Prevalence and factors associated with frailty among institutional older adults
10.3761/j.issn.0254-1769.2018.01.016
- VernacularTitle:养老机构老年人衰弱现状及分析
- Author:
Xiaolin HOU
1
;
Jing GAO
;
Chenxi WU
;
Dingxi BAI
;
Yuping XIANG
;
Xing LI
;
Xiaoxiao GUO
;
Jingya YU
Author Information
1. 611137成都市,成都中医药大学护理学院
- Keywords:
Frailty;
Homes for the Aged;
Aged;
Analysis
- From:
Chinese Journal of Nursing
2018;53(1):88-93
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the prevalence and influencing factors associated with frailty among institutional older adults and to provide evidence for intervention study.Methods A total of 237 older adults living in four welfare homes from Chengdu in Sichuan Province were recruited by convenience sampling.A cross-sectional survey was conducted,and frailty was assessed by the frailty phenotype;general information was collected by selfmade general information questionnaire;functional capacity was assessed by Barthel questionnaire;depressive status was assessed by GDS-15;cognitive function was assessed by clock drawing test and nutritional status was assessed by short form mini nutritional scale questionnaire (MNA-SF).Results The reported rate of frailty was 55.69% among institutional older adults,and 44.31% reported no frailty;grip weakness (207,87.3%),slow walking speed (172,72.6%) and low physical activity(131,55.3%) were the main frailty problems.Univariate analysis showed that the elderly'frailty conditions were different in the pre-retirement occupations,smoking,alcohol consumption,physical exercise,chronic diseases,medication,acute events (last year),self-reported health,using assisted walking devices,ability of daily life,depression,cognitive ability and nutritional status,and the differences were statistically significant(P<0.05).Conclusion The status of frailty is not optimistic among institutional older adults and many factors are associated with frailty.Healthcare providers should pay more attention to the frailty issue and take timely intervention strategies to prevent or delay the frailty.