In Search of an Integral Conceptual Definition of Frailty: Opinions of Experts
In Search of an Integral Conceptual Definition of Frailty: Opinions of Experts
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DOI：
10.1016/j.jamda.2009.09.015
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发表时间：
2010-06-01
影响因子：
7.6
通讯作者：
Schols, Jos M. G. A.
中科院分区：
文献类型：
--
作者：
Gobbens, Robbert J. J.;Luijkx, Katrien G.;Schols, Jos M. G. A.
简介：有许多不同的概念定义的脆弱性循环。其中大多数定义主要侧重于影响老年人的身体问题。只有少数人还提请注意人类功能的其他领域，如心理领域。这篇文章的作者担心，这可能会导致对体弱老年人的护理支离破碎。我们的目的是制定一个完整的概念定义的脆弱性，从一个整体观的person.Methods的前提：为了实现这一点，进行了文献检索。此后，在2次专家会议期间通过口头方式和书面调查问卷征求了一组专家（N = 20）的意见。这些专家被问到现有的概念定义的脆弱的地方最强调的整体功能的老年人。结果：专家表示了明确的偏好的概念定义之一。的文献检索和咨询的结果与专家导致了一个新的整体概念定义frailty.Conclusion：概念定义的目的是提供一个框架，脆弱的可操作的定义，确定体弱的老年人。（《美国医学发展杂志》，2010年; 11：338-343）
Introduction: There are many different conceptual definitions of frailty in circulation. Most of these definitions focus mainly on physical problems affecting older people. Only a few also draw attention to other domains of human functioning such as the psychological domain. The authors of this article fear that this could lead to fragmentation of care for frail older people. The aim is to develop an integral conceptual definition of frailty that starts from the premise of a holistic view of the person.Methods: To achieve this, a literature search was carried out. Thereafter a group of experts (N = 20) were consulted, both verbally during 2 expert meetings and via a written questionnaire. These experts were asked which existing conceptual definition of frailty places most stress on the integral functioning of older people.Results: The experts expressed a clear preference for one of the conceptual definitions. The result of the literature search and the consultation with the experts led to a new integral conceptual definition of frailty.Conclusion: The conceptual definition is intended to offer a framework for an operational definition of frailty for identifying frail older people. (J Am Med Dir Assoc 2010; 11: 338-343)