Yaşlı yetişkinler arasında huzurevinde yaşayan ve kendi evinde yaşayanların kırılganlığının karşılaştırılması

Abstract

Introduction: This study aims to evaluate elder people according to their living place and gender in terms of frailty with the FRAIL Scale.Methods: An observational cross sectional study was conducted between December 2019 and March 2020 with 113 patients aged ≥ 65 years who were admitted to a family health center in Istanbul. Patients registered at the nursing home address and patients living at their home address were assigned to the groups by the simple randomization method. A questionnaire including the demographic data and the FRAIL Scale which would evaluate the frailty was performed face-to-face. The Chi-square test was used for the statistical analysis.Results: It was observed that 51.3% of 113 individuals over 65 years in the study were male (n = 24), and the mean age was 73.13 ± 6.52 years. Frailty was found to be 21.2% (n = 24), according to the mean score of the FRAIL Scale (1.24 ± 1.26). The frailty rate (29.8%) of own home living elderly was found to be higher than the nursing home living elderly (12.5%) (p = 0.049). The frailty rate of own home living men (27.6%) was higher than the nursing home living men (3.4%) (p = 0.038). In FRAIL scale components, fatigue 19.5% (n = 22), resistance 38.9% (n = 44), ambulation 36.3% (n = 41), disease 10.6% (n = 12), weight loss 18.6% (n = 21) of the scale component were included in the fragility measurement. In the analysis of the answers, the internal consistency of the scale was moderate level (Cronbach alpha = 0.552).Conclusions: According to this study, one out of every five elderly was frail. Based on the fact that the elderly especially own home living men, are more fragile, and nursing home living women are seen at an older age, the results drew attention to the importance of nursing homes in the course of frailty in the future.Keywords: Nursing home, frailty, elderly, reliability