| Autor: |
Hiriscau EI; Nursing Department, Iuliu Hatieganu University of Medicine and Pharmacy, 400083 Cluj-Napoca, Romania.; Intensive Care Unit Department, University Clinical Municipal Hospital, 400139 Cluj-Napoca, Romania., Cauli O; Nursing Department, University of Valencia, 46010 Valencia, Spain., Donca V; Geriatric Department, Iuliu Hatieganu University of Medicine and Pharmacy, 400139 Cluj-Napoca, Romania.; Geriatric Department, University Clinical Municipal Hospital, 400139 Cluj-Napoca, Romania., Marinescu LA; Geriatric Department, Iuliu Hatieganu University of Medicine and Pharmacy, 400139 Cluj-Napoca, Romania.; Geriatric Department, University Clinical Municipal Hospital, 400139 Cluj-Napoca, Romania., Macarie AE; Geriatric Department, Iuliu Hatieganu University of Medicine and Pharmacy, 400139 Cluj-Napoca, Romania.; Geriatric Department, University Clinical Municipal Hospital, 400139 Cluj-Napoca, Romania., Avram L; Geriatric Department, Iuliu Hatieganu University of Medicine and Pharmacy, 400139 Cluj-Napoca, Romania.; Geriatric Department, University Clinical Municipal Hospital, 400139 Cluj-Napoca, Romania., Cancel OG; Geriatric Department, University Clinical Municipal Hospital, 400139 Cluj-Napoca, Romania., Donca S; Geriatric Department, University Clinical Municipal Hospital, 400139 Cluj-Napoca, Romania., Buzdugan EC; Internal Medicine Department, Iuliu Hatieganu University of Medicine and Pharmacy, 400139 Cluj-Napoca, Romania.; Internal Medicine Department, University Clinical Municipal Hospital, 400139 Cluj-Napoca, Romania., Crisan DA; Internal Medicine Department, Iuliu Hatieganu University of Medicine and Pharmacy, 400139 Cluj-Napoca, Romania.; Internal Medicine Department, University Clinical Municipal Hospital, 400139 Cluj-Napoca, Romania., Bodolea C; Intensive Care Unit Department, University Clinical Municipal Hospital, 400139 Cluj-Napoca, Romania.; Intensive Care Unit Department, Iuliu Hatieganu University of Medicine and Pharmacy, 400139 Cluj-Napoca, Romania. |
| Abstrakt: |
This study investigates the association between the Functional Health Pattern Assessment Screening Tool (FHPAST) and frailty in hospitalized geriatric patients. One hundred and forty patients (mean age 78.2 years, age range 65-90) were screened for frailty using the Frail Scale during hospitalization in the geriatric unit. Among them, 57 patients were identified as prefrail (40.7%), and 83 were identified as frail (59.3%). A comparative analysis between groups in terms of the FHPAST components covering health risk, general well-being, and health promotion was performed. Correlations between FHAPST components, socio-demographic data, frailty criteria, as well as logistic regression to identify variables that better predict frailty were also sought. Frailty was mainly associated with difficulty urinating, limitations in performing activities of daily living and walking, physical discomfort, less positive feelings in controlling one's own life, lower compliance with recommendations from the healthcare provider, and engagement in seeking healthcare services. Patients with difficulty urinating and walking had a probability of 4.38 times (OR = 4.38, CI 95% [1.20-15.94]), p = 0.025) and 65.7 times (OR = 65.7, CI 95% [19.37-223.17], p < 0.001) higher of being frail rather than prefrail. The relationship between frailty and prefrailty in hospitalized geriatric patients and components of nursing Functional Health Patterns (FHP) has yet to be explored. This study provides evidence of the most prevalent needs of frail geriatric patients in hospital settings. |
