以质量求发展，以服务铸品牌

Journal of Nursing ›› 2021, Vol. 28 ›› Issue (15): 69-73.doi: 10.16460/j.issn1008-9969.2021.15.069

Previous Articles     Next Articles

Interpretation of 2020 ICFSR Consensus Guidelines and Implications for Prevention and anagement of Frailty in Elderly People in China

CHEN Yu-hua1, ZHANG Bing2, XIE Juan3, TANG Rong-rong3   

  1. 1. Dept. of Nursing, Nantong College of Health, Nantong 226010, China;
    2. Nantong Healthcare Security Bureau, Nantong 226001, China;
    3. Nantong University School of Medicine,Nantong 226001, China
  • Received:2021-03-23 Online:2021-08-10 Published:2021-09-10

PDF (PC)

374

Like

Abstract: Objective To interpret the new ICFSR Consensus Guidelines on Screening and Management of Frailty Patients in Primary Care, and to provide reference for the prevention and management of frailty in the elderly in China. Methods The Consensus Guidelines for Screening and Management of Frailty Patients in Primary Care and related literatures were translated and reviewed, then the guidelines were interpreted. Results The Consensus Guidelines for Screening and Management of Frailty Patients in Primary Care recommended 7 frailty screening tools and 3 frailty management modes for primary care. Conclusion The research on frailty in China is still in the primary stage. In the future, we can explore and develop appropriate frailty prevention and management methods to continuously promote the development of healthy aging.

Key words: primary care, elderly, frailty, management, guideline

CLC Number: 

