頁籤選單縮合
| 題 名 | 高齡衰弱臨床照護指引回顧與應用=Review and Application of Clinical Guidelines for Frailty in the Older Adults |
|---|---|
| 作 者 | 胡昱勝; 李逸軒; 羅玉岱; 楊登棋; 賴佩君; 游詠晨; 蘇睿寧; 張雅燕; 林威宏; | 書刊名 | 內科學誌 |
| 卷 期 | 35:6 2024.12[民113.12] |
| 頁 次 | 頁431-439 |
| 分類號 | 419.824 |
| 關鍵詞 | 衰弱; 老年人; 臨床照護指引; 老年病症候群; 照護計畫; Frailty; Older adults; Clinical guidelines; Geriatric syndromes; Care plans; |
| 語 文 | 中文(Chinese) |
| DOI | 10.6314/JIMT.202412_35(6).05 |
| 中文摘要 | 衰弱是因老化造成生理功能儲備下降的老年病症候群,特徵包括體重減輕、肌力下降、行走速度變慢、倦怠,與活動力下降,若不介入將導致老年人生活功能與品質下降,並增加跌倒與死亡風險。衰弱是可逆的,因此早期辨識與介入十分重要,目前國內缺乏針對高齡衰弱照護的臨床指引,因此本研究回顧近10年國際發表且實證品質佳的6篇衰弱照護指引,統整出重要概念與建議,包括衰弱篩檢、擬定周全性照護計畫、身體活動及營養介入、口腔衛生與處方優化,以期提供臨床實務參考。建議未來應加強相關教育訓練,以提升醫護人員對衰弱的知識與照護能力。 |
| 英文摘要 | Frailty, one of the pivotal geriatric syndromes, is a multi-system aging syndrome, characterized by a decline in physiological and functional reserves. Its hallmark features encompass weight loss, decreased muscle strength, slowness, exhaustion, and low physical activity. Without intervention, frailty can lead to a decline in older adults' functional abilities and quality of life, as well as increased risk of falls and mortality. Frailty is reversible, indicating early identification and intervention are crucial. Currently, there is a lack of clinical guideline for managing frailty of older adults in Taiwan. This study reviewed six evidence-based guidelines of frailty management, consolidating important concepts and prioritizing recommendations. These recommendations include frailty screening, comprehensive care planning, physical activity and nutrition interventions, oral health, and optimizing prescriptions. The intent of this review is to furnish references for clinical practice. It is recommended to enhance frailty education and training in the future, to improve healthcare professionals' knowledge and quality of care regarding frailty. |
本系統中英文摘要資訊取自各篇刊載內容。