinurse.2024.08.033. Epub 2024 Sep 4.

Abstract

This study aims to investigate both the prevalence and associated factors of frailty, pre-frailty, and each criterion of frailty according to the Fried phenotype criteria among older adult outpatients receiving care from geriatric services. A cross-sectional study was conducted between 2020 and 2022 and included 335 older adults. Fried's criteria and a comprehensive geriatric assessment, including physical, clinical and mental health variables were investigated. More than half of participants presented frailty (11.6 %) and/or pre-frailty (43.3 %) according to Fried's criteria, with physical inactivity and low gait speed as the most prevalent criteria. Several factors demonstrated associations with the diagnosis of frailty/pre-frailty, including retirement status, marital status (unmarried), the use of walking aids, lower educational attainment, decreased functional status, and poor mental health. Furthermore, various factors were associated with each of Fried's criteria, highlighting that certain factors might align with a specific criterion without necessarily correlating with the diagnosis of frailty and pre-frailty.

摘要

本研究旨在调查接受老年服务护理的老年门诊患者中衰弱、衰弱前期的患病率及相关因素,以及根据弗里德表型标准确定的衰弱各标准。2020年至2022年期间进行了一项横断面研究,纳入了335名老年人。研究调查了弗里德标准以及包括身体、临床和心理健康变量在内的全面老年评估。根据弗里德标准,超过一半的参与者存在衰弱(11.6%)和/或衰弱前期(43.3%),其中身体活动不足和步速缓慢是最常见的标准。几个因素显示与衰弱/衰弱前期的诊断相关,包括退休状态、婚姻状况(未婚)、使用助行器、教育程度较低、功能状态下降和心理健康不佳。此外,各种因素与弗里德的每个标准相关,这突出表明某些因素可能与特定标准相符,但不一定与衰弱和衰弱前期的诊断相关。

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