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老年人的衰弱与孤独:一项叙述性综述

Frailty and Loneliness in Older Adults: A Narrative Review.

作者信息

Gheorghe Andreea-Cristina, Bălășescu Elena, Hulea Ionela, Turcu Gabriela, Amariei Mihai Iustin, Covaciu Alin-Victor, Apostol Cătălina-Andreea, Asan Melisa, Badea Andrei-Cosmin, Angelușiu Ana-Cristina, Mihailescu-Marin Maria-Mirabela, Ion Daniela Adriana, Nedelcu Roxana Ioana

机构信息

Pathophysiology II Discipline, Faculty of Medicine, "Carol Davila" University of Medicine and Pharmacy, 050474 Bucharest, Romania.

Department of Rehabilitation Medicine, Elias University Hospital, 11461 Bucharest, Romania.

出版信息

Geriatrics (Basel). 2024 Sep 13;9(5):119. doi: 10.3390/geriatrics9050119.

Abstract

(1) Background: In a society with an advancing aging rate, medical systems are coming under pressure due to an increasing flow of older patients with multiple somatic diseases, exacerbated by their psychological and sociological backgrounds. We aimed to investigate the relationship between frailty and loneliness in older adults and to provide a holistic perspective on these concepts. Our research question was "Is there a link between the loneliness and frailty in older people?" (2) Methods: To assess the link between loneliness and frailty, we conducted a search accessing Index Medicus and PubMed; the timeframe of our research was from 2013 until 2023. Data regarding the study population, as well as loneliness and frailty assessments and approaches, were extracted. (3) Results: A positive relationship between loneliness and the appearance and progression of frailty in older adults is argued for. (4) Conclusions: Frailty and loneliness in older adults are often interconnected and can have a significant impact on their overall well-being. Early identification of frailty by assessing risk factors (including loneliness and/or social isolation) should become a standard of care for older patients. Appropriate combined interventions that effectively address both frailty and loneliness (physical exercises, psychological support, and social engagement) can promote healthier aging, prevent health deterioration, maintain independence, and reduce healthcare costs.

摘要

(1) 背景:在老龄化率不断上升的社会中,医疗系统正面临压力,原因是患有多种躯体疾病的老年患者数量不断增加,而他们的心理和社会背景又加剧了这种情况。我们旨在调查老年人衰弱与孤独之间的关系,并对这些概念提供一个全面的视角。我们的研究问题是“老年人的孤独与衰弱之间是否存在联系?”(2) 方法:为了评估孤独与衰弱之间的联系,我们对《医学索引》和PubMed进行了检索;我们的研究时间范围是2013年至2023年。提取了有关研究人群的数据,以及孤独和衰弱的评估方法。(3) 结果:有观点认为老年人的孤独与衰弱的出现和进展之间存在正相关关系。(4) 结论:老年人的衰弱和孤独往往相互关联,并且会对他们的整体幸福感产生重大影响。通过评估风险因素(包括孤独和/或社会隔离)来早期识别衰弱,应该成为老年患者护理的标准。有效解决衰弱和孤独问题的适当联合干预措施(体育锻炼、心理支持和社会参与)可以促进更健康的老龄化,预防健康恶化,保持独立性,并降低医疗成本。

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