George Washington University Medical Faculty Associates, 2300 M St. NW, Third floor, Washington, DC 20037, USA.
Center for Eldercare Improvement, Altarum, 2000 M St, NW, Suite 400, Washington, DC 20036, USA.
Clin Geriatr Med. 2021 Nov;37(4):543-552. doi: 10.1016/j.cger.2021.05.003. Epub 2021 Aug 24.
Certain psychosocial elements, such as depression, anxiety, stress, lack of social support, and loneliness, should be considered as part of frailty. Women are more likely to be frail toward the end of life, because they live longer and are less likely to develop diseases with abrupt ends. Women are also more prone to develop psychosocial elements associated with frailty because of their lifetime stressors, poverty, and loneliness at the end of life. Clinicians should recognize this phenomenon and create early interventions to ensure women are able to live according to their preferences during the last part of their lives.
某些心理社会因素,如抑郁、焦虑、压力、缺乏社会支持和孤独,应被视为脆弱的一部分。女性在生命末期更容易变得脆弱,因为她们的寿命更长,而且不太可能患上突然结束的疾病。女性也更容易出现与脆弱相关的心理社会因素,因为她们一生中承受着压力、贫困和生命末期的孤独。临床医生应该认识到这一现象,并进行早期干预,以确保女性能够在生命的最后阶段按照自己的意愿生活。