Screening for Frailty According to Rural and Suburban Health Areas in the Context of Adapted Integrated Care for Older People Approach: The FRAGING Study.

IF 1.7 4区医学 Q2 NURSING

Public Health Nursing Pub Date : 2024-11-15 DOI:10.1111/phn.13485

Camille Chambonnière, Marie Blanquet, Cassandra Delorme, Laurie Flory, Lore Metz, Martine Duclos

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引用次数: 0

Abstract

Background: The integrated care for older people (ICOPE) program, developed by the World Health Organization, serves as a public health initiative to maintain older adults' functional abilities and promote healthier aging. Here, we adapted the ICOPE approach to assess overall prevalence of frailty in rural and semi-urban areas. We also investigated health-related quality of life and physical activity and sedentary behavior in older people.

Methods: The FRAGING multicenter cohort study was performed on screening days dedicated to older adults (≥65 years) without chronic disease in a rural area (RU) and in a semi-urban area (SU).

Results: The study included a total of 105 participants: 98.4% of participants were frail, with a mean of 4.3 [SD: 2.5] frailties per participant. RU participants had higher number of frailties (p = 0.02) and a higher percentage of frail participants in the dimensions of health-related quality of life (p < 0.0001), socioeconomical level (p = 0.008), colorectal cancer screening (p = 0.022), and tetanus booster doses (p = 0.008). Globally, women were less sedentary than men (p = 0.02) and engaged more in low physical activity (LPA) than men (p = 0.01). RU participants engaged more in LPA than SU participants (p = 0.03).

Conclusions: The prevalence of frailty is alarmingly underestimated in older adults without chronic disease. This study demonstrated the need to propose appropriate, validated screening tests that consider territorial issues and organization of care delivery. The ICOPE framework serves as a good startpoint for reorganizing person-centered healthcare pathways.

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在适应老年人综合护理方法的背景下，根据农村和郊区卫生地区进行虚弱筛查：FRAGING 研究。

背景：由世界卫生组织制定的老年人综合护理计划（ICOPE）是一项公共卫生举措，旨在保持老年人的功能能力，促进健康老龄化。在此，我们对 ICOPE 方法进行了调整，以评估农村和半城市地区体弱的总体发生率。我们还调查了老年人与健康相关的生活质量、体力活动和久坐行为：方法：FRAGING 多中心队列研究是在专门针对农村地区（RU）和半城市地区（SU）无慢性疾病的老年人（≥65 岁）的筛查日进行的：研究共包括 105 名参与者：98.4% 的参与者体弱，平均每人体弱 4.3 [SD: 2.5]。在与健康相关的生活质量方面，RU 参与者的体弱人数较多（p = 0.02），体弱参与者的比例也较高（p 结论：体弱的普遍程度与健康状况密切相关：在没有慢性疾病的老年人中，虚弱的发生率被低估得令人震惊。这项研究表明，有必要提出适当的、经过验证的筛查测试，这些测试应考虑到地域问题和提供护理的组织形式。ICOPE 框架是重新组织以人为本的医疗保健路径的良好起点。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Public Health Nursing 医学-公共卫生、环境卫生与职业卫生

CiteScore

3.50

自引率

4.80%

发文量

117

审稿时长

6-12 weeks

期刊介绍： Public Health Nursing publishes empirical research reports, program evaluations, and case reports focused on populations at risk across the lifespan. The journal also prints articles related to developments in practice, education of public health nurses, theory development, methodological innovations, legal, ethical, and public policy issues in public health, and the history of public health nursing throughout the world. While the primary readership of the Journal is North American, the journal is expanding its mission to address global public health concerns of interest to nurses.