老年人虚弱状态评估及其在康复医学中的应用价值

Application and Development of Frailty Assessment in Elderly Rehabilitation (review)

虚弱是一种复杂的临床综合征,是由年龄、生理功能、疾病状态、心理因素和社会保障等多种因素共同作用,导致健康累计损失的结果。虚弱与老年人健康状态和死亡风险密切相关,可严重影响其工作和生活质量,加重社会和家庭负担。本文就虚弱的概念、评估方法、风险因素及其在国内外老年康复医学领域的应用研究进展进行综述。

Frailty is a physiological state of nonspecific vulnerability to stressors resulting from decreased physiological reserves and the deregulation of multiple physiological systems associated with advancing age. Frailty is more than an association with specific diseases or disabilities, but rather a systemic manifestation of physical and cognitive deficits, including signs, symptoms, illnesses, and impairments, that accumulate over the life course. This paper reviewed the studies illustrating the concept, evaluation, risk factor and application of frailty on rehabilitation.