  • R473.2
[1] Dent E, Morley JE, Gruz-Jentoft AJ, et al.Physical Frailty: ICFSR International Clinical Practice Guidelines for Identification and Management[J]. J NutrHealth Aging, 2019,23(9):771-787.DOI:10.1007/s12603-019-1273-z.
[2] Ruiz JG, Dent E, Morley JE, et al.Screening for and Managing the Person with Frailty in Primary Care: ICFSR Consensus Guidelines[J]. J Nutr HealthAging,2020,24(9):920-927.DOI:10.1007/s12603-020-1492-3.
[3] 中华医学会老年医学分会.老年患者衰弱评估与干预中国专家共识[J].中华老年医学杂志,2017,36(3):251-256.DOI:10.3760/cma.j.issn.0254-9026.2017.03.007.
[4] Morley JE, Vellas B, van Kan GA, et al. Frailty Consensus: A Call to Action[J]. J Am Med Dir Assoc,2013,14(6):392-397.DOI:10.1016/j.jamda.2013.03.022.
[5] Noguchi N, Blyth FM, Waite LM, et al.Prevalence of the Geriatric Syndromes and Frailty in Older Men Living in the Community: The Concord Healthand Ageing in Men Project[J]. Australas J Ageing,2016, 35(4):255-261.DOI:10.1111/ajag.12310.
[6] 钱军程,陈育德,饶克勤,等.中国老年人口失能流行趋势的分析与建议[J].中国卫生统计,2012, 29(1):6-9.DOI:10.3969/j.issn.1002-3674.2012.01.002.
[7] 李利平,孙建萍.老年慢性病患者失能预防的研究进展[J].护理学杂志,2018,33(21):100-105.DOI:10.3870/j.issn.1001-4152.2018.21.100.
[8] Boyd CM, Fortin M.Future of Multimorbidity Research: How Should Understanding of Multimorbidity Inform Health System Design?[J]. Public Health Reviews, 2010, 32(2):451-474.DOI:10.1007/BF03391611.
[9] Vetrano DL, Palmer K, Marengoni A, et al.Frailty and Multimorbidity: A Systematic Review and Meta-analysis[J]. J Gerontol A Biol Sci Med Sci, 2019, 74(5):659-666.DOI:10.1093/gerona/gly110.
[10] Fried LP, Ferrucci L, Darer J,et al.Untangling the Concepts of Disability, Frailty, and Comorbidity: Implications for Improved Targeting and Care[J]. J Gerontol A Biol Sci Med Sci,2004,59(3):255-263.DOI:10.1093/gerona/59.3.m255.
[11] Abellan van Kan G, Rolland Y, Bergman H, et al. The I.A.N.A Task Force on Frailty Assessment of Older People in Clinical Practice[J]. J Nutr Health Aging,2008,12(1):29-37.DOI:10.1007/BF02982161.
[12] Malmstrom TK, Miller DK, Morley JE.A Comparison of Four Frailty Models[J]. J Am Geriatr Soc,2014,62(4):721-726.DOI:10.1111/jgs.12735.
[13] Woo J, Leung J, Morley JE.Comparison of Frailty Indicators Based on Clinical Phenotype and the Multiple Deficit Approach in Predicting Mortality and Physical Limitation[J]. J Am Geriatr Soc,2012,60(8):1478-1486. DOI:10.1111/j.1532-5415.2012.04074.x.
[14] Frailty Detection-‘a Game Changer’ for Older Australians[EB/OL][2021-01-01].https://www.agedcareguide.com.au/talking-aged care/frailty-detection-a-game-changer-for-older-australians.
[15] Lourenço RA, Moreira VG, Mello RGBd, et al.Consenso Brasileiro de Fragilidade em Idosos: Conceitos, Epidemiologia e Instrumentos de Avaliação[J]. Geriatrics, Gerontology and Aging,2018,12(2):121-135.
[16] Rockwood K, Song XW,Mitnitski A.Geriatric Medicine and the Care Offrail Elderly People[J]. Chin J Geriatr,2009,28(5):353-361.DOI:10.3760/cma.j.issn.0254-9026.2009.05.001.
[17] Basic D,Shanley C.Frail in an Older Inpatient Population:Using the Clinical Frailty Scale to Predict Patient Outcomes[J]. J Aging Health, 2015, 27(4):670-685.DOI:10.1177/0898264314558202.
[18] Saliba D, Elliott M, Rubenstein LZ, et al.The Vulnerable Elders Survey:A Tool for Identifying Vulnerable Older People in the Community[J]. J Am Geriatr Soc, 2001,49(12):1691-1699.DOI:10.1046/j.1532-5415.2001.49281.x.
[19] Luciani A, Biganzoli L, Colloca G, et al.Estimating the Risk of Chemotherapy Toxicity in Older Patients with Cancer: The Role of the Vulnerable Elders Survey-13(VES-13)[J]. J Geriatr Oncol,2015,6(4):272-279.DOI:10.1016/j.jgo.2015.02.005.
