首页|衰弱评估工具在基层医疗中的应用现状

衰弱评估工具在基层医疗中的应用现状

Application status of frailty assessment tools in primary care

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医学的进步使得人类的寿命不断增长,老年人群数目逐年增加,老龄化进程逐步加快,老年人机体功能逐渐衰退、应对应激能力下降,为此养老照护所需社会医疗负担日益加重.衰弱是一种常见的老年综合征,主要表现为机体生理储备能力的下降,可导致多种不良结局的发生,严重影响老年人的生活质量.随着全科医学的快速发展,基层医疗保健机构逐步成为老年患者享受健康服务的主战场,老年人被视为基层医疗机构管理的重点人群,全科医生早期识别并及时采取干预措施,积极改善老年人的功能状态,会减少因此带来的跌倒、感染、住院甚至死亡等不良事件的发生.由于衰弱的发生与发展机制尚未明确且相关研究有限,衰弱的识别与预测往往可以依靠衰弱评估工具来实现,因此选择适宜的衰弱评估工具极为重要.目前,国外对于衰弱评估工具的研究较早且较全面,在我国,基层医疗衰弱评估工具的研究处于起步阶段,尚未形成公认统一的衰弱评估工具的"金标准".由此,本文通过回顾现有的国内外文献,对衰弱评估工具在基层医疗中的应用现状进行综述,分析各类衰弱评估工具的特点及适用场景,以期为充分发挥基层全科医生居民健康守门人的优势,延缓衰弱的发生发展,促进健康老龄化,提高老年人生活质量,减轻医疗负担,实现健康中国目标提供参考和依据.
Advances in medicine have led to an increase in human longevity,a year-on-year increase in the number of elderly people,and a gradual acceleration of the aging process.The physical functions of the elderly are gradually decli-ning and their ability to cope with stress is decreasing.Therefore,the social medical burden required for old-age care is increasing.Frailty is a common geriatric syndrome,which is mainly characterized by the decline of the body's physiologi-cal reserve capacity and can lead to a variety of adverse outcomes,seriously affecting the quality of life of the elderly.With the rapid development of general medicine,primary healthcare organizations have gradually become the main battle field for elderly patients to enjoy health services,and the elderly are regarded as the key population to be managed by pri-mary healthcare organizations.Early identification and timely intervention by general practitioners to actively improve the functional status of the elderly will reduce the occurrence of adverse events such as falls,infections,hospitalization,and even death as a result.As the mechanism of the occurrence and development of frailty is not yet clear and the related re-search is limited,the identification and prediction of frailty can often rely on frailty assessment tools to realize,so it is ex-tremely important to choose the appropriate frailty assessment tools.At present,the research on frailty assessment tools in foreign countries is earlier and more comprehensive,while in China,the research on frailty assessment tools in primary care is in its initial stage,and a recognized unified"gold standard"for frailty assessment tools has not yet been formed.Therefore,this paper reviews the existing domestic and international literature on the application of frailty assessment tools in primary care,analyzes the characteristics and application scenarios of various types of frailty assessment tools,and aims to give full play to the advantages of primary care physicians as the gatekeepers of residents'health,slow down the development of frailty,promote healthy aging,improve the quality of life of the elderly,reduce the burden of medical care,and achieve the goal of Healthy China by providing reference and basis.

FrailtyAssessmentToolsPrimary healthcare

程连、阮金婷、梁镭、黄燕飞、李强翔

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宁夏医科大学第三临床学院,宁夏老年疾病临床研究中心,宁夏银川 750001

宁夏回族自治区人民医院全科医学科,宁夏银川 750001

湖南省人民医院内分泌科,湖南长沙 410000

衰弱 评估 工具 基层医疗

宁夏回族自治区柔性引进团队项目

2020RXTDLX04

2024

中华全科医学
中华预防医学会,安徽省全科医学会

中华全科医学

CSTPCD
影响因子:1.688
ISSN:1674-4152
年,卷(期):2024.22(3)
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