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題名:老人衰弱之概念分析
書刊名:護理雜誌
作者:柯莉珊
作者(外文):Ke, Li-shan
出版日期:2013
卷期:60:1
頁次:頁105-110
主題關鍵詞:衰弱老人概念分析FrailtyElderlyConcept analysis
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(5) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:5
  • 共同引用共同引用:4
  • 點閱點閱:114
衰弱(frailty)在老人醫學和老人學中是經常被使用的名詞,此名詞出現迄今,超過三十年,但專家學者卻對此名詞的概念非常分歧。衰弱一詞在護理的學門上仍屬較新的概念,作者以Walker與Avant(2005)提出概念分析的步驟進行分析,確認老人衰弱的屬性除必需符合Fried等(2001)提出衰弱必需包含下列至少三個屬性,分別為:變瘦、虛弱、耐力差、活動變慢和活動力下降,尚需符合下列屬性:多重因素(multiple factors)、依賴(dependency)、動態過程,以及易受傷害(vulnerability)。作者希望透過對老人衰弱的概念分析,使得臨床護理人員對老人衰弱的概念有更清楚瞭解,得以進一步發展護理措施,增進老人健康。
Frailty is a term frequently used in geriatric medicine and gerontology. Even though this term appeared some three decades ago, the concept it embodies is still inconsistently defined and multi-dimensional. It is also relatively new to the nursing discipline. The author analyzed the concept of frailty using the concept analysis approach of Walker and Avant (2005). The result indicated that frailty must meet at least three of Fried et al. (2001)'s five attributes of frailty, i.e., shrinking, weakness, poor endurance, slowness, and low activity. Frailty in the elderly must further involve multiple factors, dependency, dynamic processes, and vulnerability. The author hopes this paper helps clinical nursing staffs better understand the concept of frailty in the elderly. A clearly defined definition for frailty in the elderly can help nurses apply this important concept in clinical practice and develop related nursing implications to improve elderly health.
期刊論文
1.Cacciatore, F.、Abete, P.、Mazzella, F.、Viati, L.、Della Morte, D.、D’Ambrosio, D.、Rengo, F.(2005)。Frailty predicts long-term mortality in elderly subjects with chronic heart failure。European Journal of Clinical Investigation,35(12),723-730。  new window
2.de Lepeleire, J.、Iliffe, S.、Mann, E.、Degryse, J. M.(2009)。Frailty: An emerging concept for general practice。British Journal of General Practice,59(562),e177-e182。  new window
3.de Vries, N, M.、Staal, J. B.、van Ravensberg, C. D.、Hobbelen, J. S. M.、Olde Rikkert, M. G. M.、Nijhuis-van der Sanden, M. W. G.(2011)。Outcome instruments to measure frailty: A systematic review。Ageing Research Reviews,10(1),104-114。  new window
4.Gobbens, R. J.、Luijkx, K. G.、Wijnen-Sponselee, M. T.、Schols, J. M.(2010)。Toward a conceptual definition of frail community dwelling older people。Nursing Outlook,58(2),76-86。  new window
5.Hubbard, R. E.、O’Mahony, M. S.、Savva, G. M.、Calver, B. L.、Woodhouse, K. W.(2009)。Inflammation and frailty measures in older people。Journal of Cellular and Molecular Medicine,13(9b),3103-3109。  new window
6.Martin, F. C.、Brighton, P.(2008)。Frailty: Different tools for different purposes?。Age and Ageing,37(2),129-131。  new window
7.Schuurmans, H.、Steverink, N.、Lindenberg, S.、Frieswijk, N.、Slaets, J. P. J.(2004)。Old or frail: What tells us more?。The Journals of Gerontology, Series A: Biological Sciences and Medical Sciences,59(9),962-965。  new window
8.Walston, J.、Fried, L. P.(1999)。Frailty and the older man。The Medical Clinics of North America,83(5),1173-1194。  new window
9.Woodhouse, K. W.、Wynne, H.、Baillie, S.、James, O. F. W.、Rawlins, M. D.(1988)。Who are the frail elderly?。The Quarterly Journal of Medicine,68(255),505-506。  new window
10.van Iersel, M. B.、Olde Rikkert, M, G. M.(2006)。Frailty criteria give heterogeneous results when applied in clinical practice。Journal of the American Geriatrics Society,54(4),728-729。  new window
11.Pel-Littel, R. E.、Schuurmans, M. J.、Emmelot-Vonk, M. H.、Verhaar, H. J. J.(2009)。Frailty: Defining and measuring of a concept。The Journal of Nutrition, Health & Aging,13(4),390-394。  new window
12.Rockwood, Kenneth、Song, Xiaowei、MacKnight, Chris、Bergman, Howard、Hogan, David B.、McDowell, Ian、Mitnitski, Arnold(2005)。A global clinical measure of fitness and frailty in elderly people。Canadian Medical Association Journal,173(5),489-495。  new window
13.Rockwood, K.、Stadnyk, K.、MacKnight, C.、McDowell, I.、Hébert, R.、Hogan, D. B.(1999)。A brief clinical instrument to classify frailty in elderly people。The Lancet,353(9148),205-206。  new window
14.曾明月、徐亞瑛(20081200)。老人衰弱之概念分析。護理雜誌,55(6),80-85。new window  延伸查詢new window
15.Rockwood, K.、Fox, R. A.、Stolee, P.、Robertson, D.、Beattie, B. L.(1994)。Frailty in elderly people: An evolving concept。CMAJ: Canadian Medical Association Journal,150(4),489-495。  new window
16.Fried, Linda P.、Tangen, Catherine M.、Walston, Jeremy、Newman, Anne B.、Hirsch, Calvin、Gottdiener, John、Seeman, Teresa、Tracy, Russell、Kop, Willem J.、Burke, Gregory、McBurnie, M. A.、Cardiovascular Health Study Collaborative Research Group(2001)。Frailty in older adults: evidence for a phenotype。The Journals of Gerontology, Series A: Biological Sciences and Medical Sciences,56(3),M146-M157。  new window
圖書
1.梁實秋(1993)。遠東實用英漢辭典。台北市:遠東圖書。  延伸查詢new window
2.Agnes, M. E.(1998)。Webster 's new world™ basic dictionary of American English。Cleveland, OH:Macmillan。  new window
3.Turnbull, J.(2010)。Oxford advanced learner's dictionary of current English。Oxford, UK:Oxford University Press。  new window
4.Walker, L. O.、Avant, K. C.(2005)。Strategies for theory construction in nursing。Upper Saddle River, New Jersey:Prentice Hall。  new window
其他
1.Dalhousie University(2008)。Clinical frailty scale,http://geriatricresearch.medicine.dal.ca/pdf/Clinical%20Faily%20Scale.pdf。  new window
 
 
 
 
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