[20] Kenig J, Richter P, Zychiewicz B, et al.Vulnerable Elderly Survey 13 asa Screening Method for Frailty in Polish Elderly Surgical Patient-prospective Study[J]. Pol Przegl Chir. 2014,86(3):126-131.DOI:10.2478/pjs-2014-0024.
[21] 张妍妍,姚俊涛.衰弱筛查工具在老年肿瘤患者中应用的研究进展[J]. 肿瘤学杂志,2020,26(3):245-249.DOI:10.11735/j.issn.1671-170X.2020.03.B016.
[22] Nemoto M, Yabushita N, Kim MJ, et al.Assessment of Vulnerable Older Adults’ Physical Function According to the Japanese Long-term Care Insurance(LTCI) System and Fried’s Criteria for Frailty Syndrome[J]. Arch Gerontol Geriatr,2012,55(2):385-391.DOI:10.1016/j.archger.2011.10.004.
[23] Sewo Sampaio PY, Sampaio RAC, Yamada M, et al.Systematic Review of the Kihon Checklist:Is It a Reliable Assessment of Frailty?[J]. Geriatr Gerontol Int, 2016, 16(8):893-902.DOI:10.1111/ggi.12833.
[24] Ambagtsheer RC, Visvanathan R, Dent E, et al.Commonly Used Screening Instruments to Identify Frailty Among Community-dwelling Older People ina General Practice (Primary Care) Setting: A Study of Diagnostic Test Accuracy[J].J Gerontol A Biol Sci Med Sci, 2020, 75(6):1134-1142.DOI:10.1093/gerona/glz260.
[25] WHO. WHO Guidelines on Integrated Care for Older People(ICOPE)[EB/OL].[2021-01-01].http://www.whoint/ageing/publications/guidelines-icope/en/.
[26] Ma L, Chhetri JK, Chan P,et al.Integrated Care for Older People Screening Tool for Measuring Intrinsic Capacity: Preliminary Findings from ICOPE Pilot in China[J]. Frontiers in Medicine, 2020, 11(7):576079.DOI:10.3389/fmed.2020.576079.
[27] Beard JR, Jotheeswaran AT, Cesari M, et al.The Structure and Predictive Value of Intrinsic Capacity in a Longitudinal Study of Ageing[J]. BMJ Open,2019, 9(11):e026119.DOI:10.1136/bmjopen-2018-026119.
[28] Ensrud KE, Ewing SK, Taylor BC, et al.Comparison of 2 Frailty Indexesfor Prediction of Falls, Disability, Fractures, and Death in Older Women[J]. Arch Intern Med,2008,168(4):382-389.DOI:10.1001/archinternmed.2007.113.
[29] Boyd PJ, Nevard M, Ford JA, et al.The Electronic Frailty Index as an Indicator of Community Healthcare Service Utilisation in the Older Population[J]. Age Ageing,2019,48(2):273-277.DOI:10.1093/ageing/afy181.
[30] Clegg A, Bates C,Young J,et al.Development and Validation of an Electronic Frailty Index Using Routine Primary Care Electronic Health Record Data[J]. Age Ageing,2016,45(3):353-360.DOI:10.1093/ageing/afw039.
[31] Garrard JW, Cox NJ, Dodds RM, et al.Comprehensive Geriatric Assessment in Primary Care: A Systematic Review[J]. Aging Clin Exp Res, 2020, 32(2):197-205.DOI:10.1007/s40520-019-01183-w.
[32] Macdonald SH, Travers J, She EN, et al.Primary Care Interventions to Address Physical Frailty Among Community-dwelling Adults Aged 60 Years or Older: A Meta-analysis[J]. PLoS One, 2020, 15(2):e0228821.DOI:10.1371/journal.pone.0228821.
[33] Feng Z, Lugtenberg M, Franse C, et al.Risk Factors and Protective Factors Associated with Incident or Increase of Frailty among Community-dwelling Older Adults: A Systematic Review of Longitudinal Studies[J]. PLoS One,2017,12(6):e0178383.DOI:10.1371/journal.pone.0178383.
[34] Morley JE, Adams EV.Rapid Geriatric Assessment[J].J Am Med Direc Ass,2015,16(10):808-812.DOI:10.1016/j.jamda.2015.08.004.
[35] Sanford AM, Morley JE, Berg-Weger M, et al.High Prevalence of Geriatric Syndromes in Older Adults[J].PLoS One,2020,15(6):e0233857.DOI:10.1371/journal.pone.0233857.
[36] Merchant RA, Hui RJY, Kwek SC, et al.Rapid Geriatric Assessment Using Mobile App in Primary Care: Prevalence of Geriatric Syndromes and Review of Its Feasibility[J]. Front Med(Lausanne),2020,7:261.DOI:10.3389/fmed.2020.00261.
