Donnellan C
School of Nursing and Midwifery, Edith Cowan University, Joondalup, Australia.
School of Nursing and Midwifery, Faculty of Health Sciences, Trinity College Dublin, Dublin, Ireland.
J Clin Nurs. 2024 Nov 18. doi: 10.1111/jocn.17558.
The concept of healthy or successful ageing dates back to the 1960s, where its goal is more realistic in today's ageing society as a result of effective interventions to control and reduce disability and health risks. The aim of this paper is to outline the importance of defining ageing, the semantics and indicators used, and to identify common challenges for health professionals' understanding and application of a healthy ageing approach in their everyday clinical practice.
This discursive paper demonstrates how realistic ageing indicators are for highlighting the variation and impact of challenges associated with ageing. It examines the proportion of older adults requiring aged-care services and allocation of resources, focusing on health maintenance and secondary ageing prevention.
Indicators of ageing commonly used in clinical healthcare settings are reviewed, and their appropriateness for determining functional and intrinsic capacity of older adults. Other indicators are introduced, i.e., the Healthy Life Expectancy (HLE), Disability Free Life Expectancy (DFLE), the Human Development Index (HDI), and the Active Ageing Index (AAI), for enhancing and promoting a healthy ageing model of healthcare. Healthy ageing models of health and social care are also considered.
Outlining evidence on healthy ageing may facilitate health professionals to address realistic challenges regarding age-related health and social care provision, using a personalised approach for every older adult as opposed to cutting off chronological age parameters.
Increasing health professionals' focus on healthy ageing will maintain good health in at least 80% of the ageing population for longer.
No patient or public contribution.
健康老龄化或成功老龄化的概念可追溯到20世纪60年代，由于采取了有效的干预措施来控制和降低残疾及健康风险，其目标在当今老龄化社会中更具现实意义。本文旨在概述界定老龄化的重要性、所使用的语义和指标，并确定健康专业人员在日常临床实践中理解和应用健康老龄化方法时面临的共同挑战。
这篇论述性论文展示了现实的老龄化指标如何突出与老龄化相关挑战的多样性和影响。它考察了需要老年护理服务的老年人比例和资源分配情况，重点关注健康维持和继发性衰老预防。
回顾了临床医疗环境中常用的老龄化指标，以及它们在确定老年人功能和内在能力方面的适用性。还引入了其他指标，即健康预期寿命（HLE）、无残疾预期寿命（DFLE）、人类发展指数（HDI）和积极老龄化指数（AAI），以加强和推广健康老龄化的医疗模式。同时也考虑了健康和社会护理的健康老龄化模式。
概述健康老龄化的证据可能有助于健康专业人员应对与年龄相关的健康和社会护理提供方面的现实挑战，针对每个老年人采用个性化方法，而不是切断实际年龄参数。
提高健康专业人员对健康老龄化的关注将使至少80%的老年人口在更长时间内保持良好健康。
无患者或公众贡献。
