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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
손연정 (중앙대학교 적십자간호대학), 이숙정 (중앙대학교 적십자간호대학), 최유리 (순천향대학교천안병원 외과병동)
언어 :
권호 : v.26, no.1, 5-18,
발행일자 : 2019년 4월
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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)
Statistics Korea. The estimated population by sex and age [Internet]. Seoul: Statistics Korea; [cited 2018 July 26]. Available from: http://kosis.kr/statisticsList/statisticsListIndex.do?menuId=M_01_01&vwcd=MT_ZTITLE&parmTabId=M_01_01#SelectStatsBoxDiv
Cesari M, Prince M, Thiyagarajan JA, De Carvalho IA, Bernabei R, Chan P, et al. Frailty: an emerging public health priority. Journal of the American Medical Directors Association. 2016;17(3):188-192. https://doi.org/10.1016/j.jamda.2015.12.016
http://dx.doi.org/10.1016/j.jamda.2015.12.016
Fried LP, Tangen CM, Walston J, Newman AB, Hirsch C, Gottdiener J, et al. Frailty in older adults: evidence for a phonotype. The Journals of Gerontology: Series A. 2001;56(3):M146-57. https://doi.org/10.1093/gerona/56.3.M146
http://dx.doi.org/10.1093/gerona/56.3.M146
Xue QL. The frailty syndrome: definition and natural history. Clinics in Geriatric Medicine. 2011;27(1):1-15. https://doi.org/10.1016/j.cger.2010.08.009
http://dx.doi.org/10.1016/j.cger.2010.08.009
Franse CB, van Grieken A, Qin L, Melis RJ, Rietjens JAC, Raat H. Ethnic differences in frailty: a cross-sectional study of pooled data from community-dwelling older persons in the Netherlands. BMJ Open. 2018;8:1-10. https;//doi:10.1136/bmjopen-2018-022241
Choi J, Ahn A, Kim S, Won CW. 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. 2015;16(7):548-550. https://doi.org/10.1016/j.jamda.2015.02.004
http://dx.doi.org/10.1016/j.jamda.2015.02.004
Oh E, Son Hong GR. The evaluation of feasibility and predictive validity of comprehensive Korean frailty instrument: using the 2008 and 2011 living profiles of older people survey in Korea. Journal of Korean Academy of Community Health Nursing. 2017;28(2):206-215. https://doi.org/10.12799/jkachn.2017.28.2.206
http://dx.doi.org/10.12799/jkachn.2017.28.2.206
Sieliwonczyk E, Perkisas S, Vandewoude M. Frailty indexes, screening instruments and their application in Belgian primary care. Acta Clinica Belgica. 2014;69(4):233-239. https://doi.org/10.1179/2295333714Y.0000000027
http://dx.doi.org/10.1179/2295333714Y.0000000027
Fried LP, Darer J, Walston J. Frailty. In: Geriatric Medicine, Springer, New York, NY. 2003. p. 1067-1076. https://doi.org/10.1007/0-387-22621-4_74
Park JK. Experience of frailty in Korean Elderly: a phenomenological study utilizing the Colaizzi method. Journal of Korean Academy Nursing. 2017;47(4):562-574. https://doi.org/10.4040/jkan.2017.47.4.562
http://dx.doi.org/10.4040/jkan.2017.47.4.562
Gobbens RJJ, Luijkx KG, Wijnen-Sponselee MT, Schols JMGA. Towards an integral conceptual model of frailty. The Journal of Nutrition, Health & Aging. 2010;14(3):175-181. https://doi.org/10.1007/s12603-010-0045-6
http://dx.doi.org/10.1007/s12603-010-0045-6
The Asia-Pacific clinical practice guidelines for the management of frailty. Journal of American Medical Directors Association. 2017;18(7):564-575. https://doi.org/10.1016/j.jamda.2017.04.018
http://dx.doi.org/10.1016/j.jamda.2017.04.018
Mello AC, Engstrom EM, Alves LC. Health-related and socio-demographic factors associated with frailty in the elderly: a systematic literature review. Cadernos de Saude Publica. 2014;30(6):1143-1168. https://doi.org/10.1590/0102-311X00148213
http://dx.doi.org/10.1590/0102-311X00148213
Vermeiren S, Vella-Azzopardi R, Beckwee D, Habbig AK, Scafoglieri A, Jansen B, et al. Frailty and the prediction of negative health outcomes: a meta-analysis. Journal of the American Medical Directors Association. 2016;17(12):1163.e1-17. https://doi.org/10.1016/j.jamda.2016.09.010
