人们对概念化和诊断脆弱越来越感兴趣。少被理解,然而,关于老年人对“虚弱”一词的看法,以及被归类为“脆弱”的含义。这次范围审查的目的是绘制主要研究的广度;并描述其含义,感知,以及社区居住的老年人中脆弱语言的感知含义。8项研究被纳入审查,并确定了三个核心主题:(1)将脆弱理解为多个领域不可避免的与年龄相关的下降,(2)将脆弱感知为泛化标签,(3)感知语言对健康和医疗保健利用的影响。针对与身体虚弱的个人一起工作的医疗保健专业人员的临床实践建议包括:(1)保持对身体虚弱的整体看法,超越身体功能,包括社会心理和环境构造,(2)使用人称第一语言,(3)使用基于优势的方法讨论脆弱的方面。
There is growing interest in conceptualizing and diagnosing frailty. Less is understood, however, about older adults\' perceptions of the term \"frail\", and the implications of being classified as \"frail\". The purpose of this scoping review was to map the breadth of primary studies; and describe the meaning, perceptions, and perceived implications of frailty language amongst community-dwelling older adults. Eight studies were included in the review and three core themes were identified: (1) understanding frailty as inevitable age-related decline in multiple domains, (2) perceiving frailty as a generalizing label, and (3) perceiving impacts of language on health and health care utilization. Clinical practice recommendations for health care professionals working with individuals with frailty include: (1) maintaining a holistic view of frailty that extends beyond physical function to include psychosocial and environmental constructs, (2) using person-first language, and (3) using a strengths-based approach to discuss aspects of frailty.