Loneliness and Frailty Among Older Adults Receiving Home Healthcare: A Cross-Sectional Study.

IF 2.7 4区医学 Q2 HEALTH CARE SCIENCES & SERVICES

Risk Management and Healthcare Policy Pub Date : 2025-06-05 eCollection Date: 2025-01-01 DOI:10.2147/RMHP.S519431

Özge Tuncer, Ayça Asma Sakallı

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引用次数: 0

Abstract

Purpose: The aim of this study is to investigate the relationship between loneliness and frailty in older people and to provide a scientific basis for improving the quality of healthcare and social services offered to older people.

Patients and methods: This cross-sectional study included individuals aged 65 years and over who were receiving home healthcare services in two cities in western Turkey. Convenience sampling was used. Eligibility criteria were age ≥65 years, receiving home healthcare services, adequate cognitive function, and voluntary participation. The Loneliness Scale for the Elderly (LSE) and the Clinical Frailty Scale were administered. Statistical analyses included t-tests, chi-square tests, ANOVA, Kruskal-Wallis tests, and Spearman correlation analysis.

Results: A total of 533 participants were included, with 288 from Center 1 and 245 from Center 2. Overall, 62.7% of participants reported experiencing loneliness. Participants in Center 2 had significantly higher loneliness scores compared to Center 1. A weak but significant positive correlation was found between frailty and loneliness scores (Spearman's rho = 0.175, p<0.001).

Conclusion: This study demonstrated a weak but significant association between loneliness and frailty among older adults receiving home healthcare. Loneliness was influenced by marital status, polypharmacy, and physical independence, which also contributed to frailty.

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接受家庭保健的老年人的孤独和虚弱：一项横断面研究。

目的：本研究旨在探讨老年人孤独与脆弱的关系，为提高老年人医疗保健和社会服务的质量提供科学依据。患者和方法：这项横断面研究包括在土耳其西部两个城市接受家庭保健服务的65岁及以上的个体。采用方便抽样。入选标准为年龄≥65岁、接受家庭保健服务、认知功能充足、自愿参与。采用老年人孤独量表（LSE）和临床虚弱量表。统计分析包括t检验、卡方检验、方差分析、Kruskal-Wallis检验和Spearman相关分析。结果：共纳入533例受试者，其中1中心288例，2中心245例。总体而言，62.7%的参与者表示感到孤独。与中心1相比，中心2的参与者的孤独感得分明显更高。脆弱与孤独得分呈微弱但显著的正相关（Spearman’s rho = 0.175, p）。结论：本研究表明，在接受家庭保健的老年人中，孤独与脆弱之间存在微弱但显著的相关。孤独受婚姻状况、多种药物和身体独立性的影响，这些因素也会导致脆弱。

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

Risk Management and Healthcare Policy Medicine-Public Health, Environmental and Occupational Health

CiteScore

6.20

自引率

2.90%

发文量

242

审稿时长

16 weeks

期刊介绍： Risk Management and Healthcare Policy is an international, peer-reviewed, open access journal focusing on all aspects of public health, policy and preventative measures to promote good health and improve morbidity and mortality in the population. Specific topics covered in the journal include: Public and community health Policy and law Preventative and predictive healthcare Risk and hazard management Epidemiology, detection and screening Lifestyle and diet modification Vaccination and disease transmission/modification programs Health and safety and occupational health Healthcare services provision Health literacy and education Advertising and promotion of health issues Health economic evaluations and resource management Risk Management and Healthcare Policy focuses on human interventional and observational research. The journal welcomes submitted papers covering original research, clinical and epidemiological studies, reviews and evaluations, guidelines, expert opinion and commentary, and extended reports. Case reports will only be considered if they make a valuable and original contribution to the literature. The journal does not accept study protocols, animal-based or cell line-based studies.