http://dx.doi.org/10.1016/j.jamda.2016.09.010
Akpan A, Roberts C, Bandeen-Roche K, Batty B, Bausewein C, Bell D, et al. Standard set of health outcome measures for older persons. BMC Geriatrics. 2018;18(1):36. https://doi.org/10.1186/s12877-017-0701-3
http://dx.doi.org/10.1186/s12877-017-0701-3
Hopia H, Latvala E, Liimatainen L. Reviewing the methodology of an integrative review. Scandinavian Journal of Caring Sciences. 2016;30(4):662-669. https://doi.org/10.1111/scs.12327
http://dx.doi.org/10.1111/scs.12327
Whittemore R, Knafl K. The integrative review: updated methodology. Journal of Advanced Nursing. 2005;52(5):546-553. https://doi.org/10.1111/j.1365-2648.2005.03621.x
http://dx.doi.org/10.1111/j.1365-2648.2005.03621.x
Kim H, Cho J. Understanding quality of life among adult patients with terminal cancer in south Korea: an integrative review. Korean Journal of Adult Nursing. 2017;29(4): 419-431. https://doi.org/10.7475/kjan.2017.29.4.419
http://dx.doi.org/10.7475/kjan.2017.29.4.419
Moher D, Liberati A, Tetzlaff J, Altman DG. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. British Medical Journal. 2009;339: b2535. https://doi.org/10.1136/bmj.b2535
http://dx.doi.org/10.1136/bmj.b2535
Moola S, Munn Z, Tufanaru C, Aromataris E, Sears K, Sfetcu R, et al. Chapter 7: Systematic reviews of etiology and risk. In: Aromataris E, Munn Z (Editors). Joanna Briggs Institute Reviewer's Manual. The Joanna Briggs Institute, 2017. Available from https://reviewersmanual.joannabriggs.org/
Parrish GR. Measuring population health outcomes. Preventing Chronic Disease. 2010;7(4):A71. www.cdc.gov/pcd/issues/2010/jul/10_0005.htm
Ravaglia G, Forti P, Lucicesare A, Pasacane N, Rietti E, Patterson C. Development of an easy prognostic score for frailty outcomes in the aged. Age and Ageing. 2008;37(2): 161-166. https://doi.org/10.1093/ageing/afm195
http://dx.doi.org/10.1093/ageing/afm195
Sargent L, Brown R. Assessing the current state of cognitive frailty: measurement properties. The Journal of Nutrition, Health & Aging. 2017;21(2):152-160. https://doi.org/10.1007/s12603-016-0735-9
http://dx.doi.org/10.1007/s12603-016-0735-9
Vaughan L, Corbin AL, Goveas JS. Depression and frailty in later life: a systematic review. Clinical Intervention in Aging. 2015;15(10):1947-1958. https://doi.org/10.2147/CIA.S69632
http://dx.doi.org/10.2147/CIA.S69632
Ensrud KE, Ewing SK, Cawthon PM, Fink HA, Taylor BC, Cauley JA, et al. A comparison of frailty indexes for the prediction of falls, disability, fractures, and mortality in older men. Journal of American Geriatric Society. 2009; 57(3):492-498. https://doi.org/10.1111/j.1532-415.2009.02137.x
http://dx.doi.org/10.1111/j.1532-5415.2009.02137.x
Masel MC, Graham JE, Reistetter TA, Markides KS, Ottenbacher KJ. Frailty and health related quality of life in older Mexican Americans. Health and Quality of Life Outcomes. 2009;7:70. https://doi.org/10.1186/1477-7525-7-70
http://dx.doi.org/10.1186/1477-7525-7-70
de Vries NM, Staal JB, van Ravensberg CD, Hobbelen JS, Olde Rikkert MG, Nijhuis-van der Sanden MW. Outcome instruments to measure frailty: a systematic review. Ageing Research Reviews. 2011;19(1):104-114. https://doi.org/10.1016/j.arr.2010. 09.001
Hwang HS, Kwon IS, Park BJ, Cho B, Yoon JL, Won CW. The validity and reliability of Korean frailty index. Journal of the Korean Geriatrics Society. 2010;14(4):191-202. https://doi.org/10.4235/jkgs.2010.14.4.191
http://dx.doi.org/10.4235/jkgs.2010.14.4.191
Jung KH, Oh YH, Lee YK, Son CG, Park BM, Lee SY, et al. Survey of the elderly in 2014. 2014. Seoul: Korea Institute for Health and Social Affairs, Ministry of Health and Welfare.
Nadia DH, Nicolas R, Jacques S, Brigitte S.-E. Preferability and chronic morbidity in the youngest old: an insight from the Lausanne cohort Lc65+. Journal of American Geriatric Society. 2012;60(9):1687-1694. https://doi.org/10.1111/j.1532-5415.2012.04113.x