Frailty and health-related quality of life among residents of long-term care facilities.

Frailty and health-related quality of life among residents of long-term care facilities.
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DOI:
10.1177/0898264313493003
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发表时间:
2013-08
影响因子:
2.8
通讯作者:
Roger VL
Roger VL
中科院分区:
医学3区
文献类型:
--
作者:
Kanwar A;Singh M;Lennon R;Ghanta K;McNallan SM;Roger VL

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[目的]了解长期护理机构[养老院(NH)和辅助生活(AL)]居民的虚弱和健康相关生活质量(HRQOL)的患病率及其相互关系。威斯康星州拉克罗斯县的NH和AL设施的居民于2009年1月至2010年6月被招募,并评估其虚弱(步速、意外体重减轻、握力)、共病(Charlson指数)和HRQOL[简写(SF)-36]。在137名参与者中,85%的人身体虚弱。体弱的居民年龄较大,有更多的合并症(2.0vs.0,p<0.001)和较低的平均SF-36身体成分评分(32vs.48,p<0.001)。在调整了年龄、性别和合并症后,与非体弱居民相比,体弱居民的SF-36PCS较低(平均差异−为14.7,95%可信区间)。−19.3,−10.1,P<0.001)。虚弱、共病和HRQOL在NH和AL设施之间没有差别。虚弱居民的HRQOL较低,这表明预防虚弱可能会导致长期护理机构居民更好的HRQOL。
To determine the prevalence and relationship of frailty and health-related quality of life (HRQOL) among residents of long-term care [nursing homes (NH) and assisted living (AL)] facilities. Residents of NH and AL facilities in La Crosse County, Wisconsin, were recruited 1/2009–6/2010 and assessed for frailty (gait speed, unintended weight loss, grip strength), comorbidity (Charlson index), and HRQOL [Short Form (SF)-36]. Among 137 participants, 85% were frail. Frail residents were older, had more comorbidities (2.0 vs. 0, p<0.001) and lower mean SF-36 Physical Component Score (PCS) (32 vs. 48, p<0.001). Following adjustments for age, sex, and comorbidities, compared to non-frail residents, frail residents had lower SF-36 PCS (mean difference −14.7, 95% CI. −19.3,−10.1, p <0.001). Frailty, comorbidity, and HRQOL did not differ between NH and AL facilities. Frail residents had lower HRQOL, suggesting that preventing frailty may lead to better HRQOL among residents of long-term care facilities.
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