Research progress on multidimensional assessment tools for frail elderly patients

Abstract

Abstract: Frailty has evolved from a single emphasis on physical frailty to a more comprehensive multidimensional concept encompasses physical frailty,psychological frailty,cognitive frailty,social frailty,and environmental frailty.This article provides a review of five dimensions：physical condition,psychological condition,cognitive ability,social support,and home environment,and introduces the assessment scales that can be used for multidimensional elderly patients with frailty in the current study. By comparing and analyzing the basic characteristics and application of various scales,medical staff can use this as a reference to select appropriate scales for evaluating elderly patients with frailty.

Key words: Frail elderly, Assessment tools, Research progress

CLC Number:

R181.3⁺7

GAO Fang^1a,2, HONG Hanhan^1b, FENG Yue², RUAN Xu³, YANG Yajuan^1a. Research progress on multidimensional assessment tools for frail elderly patients. [J]OCCUPATION AND HEALTH, 2024, 40(22): 3151-3155.

References

[1] ENGEL J S,TRAN J,KHALIL N,et al.A systematic review of perioperative clinical practice guidelines for care of older adults living with frailty[J].Br J Anaesth,2023,130(3):262-271.
[2] 中华医学会老年医学分会,《中华老年医学杂志》编辑委员会.老年人衰弱预防中国专家共识(2022):05[J].中华老年医学杂志,2022, 41(5):503-511.
[3] ZHOU Q,LI Y,GAO Q,et al.Prevalence of frailty among Chinese community-dwelling older adults:a systematic review and meta-analysis[J].Int J Public Health,2023,68:1605964.
[4] SINCLAIR A J,ABDELHAFIZ A H.Metabolic impact of frailty changes diabetes trajectory[J].Metabolites,2023,13(2):295.
[5] LEE D,KIM M,WON C W.Common and different characteristics among combinations of physical frailty and sarcopenia in community‐dwelling older adults:The Korean Frailty and Aging Cohort Study[J].Geriatr Gerontol Int,2022,22(1):42-49.
[6] FHON JRS,SILVA ARF,LIMA E F C,et al.Association between sarcopenia,falls,and cognitive impairment in older people:a systematic review with meta-analysis[J].Int J Environ Res Public Health,2023,20(5):4156.
[7] YAN L C,LU H Y,WANG X Y,et al.Prevalence and risk factors of frailty in patients with chronic obstructive pulmonary disease:systematic review and meta-analysis[J].Eur Geriatr Med,2023,14(4):789-802.
[8] 张琴,於茗,王慧,等.4种衰弱识别工具在老年癌症患者中的应用比较[J].护理学杂志,2023,38(15):92-96.
[9] O'CAOIMH R,MCGAURAN J,O'DONOVAN M R,et al.Frailty screening in the emergency department:Comparing the variable indicative of placement risk,clinical frailty scaleand PRISMA-7[J].Int J Environ Res Public Health,2022,20(1):290.
[10] PIFFER I,GOETZ C,ZEVERING Y,et al.Ability of emergency department physicians using a functional autonomy-assessing version of the triage risk screening tool to detect frail older patients who require mobile geriatric team consultation[J].J Nutr Health Aging,2020,24:634-641.
[11] MOLONEY E,O'DONOVAN M R,SEZGIN D,et al.Diagnostic accuracy of frailty screening instruments validated for use among older adults attending emergency departments:a systematic review and meta-analysis[J].Int J Environ Res Public Health,2023,20(13):6280.
[12] JEURIS A,VAN GROOTVEN B,GEYSKENS L,et al.Identifying vulnerable older adults at risk for functional decline in cardiac care wards:time to shift the paradigm[J].Acta Clin Belg,2023,78(1):44-50.
[13] 李菲,刘慧松,查龙肖,等.中文版老年人衰弱评估量表的修订和信效度评价[J].护理学杂志,2017,32(7):18-20,27.
[14] 包新茹. 综合衰弱评估量表修订版CFAI-Plus的汉化及预测社区衰弱老年人不良结局的应用研究[D].成都:成都中医药大学,2020.
[15] 牛娟娟,石美霞,张绍果,等.老年住院病人衰弱评估量表的研制及信效度检验[J].护理研究,2022,36(3):402-407.
[16] DUMAN H,DUMAN H,PUSUROGLU M,et al.Anxiety disorders and depression are associated with resistant hypertension[J].Adv Clin Exp Med,2024,33(2):111-118.
[17] 付江宁,翟博宇,赵晓凤,等.老年心理健康量表(简版)的信效度初步检验[J].中国临床心理学杂志,2023,31(3):640-644.
[18] PENG S,ZHOU J,XIONG S,et al.Construction and validation of cognitive frailty risk prediction model for elderly patients with multimorbidity in Chinese community based on non-traditional factors[J].BMC Psychiatry,2023,23(1):1-10.
[19] NASREDDINE Z S,PHILLIPS N A,BÉIRIAN V,et al.The montreal cognitive assessment,MoCA:a brief screening tool for mild cognitive impairment[J].J Amer Geriatrics Society,2005,53(4):695-699.
[20] 牛伟华,杨慧锋.MoCA和MMSE量表评估慢性心力衰竭患者认知功能障碍的应用比较[J].护士进修杂志,2022,37(20):1825-1828.
[21] SUN X,GAO Y,CHEN Y,et al.Development and validation of frailty and malnutrition knowledge assessment scale for community-dwelling older adults[J].Appl Physiol Nutr Metab,2023,48(12):974-1004.
[22] MAH J C,PENWARDEN J L,POTT H,et al.Social vulnerability indices:a scoping review[J].BMC public health,2023,23(1):1253.
[23] 朱明月,李峥.老年人社会衰弱评估工具的研究进展[J].中国护理管理,2023,23(8):1254-1258.
[24] MA L,SUN F,TANG Z.Social frailty is associated with physical functioning,cognition,and depression,and predicts mortality[J].J Nutr Health Aging,2018,22:989-995.
[25] TEO N,GAO Q,NYUNT M S Z,et al.Social frailty and functional disability:findings from the Singapore longitudinal ageing studies[J].J Am Med Dir Assoc,2017,18(7):637.e13-637.e19.
[26] GARRE-OLMO J,CALVÓ-PERXAS L,LÓPEZ-POUSA S,et al.Prevalence of frailty phenotypes and risk of mortality in a community-dwelling elderly cohort[J].Age Ageing,2013,42(1):46-51.
[27] 康宁,于海军,陆晓敏,等.中国老年人跌倒发生率的Meta分析[J].中国循证医学杂志,2022,22(10):1142-1148.
[28] 尤黎明,张美芬,张军,等.老年人家中致跌危险因素评估[J].中国初级卫生保健,2001,15(5):55-56.
[29] ZIEBART C,DEWAN N,MACDERMID J.Content validity of the comprehensive home fall hazard checklist,an observational study[J].Medicine,2022,101(47):e31781.
[30] 于朋朋,王艳梅,朱蕊,等.缺血性脑卒中多病共存患者出院准备度现状及其影响因素研究[J].中华护理教育,2023,20(5):575-580.
[31] CHAN H C N,FEI X,LEUNG E L Y,et al.Post-discharge consequences of protein-energy malnutrition,sarcopenia and frailty in older adults admitted to rehabilitation:a systematic review[J].Clin Nutr Espen,2023,54:382-397.
[32] 张晓娜,王学兰,赵杰,等.宁夏地区三级医院护士长延续护理知信行现状调查[J].中华护理教育,2022,19(4):347-352.