Frailty prevalence and associated factors in community dwelling older adults: An examination of the frailty care model

IF 2.4 3区 医学 Q3 GERIATRICS & GERONTOLOGY Geriatric Nursing Pub Date : 2025-01-01 Epub Date: 2024-11-07 DOI:10.1016/j.gerinurse.2024.10.041
Lee Anne Siegmund PhD, RN, ACSM-CEP, FAAN (Senior Nurse Scientist) , Lorraine M. Novosel PhD, RN, APRN-CNP, AGPCNP-BC (Nurse Scientist) , James F. Bena MS (Principal Biostatistician) , Shannon L. Morrison MS (Statistical Programmer IV)
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Abstract

Background

Age-related changes put older adults at risk for frailty. The Frailty Care Model was created to inform the care of older adults with or at risk for frailty. The purpose was to test the Frailty Care Model.

Methods

This was a cross-sectional study to identify associations between factors in the Frailty Care Model, and frailty components in older adults’ strength, fatigue, ability to ambulate, and weight loss over the last year. Comparisons across frailty groups used Pearson's chi-square tests or Fisher's exact tests. ANOVA tests and Kruskal-Wallis tests were used. Multivariable ordinal regression models were fit.

Results

Odds of frailty increased by 137% for those who lived alone, 20% for those who were depressed, and 433% for those who were classified as “at risk for malnutrition”.

Conclusions

This study was the first to test the Frailty Care Model with a focus on modifiable factors that predict frailty.
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居住在社区的老年人体弱多病的发生率及相关因素:对虚弱护理模式的研究。
背景:与年龄有关的变化使老年人面临虚弱的风险。创建虚弱护理模型的目的是为患有虚弱或有虚弱风险的老年人提供护理信息。目的是测试虚弱护理模型:这是一项横断面研究,旨在确定虚弱护理模型中的因素与老年人在过去一年中的体力、疲劳、行动能力和体重减轻等虚弱成分之间的关联。不同虚弱组之间的比较采用皮尔逊卡方检验或费雪精确检验。方差分析检验和 Kruskal-Wallis 检验均可使用。对多变量序数回归模型进行了拟合:结果:独居者体弱的几率增加了 137%,抑郁者体弱的几率增加了 20%,"有营养不良风险 "者体弱的几率增加了 433%:这项研究首次对虚弱护理模型进行了测试,重点是预测虚弱的可改变因素。
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来源期刊
Geriatric Nursing
Geriatric Nursing 医学-护理
CiteScore
3.80
自引率
7.40%
发文量
257
审稿时长
>12 weeks
期刊介绍: Geriatric Nursing is a comprehensive source for clinical information and management advice relating to the care of older adults. The journal''s peer-reviewed articles report the latest developments in the management of acute and chronic disorders and provide practical advice on care of older adults across the long term continuum. Geriatric Nursing addresses current issues related to drugs, advance directives, staff development and management, legal issues, client and caregiver education, infection control, and other topics. The journal is written specifically for nurses and nurse practitioners who work with older adults in any care setting.
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