| 刘盼,马丽娜.老年衰弱综合征的综合管理[J].中国临床保健杂志,2023,26(1):35-40. |
| 老年衰弱综合征的综合管理 |
| Comprehensive management of frailty geriatric syndrome |
| 投稿时间：2022-08-03 |
| DOI：10.3969/J.issn.1672-6790.2023.01.008 |
| 中文关键词: 衰弱 普查 风险评估与减低 营养支持 健康促进 老年人 |
| 英文关键词: Frailty Mass screening Risk evaluation and mitigation Nutritional support Health promotion Aged 〖FL |
| 基金项目:国家重点研发计划项目(2020YFC2008604) |
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| 中文摘要: |
| 衰弱已成为一项重要的公共卫生挑战,被认为是一种不同于疾病和失能的与年龄相关的临床状态,通常表现为多个器官系统的生理能力下降,其特征是对应激事件的敏感性增加,可导致老年人的负性事件。由于衰弱前期具有可逆性,衰弱的早期识别和干预有助于预防老年人衰弱进展和失能。推荐经过验证的快速筛查工具进行老年人衰弱筛查,筛查为衰弱或衰弱前期的老年人进行衰弱评估。尽管对老年人衰弱的管理尚缺乏统一标准,但指南和专家共识提出适度运动和营养支持有助于改善衰弱老年人的躯体功能。此外,近期WHO提出的以老年人功能为中心的包括共病和多重用药管理和社会支持等多种干预措施的整合照护模式也被推荐用于衰弱的管理,且有助于促进老年人的健康老龄化。 |
| 英文摘要: |
| Frailty has been an important public health challenge and is defined as an age-related clinical condition distinct from diseases and disability,often manifested by decreased physical functions of multiple systems and characterized by increased sensitivity to stressful events.As pre-frailty is reversible,early identification and intervention of frailty can help prevent frailty progression and disability in older adults.It is recommended that older adults should choose a validated rapid screening tool for frailty screening and older adults who are frail or pre-frail undergo frailty assessment.Although there is no uniform standard for the management of frailty in older adults,guidelines and expert consensus suggest that moderate exercise and nutritional support can improve the physical function of frail older people.In addition,the integrated care model proposed by WHO centered on the functions of older adults is also recommended for the management of frailty which includes comorbidity and polypharmacy management,social support,and many other interventions,and helps to promote healthy aging of older adults. |
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