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http://dx.doi.org/10.22705/jkashcn.2019.26.1.5

Association of Health Outcomes with Frailty in Community-Dwelling Korean Older Adults: An Integrative Review  

Son, Youn-Jung (Red Cross College of Nursing, Chung-Ang University)
Lee, Suk Jeong (Red Cross College of Nursing, Chung-Ang University)
Choi, Yu Ri (Surgical Ward, Department of Nursing, Soonchunhyang Cheonan Hospital)
Publication Information
Journal of Home Health Care Nursing / v.26, no.1, 2019 , pp. 5-18 More about this Journal
Abstract
Purpose: Frailty is associated with an increased risk of adverse health outcomes. We aimed to review the relationships between frailty and health outcomes in community-dwelling Korean elderly individuals. Methods: Whittemore and Knafls' framework for conducting integrative reviews was used. PubMed, Cumulative Index to Nursing and Allied Health Literature, and six Korean databases were searched. For analysis, the study included articles written in English and Korean published between January 1960 and June 2018. Of the total 1,488 studies found in the databases, we analyzed 15 studies that met the quality of the evaluation criteria. Results: The prevalence of frailty in Korean elderly individuals ranged from 6.5% to 11.7% when divided into three levels of frailty. The health outcomes assessed in relation to frailty were divided into five domains: quality of life, physical health, psychosocial health, health behavior, and health care quality. Frailty was negatively associated with all five domains. Conclusions: Our study suggested that nurses should be aware of the limitations in the physical and cognitive functions of frail elderly individuals and provide tailored interventions for Korean elderly individuals. Furthermore, a large-scale study is needed to develop the Korean model of the frailty assessment tool and to verify the conceptual model of this study.
Keywords
Frail elderly; Patient outcome assessment; Review; Community;
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