Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Prevalence of Frailty and Related Factors Among Community-Dwelling Older Adults: A Cross-Sectional Study from Western Türkiye
Toplumda Yaşayan Yaşlılarda Kırılganlık Prevalansı ve İlişkili Faktörler: Türkiye'nin Batısından Kesitsel Bir Çalışma
Fahriye PALAa, Melike YALÇIN GÜRSOYb
aÇanakkale Onsekiz Mart University Health Practice and Research Hospital, Çanakkale, Türkiye
bDepartment of Nursing, Çanakkale Onsekiz Mart University Faculty of Health Sciences, Çanakkale, Türkiye
Turkiye Klinikleri J Nurs Sci. 2023;15(3):660-7
doi: 10.5336/nurses.2023-95866
Article Language: EN
Full Text
ABSTRACT
 Objective: This study aimed to determine the prevalence of frailty and related factors among community-dwelling older adults. Material and Methods: This cross-sectional study included 400 older people aged ≥65 years living in a city center in western Türkiye. The FRAIL Scale was used to evaluate frailty, the Mini Nutritional Assessment-Short Form (MNA-SF) was used to assess nutritional status, and the Katz Activities of Daily Living (Katz ADL) Scale was used to evaluate daily life activities. Multivariate analysis was performed using SPSS software. Results: Of the elderly participants, 24.5% were frail, and 44.2% were pre-frail. Additionally, frailty was observed 4.3 times in those aged ≥75 years, 3.1 times in those who used 5 or more drugs, 5.7 times in those with a medium perception of health, 30.6 times in those with poor/very poor health perception, and 2.2 times in those with a history of falling in the previous year. Conclusion: The results of this study show that approximately one in every four older people is frail, one in every two older people is pre-frail, and various variables are associated with frailty. It may be recommended that the older adults be screened regularly for frailty by nurses in primary health care institutions.

Keywords: Frailty; prevalence; aged
ÖZET
 Amaç: Bu çalışmada, toplum içinde yaşayan yaşlı bireylerde kırılganlık prevalansının ve ilişkili faktörlerin belirlenmesi amaçlandı. Gereç ve Yöntemler: Bu kesitsel çalışmaya Türkiye'nin batısındaki bir şehir merkezinde yaşayan 65 yaş ve üstü 400 yaşlı birey dâhil edildi. Kırılganlığı değerlendirmek için FRAIL Ölçeği, beslenme durumunu değerlendirmek için Mini Nutrisyonel Değerlendirme Anketi-Kısa Formu ve günlük yaşam aktivitelerini değerlendirmek için Katz Günlük Yaşam Aktiviteleri Ölçeği kullanıldı. Çok değişkenli analiz için SPSS yazılımı kullanıldı. Bulgular: Yaşlı katılımcıların %24,5'i kırılgan ve %44,2'si kırılganlık öncesi dönemde idi. Ayrıca 75 yaş ve üstü kişilerde 4,3 kat, 5 ve daha fazla ilaç kullananlarda 3,1 kat, sağlık algısı orta düzeyde olanlarda 5,7 kat, sağlık algısı kötü/çok kötü olanlarda 30,6 kat ve önceki yılda düşme öyküsü olanlarda 2,2 kat daha fazla kırılganlık görüldüğü belirlendi. Sonuç: Bu çalışmanın sonuçları, yaklaşık olarak her dört yaşlıdan birinin kırılgan, her iki yaşlıdan birinin ise kırılganlık öncesi dönemde olduğunu ve çeşitli değişkenlerin kırılganlıkla ilişkili olduğunu gösterdi. Yaşlıların birinci basamak sağlık kuruluşlarında hemşireler tarafından kırılganlık açısından düzenli olarak taranmaları önerilebilir.

Anahtar Kelimeler: Kırılganlık; prevalans; yaşlı
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