국내 지역사회 거주 노인의 허약과 건강결과 간의 관계에 대한 통합적 고찰
Association of Health Outcomes with Frailty in Community-Dwelling Korean Older Adults: An Integrative Review
0
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Purpose: Frailty is associated with an increased risk of adverse health outcomes. We aimed to review the relationships between frailty and health outcomes in community-dwelling Korean elderly individuals. Methods: Whittemore and Knafls’ framework for conducting integrative reviews was used. PubMed, Cumulative Index to Nursing and Allied Health Literature, and six Korean databases were searched. For analysis, the study included articles written in English and Korean published between January 1960 and June 2018. Of the total 1,488 studies found in the databases, we analyzed 15 studies that met the quality of the evaluation criteria. Results: The prevalence of frailty in Korean elderly individuals ranged from 6.5% to 11.7% when divided into three levels of frailty. The health outcomes assessed in relation to frailty were divided into five domains: quality of life, physical health, psychosocial health, health behavior, and health care quality. Frailty was negatively associated with all five domains. Conclusions: Our study suggested that nurses should be aware of the limitations in the physical and cognitive functions of frail elderly individuals and provide tailored interventions for Korean elderly individuals. Furthermore, a large-scale study is needed to develop the Korean model of the frailty assessment tool and to verify the conceptual model of this study.
Abstract
Purpose: Frailty is associated with an increased risk of adverse health outcomes. We aimed to review the relationships between frailty and health outcomes in community-dwelling Korean elderly individuals. Methods: Whittemore and Knafls’ framework for conducting integrative reviews was used. PubMed, Cumulative Index to Nursing and Allied Health Literature, and six Korean databases were searched. For analysis, the study included articles written in English and Korean published between January 1960 and June 2018. Of the total 1,488 studies found in the databases, we analyzed 15 studies that met the quality of the evaluation criteria. Results: The prevalence of frailty in Korean elderly individuals ranged from 6.5% to 11.7% when divided into three levels of frailty. The health outcomes assessed in relation to frailty were divided into five domains: quality of life, physical health, psychosocial health, health behavior, and health care quality. Frailty was negatively associated with all five domains. Conclusions: Our study suggested that nurses should be aware of the limitations in the physical and cognitive functions of frail elderly individuals and provide tailored interventions for Korean elderly individuals. Furthermore, a large-scale study is needed to develop the Korean model of the frailty assessment tool and to verify the conceptual model of this study.
참고문헌 (30)
- "The estimated population by sex and age"[URL]
- Matteo Cesari, "Frailty: An Emerging Public Health Priority", Journal of the American Medical Directors Association, 17(3), pp.188~192 (2016), Elsevier BV[DOI]
- Fried LP, "Frailty in older adults: evidence for a phonotype", The Journals of Gerontology: Series A, 56(3), pp.M146~M157 (2001)[DOI]
- Qian-Li Xue, "The Frailty Syndrome: Definition and Natural History", Clinics in Geriatric Medicine, 27(1), pp.1~15 (2011), Elsevier BV[DOI]
- Carmen Betsy Franse, "Ethnic differences in frailty: a cross-sectional study of pooled data from community-dwelling older persons in the Netherlands", BMJ Open, 8(8), pp.e022241~ (2018), BMJ[DOI]
