{"title":"老年人的虚弱与孤独:叙述性综述。","authors":"Andreea-Cristina Gheorghe, Elena Bălășescu, Ionela Hulea, Gabriela Turcu, Mihai Iustin Amariei, Alin-Victor Covaciu, Cătălina-Andreea Apostol, Melisa Asan, Andrei-Cosmin Badea, Ana-Cristina Angelușiu, Maria-Mirabela Mihailescu-Marin, Daniela Adriana Ion, Roxana Ioana Nedelcu","doi":"10.3390/geriatrics9050119","DOIUrl":null,"url":null,"abstract":"<p><p>(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.</p>","PeriodicalId":12653,"journal":{"name":"Geriatrics","volume":"9 5","pages":""},"PeriodicalIF":2.1000,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11417754/pdf/","citationCount":"0","resultStr":"{\"title\":\"Frailty and Loneliness in Older Adults: A Narrative Review.\",\"authors\":\"Andreea-Cristina Gheorghe, Elena Bălășescu, Ionela Hulea, Gabriela Turcu, Mihai Iustin Amariei, Alin-Victor Covaciu, Cătălina-Andreea Apostol, Melisa Asan, Andrei-Cosmin Badea, Ana-Cristina Angelușiu, Maria-Mirabela Mihailescu-Marin, Daniela Adriana Ion, Roxana Ioana Nedelcu\",\"doi\":\"10.3390/geriatrics9050119\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>(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.</p>\",\"PeriodicalId\":12653,\"journal\":{\"name\":\"Geriatrics\",\"volume\":\"9 5\",\"pages\":\"\"},\"PeriodicalIF\":2.1000,\"publicationDate\":\"2024-09-13\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11417754/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Geriatrics\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.3390/geriatrics9050119\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"GERIATRICS & GERONTOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Geriatrics","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.3390/geriatrics9050119","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"GERIATRICS & GERONTOLOGY","Score":null,"Total":0}
引用次数: 0
摘要
(1) 背景:在老龄化日益加剧的社会中,由于患有多种躯体疾病的老年患者越来越多,而他们的心理和社会背景又加剧了这一问题,因此医疗系统正面临着压力。我们的目的是研究老年人的虚弱与孤独之间的关系,并从整体角度探讨这些概念。我们的研究问题是:"老年人的孤独与虚弱之间是否存在联系?(2)方法:为了评估孤独与虚弱之间的联系,我们检索了 Index Medicus 和 PubMed;研究时间范围为 2013 年至 2023 年。我们提取了有关研究人群以及孤独和虚弱评估和方法的数据。(3)结果:孤独与老年人虚弱的出现和发展之间存在正相关关系。(4) 结论:老年人的虚弱和孤独往往是相互关联的,会对他们的整体福祉产生重大影响。通过评估风险因素(包括孤独和/或社会隔离)来早期识别虚弱,应成为老年患者的护理标准。采取适当的综合干预措施(体育锻炼、心理支持和社会参与),有效解决虚弱和孤独问题,可以促进健康老龄化,防止健康恶化,保持独立性,降低医疗成本。
Frailty and Loneliness in Older Adults: A Narrative Review.
(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.
期刊介绍:
• Geriatric biology
• Geriatric health services research
• Geriatric medicine research
• Geriatric neurology, stroke, cognition and oncology
• Geriatric surgery
• Geriatric physical functioning, physical health and activity
• Geriatric psychiatry and psychology
• Geriatric nutrition
• Geriatric epidemiology
• Geriatric rehabilitation