[37] Takeda C, Guyonnet S, Sumi Y, et al.Integrated Care for Older People and the Implementation in the INSPIRE Care Cohort[J]. J Prev Alzheimers Dis,2020,7(2):70-74. DOI:10.14283/jpad.2020.8.
[38] 常飞飞,陈先辉,王强.美国“以患者为中心的医疗之家”模式发展现状及对我国家庭医生服务的启示[J].中国全科医学, 2017, 20(28):3463-3467. DOI:10.3969/j.issn.1007-9572.2017.00.082.
[1] GUO Ya-juan, LIU Li-shuang, HUO Juan-juan, ZHANG Hui, WANG Yong-jun. Medicating Effect of Anhedonia on Self-compassion and Post-traumatic Stress Disorder in Elderly Stroke Patients [J]. Journal of Nursing, 2021, 28(8): 72-76.
[2] GUAN Yan, LU Shan, YE Jia-xin, WANG Zhe-yun. Construction and Application of Standardized Practice Scheme for Pressure Injury after Cardiac Surgery [J]. Journal of Nursing, 2021, 28(7): 15-20.
[3] DU Jin-lei, CHEN Zhi-mei, QIN Lan-fang, LIAN Jie, SUN Wen-jing, WANG Xiang, XU Wei, ZOU Xiao-yue. Development and Application of Extended Enteral Nutrition Management Scheme for Elderly ICU Patients Based on Circadian Rhythm [J]. Journal of Nursing, 2021, 28(7): 1-5.
[4] LIU Yu, ZHOU Chun-lan, ZHOU Jun-gui, DENG Shui-juan, HE Ren-hong. Development and Validation of Self-management Scale for Neurogenic Bladder Patients [J]. Journal of Nursing, 2021, 28(7): 64-68.
[5] FENG Qin, FENG Xian-qiong, HE Qi-ying, FAN Dong-ping, DENG Lan. Mobile Management Program in Bladder Cancer Patients Undergoing Ileum Cystostomy [J]. Journal of Nursing, 2021, 28(6): 61-64.
[6] YI Hui-hui, XIA Zhen-lan, LI Yu, HUANG Hai-yan, TAN Zhen, ZHANG Li-hua. Effect of Structured Bladder Management on Postoperative Urinary Retention of Elderly Patients with Hip Fracture [J]. Journal of Nursing, 2021, 28(6): 65-70.
[7] YANG Jin-xia, YAO Wen-ying, WANG Xin. Effect of Child Medical Assistance Services on School-age Children with Asthma [J]. Journal of Nursing, 2021, 28(6): 71-75.
[8] ZHU Wei-wei, XU Yang-zi, HUO Wan-jun, CHEN Ci-yu, LI Yuan-tian, LING Dong-lan. Best Evidence Summary for Assessment and Management of Pain in Elderly Patients with Dementia [J]. Journal of Nursing, 2021, 28(5): 32-37.
[9] ZHOU Yi-feng, YANG Ji-ping, YUAN Hao, WU Juan. Evidence Summary of Body Temperature Management in Cardiac Surgery with Extracorporeal Circulation [J]. Journal of Nursing, 2021, 28(5): 26-31.
[10] QU Chang, GUO Hai-ling, WEI Yu, LI Xue-jing, ZHANG Xiao-yan, CONG Xue, WANG Dou, YAN Li-jiao, HAO Yu-fang. Best Evidence Summary of Fatigue Management after Hemodialysis [J]. Journal of Nursing, 2021, 28(5): 43-48.
[11] LIU Liu, HUANG Xin, DENG Li-jun, TONG Hai-ying, YI Ping, LIANG Hong-xia, ZHANG Dan-dan, MA Yan-yan. Status Quo of Career Planning of Undergraduate Nurses in Northwest China and Its Influence Factors: A 2,704-case Study [J]. Journal of Nursing, 2021, 28(5): 49-54.
[12] ZHI Meng-jia, JI Jia-lin, HU Lin-lin. Willingness of Elderly People for Community-home Medical Care Combined with Pension Services and Its Influence Factors: A 1,389-case Study [J]. Journal of Nursing, 2021, 28(4): 50-56.
[13] YAN Yu-jiao, DING Juan, LIU Chao-han, FU Mo, WANG Hong. Best Evidence Summary for Airway Management in Critically-ill Adult Patients [J]. Journal of Nursing, 2021, 28(3): 39-45.
[14] GU Zi-jun, LIN Zheng, ZHOU Mei-jing, GU Fang-chen, LUO Dan. Assessment of Mobile Applications of Dietary Management for Patients with Inflammatory Bowel Disease [J]. Journal of Nursing, 2021, 28(3): 34-38.
[15] XIONG Li-juan, HE Jia, WANG Yu-mei, QI Lei, LI Min. Performance Pay Reform in Vertical Management System in Department of Nursing Administration [J]. Journal of Nursing, 2021, 28(3): 10-14.
Viewed
Full text


