Frailty and Health-Related Quality of Life Among Residents of Long-Term Care Facilities

被引：68

作者：

Kanwar, Amrit ^{[1
]}

Singh, Mandeep ^{[2
]}

Lennon, Ryan ^{[3
]}

Ghanta, Kalyan ^{[4
]}

McNallan, Sheila M. ^{[3
]}

Roger, Veronique L. ^{[2
,3
]}

机构：

[1] Univ Wisconsin, Madison, WI USA

[2] Mayo Clin, Div Cardiovasc Dis, Rochester, MN 55905 USA

[3] Mayo Clin, Dept Hlth Sci Res, Rochester, MN 55905 USA

[4] Dartmouth Hitchcock Med Ctr, Lebanon, NH 03766 USA

来源：

JOURNAL OF AGING AND HEALTH | 2013年 / 25卷 / 05期

关键词：

frailty; quality of life; assisted living facilities; nursing homes; long-term care; OLDER-ADULTS; GAIT SPEED; SURVEY SF-36; RELIABILITY; DISABILITY; MORTALITY; PEOPLE; MODELS; TESTS;

D O I：

10.1177/0898264313493003

中图分类号：

R4 [临床医学]; R592 [老年病学];

学科分类号：

1002 ; 100203 ; 100602 ;

摘要：

Objectives: To determine the prevalence and relationship of frailty and health-related quality of life (HRQOL) among residents of long-term care [nursing homes (NH) and assisted living (AL)] facilities. Methods: Residents of NH and AL facilities in La Crosse County, Wisconsin, were recruited 1/2009-6/2010 and assessed for frailty (gait speed, unintended weight loss, grip strength), comorbidity (Charlson index), and HRQOL [Short Form (SF)-36]. Results: Among 137 participants, 85% were frail. Frail residents were older, had more comorbidities (2.0 vs. 0, p < .001) and lower mean SF-36 Physical Component Score (PCS, 32 vs. 48, p < .001). Following adjustments for age, sex, and comorbidities, compared to nonfrail residents, frail residents had lower SF-36 PCS (mean difference -14.7, 95% CI. -19.3,-10.1, p < .001). Frailty, comorbidity, and HRQOL did not differ between NH and AL facilities. Discussion: Frail residents had lower HRQOL, suggesting that preventing frailty may lead to better HRQOL among residents of long-term care facilities.

引用

页码：792 / 802

页数：11

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