- Jaekyung Choi, "Global Prevalence of Physical Frailty by Fried's Criteria in Community-Dwelling Elderly With National Population-Based Surveys", Journal of the American Medical Directors Association, 16(7), pp.548~550 (2015), Elsevier BV[DOI]
- 오은미, "포괄적 한국 노인 허약사정 도구의 적용가능성과 예측타당도 평가: 2008, 2011년 노인실태조사 자료 이용", 지역사회간호학회지, 28(2), pp.206~215 (2017), 한국지역사회간호학회[DOI]
- E. Sieliwonczyk, "Frailty indexes, screening instruments and their application in Belgian primary care", Acta Clinica Belgica, 69(4), pp.233~239 (2014), Informa UK Limited[DOI]
- Fried LP, "Geriatric Medicine", pp.1067~1076 (2003), Springer
- 박진경, "한국 노인의 허약 경험: Colaizzi의 현상학적 방법으로", Journal of Korean Academy of Nursing, 47(4), pp.562~574 (2017), 한국간호과학회
- R. J. J. Gobbens, "Towards an integral conceptual model of frailty", The journal of nutrition, health & aging, 14(3), pp.175~181 (2010), Springer Science and Business Media LLC[DOI]
- Elsa Dent, "The Asia-Pacific Clinical Practice Guidelines for the Management of Frailty", Journal of the American Medical Directors Association, 18(7), pp.564~575 (2017), Elsevier BV[DOI]
- Amanda de Carvalho Mello, "Health-related and socio-demographic factors associated with frailty in the elderly: a systematic literature review", Cadernos de Saúde Pública, 30(6), pp.1143~1168 (2014), FapUNIFESP (SciELO)[DOI]
- Sofie Vermeiren, "Frailty and the Prediction of Negative Health Outcomes: A Meta-Analysis", Journal of the American Medical Directors Association, 17(12), pp.1163.e1~1163.e17 (2016), Elsevier BV[DOI]
- Asangaedem Akpan, "Standard set of health outcome measures for older persons", BMC Geriatrics, 18(1), pp.36~ (2018), Springer Science and Business Media LLC[DOI]
- Hanna Hopia, "Reviewing the methodology of an integrative review", Scandinavian Journal of Caring Sciences, 30(4), pp.662~669 (2016), Wiley[DOI]
- Robin Whittemore, "The integrative review: updated methodology", Journal of Advanced Nursing, 52(5), pp.546~553 (2005), Wiley[DOI]
- 김혜진, "국내 성인 말기암 환자의 삶의 질에 대한 통합적 고찰", 성인간호학회지, 29(4), pp.419~431 (2017), 한국성인간호학회[DOI]
- D. Moher, "Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement", British Medical Journal, 339, pp.b2535~b2535 (2009), BMJ[DOI]
- Moola S, "Joanna Briggs Institute Reviewer's Manual" (2017), The Joanna Briggs Institute
- Parrish GR, "Measuring population health outcomes", Preventing Chronic Disease, 7(4), pp.A71~ (2010)
- Ravaglia G, "Development of an easy prognostic score for frailty outcomes in the aged", Age and Ageing, 37(2), pp.161~166 (2008)[DOI]
- L. Sargent, "Assessing the current state of cognitive frailty: Measurement properties", The journal of nutrition, health & aging, 21(2), pp.152~160 (2017), Springer Science and Business Media LLC[DOI]
- Leslie Vaughan, "Depression and frailty in later life: a systematic review", Clinical Interventions in Aging, pp.1947~1958 (2015), Informa UK Limited[DOI]
- Kristine E. Ensrud, "A Comparison of Frailty Indexes for the Prediction of Falls, Disability, Fractures, and Mortality in Older Men", Journal of the American Geriatrics Society, 57(3), pp.492~498 (2009), Wiley[DOI]
- Meredith C Masel, "Frailty and health related quality of life in older Mexican Americans", Health and Quality of Life Outcomes, 7(1), pp.70~ (2009), Springer Science and Business Media LLC[DOI]
- N.M. de Vries, "Outcome instruments to measure frailty: A systematic review", Ageing Research Reviews, 10(1), pp.104~114 (2011), Elsevier BV[DOI]
- 황환식, "한국형 노쇠측정도구 개발 및 타당도 조사", Annals of geriatric medicine and research, 14(4), pp.191~202 (2010), 대한노인병학회
- Survey of the elderly in 2014, "Jung KH", Korea Institute for Health and Social Affairs, Ministry of Health and Welfare, ~ (2014)
- Nadia Danon-Hersch, "Prefrailty and Chronic Morbidity in the Youngest Old: An Insight from the Lausanne Cohort Lc65+", Journal of the American Geriatrics Society, 60(9), pp.1687~1694 (2012), Wiley[DOI]