Prevalence and risk factors of frailty among older family caregivers.

IF 1.9 4区医学 Q2 NURSING

Scandinavian Journal of Caring Sciences Pub Date : 2024-03-01 Epub Date: 2023-06-21 DOI:10.1111/scs.13190

Outi Kiljunen, Tarja Välimäki, Roosa-Maria Savela, Sohvi Koponen, Irma Nykänen, Anna Liisa Suominen, Ursula Schwab

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引用次数: 0

Abstract

Aim: The aim of this study was to investigate the prevalence of frailty and identify the demographical and clinical factors associated with frailty among older family caregivers.

Method: The participants of this cross-sectional study were older family caregivers (n = 125) living in Eastern Finland. Data on functional and cognitive status, depressive symptoms, nutritional status, medication, chronic diseases, stroke, and oral health were obtained. The Mini Nutritional Assessment (MNA) was used to evaluate nutritional status. Frailty status was evaluated using the abbreviated comprehensive geriatric assessment (aCGA) scale.

Results: Seventy-three percent of caregivers were identified as frail. According to multivariable logistic regression, cataract, glaucoma, or macular degeneration and the MNA score were predictors of frailty. After adjusting for age, gender, and number of own teeth, the MNA score remained a significant predictor of frailty (adjusted OR = 1.22, 95% CI = 1.06, 1.41). As the MNA scores decreased (meaning poorer nutritional status), the risk of frailty increased.

Conclusions: The present study showed that frailty is prevalent among older family caregivers. Recognising older family caregivers with frailty or at risk of frailty is vital. It is essential to acknowledge vision problems' role in frailty and to monitor and support the nutritional status of family caregivers regularly to prevent frailty development.

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老年家庭照顾者体弱多病的患病率和风险因素。

目的：本研究旨在调查老年家庭照顾者体弱的普遍程度，并确定与体弱相关的人口和临床因素：这项横断面研究的参与者是居住在芬兰东部的老年家庭照顾者（n = 125）。研究获取了有关功能和认知状况、抑郁症状、营养状况、药物治疗、慢性疾病、中风和口腔健康的数据。迷你营养评估（MNA）用于评估营养状况。采用缩写老年综合评估（aCGA）量表评估虚弱状况：73%的护理人员被认定为体弱者。根据多变量逻辑回归，白内障、青光眼或黄斑变性以及 MNA 评分是预测虚弱的因素。在对年龄、性别和自己的牙齿数量进行调整后，MNA 评分仍然是体弱的重要预测因素（调整后 OR = 1.22，95% CI = 1.06，1.41）。随着 MNA 分数的降低（意味着营养状况较差），体弱的风险也随之增加：本研究表明，在老年家庭照顾者中普遍存在虚弱现象。认识到老年家庭照顾者体弱或有体弱风险至关重要。必须认识到视力问题在体弱中的作用，并定期监测和支持家庭照顾者的营养状况，以防止体弱的发展。

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

Scandinavian Journal of Caring Sciences NURSING-

CiteScore

4.60

自引率

5.30%

发文量

期刊介绍： Scandinavian Journal of Caring Sciences is an established quarterly, peer reviewed Journal with an outstanding international reputation. As the official publication of the Nordic College of Caring Science, the Journal shares their mission to contribute to the development and advancement of scientific knowledge on caring related to health, well-being, illness and the alleviation of human suffering. The emphasis is on research that has a patient, family and community focus and which promotes an interdisciplinary team approach. Of special interest are scholarly articles addressing and initiating dialogue on theoretical, empirical and methodological concerns related to critical issues. All articles are expected to demonstrate respect for human dignity and accountability to society. In addition to original research the Journal also publishes reviews, meta-syntheses and meta-analyses.