Abstract

Cited
  Shared   
[1] XIE Xiao-min, LI Ya-li, LIANG Ya-hong, FENG Bei, LIN Yan, JIANG Xun. Mediating Effect of Dysfunctional Attitude between Parenting Stylesand Depressive Symptoms in Adolescents[J]. Journal of Nursing, 2021, 28(13): 52 -57 .
[2] . [J]. Journal of Nursing, 2021, 28(13): 58 -61 .
[3] ZHENG Xia, HU Ya, ZHOU Jie, SAHNG Pan-ting, HAN Hui, LU Hui-ming. Nursing of Penile Cancer Patients with Healing by Second Intention after Inguinal Lymph Node Dissection through Vacuum-assisted Sealing Drainage[J]. Journal of Nursing, 2021, 28(13): 62 -64 .
[4] LIU Min-li, ZHOU Chun-lan, LONG Yan-juan, XIAO Xiu-ying, HUANG Yu-lou, HUANG Xiao-na, LI Xiao-zhen, GONG Xiu-qun, LI Su-cheng, HUANG Jin-hang, PENG Xiao-ping, GENG Li, LIANG Mei-yan. Current Status of Mild Cognitive Impairment in Elderly People in Jinwan District of Zhuhai and Its Influence Factors[J]. Journal of Nursing, 2021, 28(13): 74 -78 .
[5] KONG Hai-yan, ZHANG Xin-qiong, ZHANG Hong-hui, WANG Ting-ting, WANG Ai-mei. Localization of Heart Disease Fact Questionnaire and Its Reliability and Validity[J]. Journal of Nursing, 2021, 28(15): 1 -4 .
[6] LI Wei-tong, SONG Yu-lei, CHEN Yu-jing, XU Gui-hua. Comprehensive Ability Assessment Level of Elderly People in Old-age Care Institutions[J]. Journal of Nursing, 2021, 28(15): 5 -9 .
[7] DU Yan-li, WANG Lu, LIAO Yu-feng, MA Chun-hua, RUAN Hong-bing, ZHANG Ya, NIU Geng. Effect of Clinical-situation Simulation Combined with Standardized Patient Teaching in Cultivation of Pressure Ulcer Risk Assessmentin Nursing Students[J]. Journal of Nursing, 2021, 28(15): 10 -14 .
[8] WANG Li, WANG Hai-yan, ZHONG Ying-chang, LI Li, CHEN Li-shan, SHE Feng-hua, ZOU Dan-feng, ZHU Bi-li, WANG Yuan-yuan. Practice and Effect of Nursing Butler Service in Special Medical Center[J]. Journal of Nursing, 2021, 28(15): 15 -19 .
[9] SONG Jia-ting, HUANG Qi-hua, XIAO Wen-li, YANG Zuan-zuan, LUO Hui-fang. Effect of Moxibustion on Chemotherapy-related Adverse Reaction of Cancer Patients: A Bibliometric Analysis[J]. Journal of Nursing, 2021, 28(15): 20 -24 .
[10] . [J]. Journal of Nursing, 2021, 28(15): 25 -29 .