Uchmanowicz Izabella, Faulkner Kenneth M, Iovino Paolo, Kwaśny Adrian, Surma Stanisław, Magi Camilla Elena, Jakubiak Grzegorz K, Longobucco Yari, Janczak Dawid, Rak-Pasikowska Alina, Czapla Michał, Uchmanowicz Bartosz
Department of Nursing, Faculty of Nursing and Midwifery, Wroclaw Medical University, Wroclaw, Poland.
Centre for Cardiovascular Health, Edinburgh Napier University, Edinburgh, United Kingdom.
Front Public Health. 2025 Jan 21;12:1518774. doi: 10.3389/fpubh.2024.1518774. eCollection 2024.
Frailty syndrome (FS) is a complex and multifaceted condition commonly observed in old adults patients with chronic diseases, often accompanied by cognitive impairments. This review explores the integration of frailty interventions into existing care models to improve patient outcomes, focusing on four key areas. First, it emphasizes the importance of comprehensive assessment tools to identify frailty and cognitive impairments early, facilitating targeted care planning. Second, it highlights the value of personalized interventions, such as dietary modifications, exercise programs, and cognitive training, tailored to individual patient needs and preferences. Third, the review underscores the critical role of multidisciplinary care teams in providing holistic and coordinated care, leveraging the expertise of diverse healthcare professionals. Finally, it examines the potential of technological innovations and caregiver support systems in enhancing frailty management and addressing the challenges posed by cognitive impairments. By integrating these approaches, this review presents a patient-centered framework aimed at mitigating the impact of frailty and improving long-term outcomes. The findings emphasize the need for a unified strategy that combines personalized care, interdisciplinary collaboration, and technological advancements to address the multifaceted challenges of frailty in chronic disease management.
衰弱综合征（FS）是一种常见于患有慢性疾病的老年患者的复杂且多方面的状况，常伴有认知障碍。本综述探讨将衰弱干预措施整合到现有护理模式中以改善患者预后，重点关注四个关键领域。首先，它强调全面评估工具对于早期识别衰弱和认知障碍的重要性，有助于制定有针对性的护理计划。其次，它突出了个性化干预措施的价值，例如根据患者个体需求和偏好量身定制的饮食调整、运动计划和认知训练。第三，该综述强调了多学科护理团队在提供全面且协调的护理方面的关键作用，利用了不同医疗专业人员的专业知识。最后，它研究了技术创新和照护者支持系统在加强衰弱管理以及应对认知障碍带来的挑战方面的潜力。通过整合这些方法，本综述提出了一个以患者为中心的框架，旨在减轻衰弱的影响并改善长期预后。研究结果强调需要一种统一的策略，将个性化护理、跨学科合作和技术进步结合起来，以应对慢性病管理中衰弱的多方面挑战。
