Pérez-Rugosa Victoria, Núñez-Castro Isabel, Carriles-Freire Wendy Celeste, Rodríguez-Rodríguez Antonia, Sarabia-Cobo Carmen
CR Santa Lucía, Geriatric Nursing Research Group (Spain), Madrid, Spain.
Residencia Santo Espiritu, Geriatric Nursing Research Group. (Spain), Lisboa, Portugal.
J Adv Nurs. 2025 Sep;81(9):5870-5881. doi: 10.1111/jan.16710. Epub 2024 Dec 30.
This study investigated whether Gordon's Functional Health Patterns (FHPs) can predict frailty in older adults residing in nursing homes over 5 years.
Prospective cohort study with participants from 10 nursing homes across five countries.
Researchers assessed 1245 participants at baseline and 903 at follow-up (5 years) using standardised frailty measures and FHP assessments. Statistical analyses explored the relationships between FHPs and frailty.
FHPs, particularly those related to mobility, nutrition and social interaction, significantly predicted lower frailty risk at baseline. Furthermore, FHPs showed an increased ability to predict frailty over time, explaining a substantial portion of frailty variation at both baseline and follow-up. Analyses also revealed differences in how specific FHPs impacted frailty, suggesting the importance of individual functional variations.
This study suggests that Gordon's FHPs are a valuable tool for predicting frailty in older adults within institutional settings. Integrating FHPs into clinical practice can promote early frailty detection and intervention. Future research should explore how FHPs change over time and their impact on frailty in broader populations.
The study followed the CONSORT guideline for cohort studies to enhance the quality and transparency of reporting the results.
Not applicable.
本研究调查了戈登功能健康模式（FHPs）能否预测居住在养老院的老年人5年内的衰弱情况。
对来自五个国家10家养老院的参与者进行前瞻性队列研究。
研究人员在基线时评估了1245名参与者，在随访（5年）时评估了903名参与者，使用标准化的衰弱测量方法和FHP评估。统计分析探讨了FHPs与衰弱之间的关系。
FHPs，特别是那些与活动能力、营养和社会互动相关的FHPs，在基线时显著预测了较低的衰弱风险。此外，随着时间的推移，FHPs预测衰弱的能力增强，在基线和随访时都解释了很大一部分衰弱差异。分析还揭示了特定FHPs对衰弱影响的差异，表明个体功能差异的重要性。
本研究表明，戈登的FHPs是预测机构环境中老年人衰弱的有价值工具。将FHPs纳入临床实践可以促进早期衰弱检测和干预。未来的研究应探索FHPs如何随时间变化以及它们对更广泛人群衰弱的影响。
本研究遵循队列研究的CONSORT指南，以提高报告结果的质量和透明度。
不适用。
