Nursing diagnosis of elder frailty syndrome: epidemiological validation / Diagnóstico de enfermagem síndrome da fragilidade do idoso: validação epidemiológica
DOI:
https://doi.org/10.9789/2175-5361.rpcfo.v18.14389Palabras clave:
diagnóstico de enfermagem; enfermagem gerontológica; estudo de validação; fragilidade, saúde do idoso.Resumen
Objetivo: Validar el diagnóstico de síndrome de fragilidad en personas mayores en diferentes escenarios de atención gerontológica. Método: Se recolectaron datos de 250 personas mayores en distintas localidades y niveles de atención, entre ellos: instituciones de larga estadía, una unidad hospitalaria y una unidad de atención primaria. Los datos se obtuvieron a partir de un instrumento construido con base en los indicadores diagnósticos establecidos por la NANDA-I para el síndrome de fragilidad en personas mayores, además del uso de escalas geriátricas. Resultados: Hubo una diferencia en la prevalencia del diagnóstico de Síndrome de Fragilidad en los Adultos Mayores: 42,9% en el Hospital, 26,7% en la APS y 49,3% en el LTCF, con diferentes composiciones de diagnóstico. Atención Primaria tuvo resultados más negativos para la presencia de diagnósticos en comparación con el hospital y el LTCF, donde la presencia de diagnósticos fue más pronunciada. En el Hospital y el LTCF, los diagnósticos más frecuentes fueron entre cuatro y seis, caracterizando la confirmación de la presencia de Síndrome de Fragilidad en los Adultos Mayores. Conclusión: Se concluye que comprender la caracterización epidemiológica de los diferentes niveles de complejidad de la atención auxilia en la gestión de la salud y la planificación de acciones de prevención de la fragilidad.
Descargas
Citas
United Nations Department of Economic and Social Affairs, Population Division. World population ageing 2023: challenges and opportunities of population ageing in the least developed countries. [Internet]. New York: United Nations; 2023 [cited 2025 Jun 15]. Available from: https://www.un.org/development/desa/pd/content/world-population-ageing-2023.
World Health Organization. Decade of healthy ageing 2020–2030. [Internet]. Geneva: World Health Organization; 2020 [cited 2025 Mar 12]. Available from: https://www.who.int/initiatives/decade-of-healthy-ageing.
Fried LP, Tangen CM, Walston J, Newman AB, Hirsch C, Gottdiener J, et al. Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci. [Internet]. 2001 [cited 2025 May 22];56(3). Available from: https://doi.org/10.1093/gerona/56.3.M146.
Mitnitski AB, Mogilner AJ, Rockwood K. Accumulation of deficits as a proxy measure of aging. ScientificWorldJournal. [Internet]. 2001 [cited 2025 Jun 3];1. Available from: https://doi.org/10.1100/tsw.2001.58.
Fried LP, Ferrucci L, Darer J, Williamson JD, Anderson G. The physical frailty syndrome as a transition from homeostatic symphony to cacophony. Nat Aging. [Internet]. 2021 [cited 2025 Apr 14];1(1). Available from: https://doi.org/10.1038/s43587-020-00017-z.
Ribeiro IA, Oliveira BHD, Machado JC, Lopes CT, Nogueira DA, Nogueira IDB. Frailty syndrome in the elderly with chronic diseases in primary care. Rev Esc Enferm USP. [Internet]. 2019 [cited 2025 Jul 2];53:e03449. Available from: https://doi.org/10.1590/S1980-220X2018002603449.
Herdman TH, Kamitsuru S, Lopes CT, organizadores. Diagnósticos de enfermagem da NANDA-I: definições e classificação: 2024–2026. Porto Alegre: Artmed; 2024.
Dong Q, Wang H, Li J, Zhang X, Li Y, Liu Y, et al. Profiles of physical frailty, social frailty, and cognitive impairment among older adults in rural areas of China: a latent profile analysis. Front Public Health. [Internet]. 2024 [cited 2025 Sep 9];12:1424791. Available from: https://doi.org/10.3389/fpubh.2024.1424791.
Santana ET, Silva RAR, Souza TA, Oliveira SHS, Silva CC, Pereira FGF, et al. Diagnósticos de enfermagem da taxonomia NANDA-I para idosos em instituição de longa permanência. Esc Anna Nery. [Internet]. 2021 [cited 2025 Mar 7];25(1):e20200104. Available from: https://doi.org/10.1590/2177-9465-ean-2020-0104.
Cheong CY, Yap P, Nyunt MSZ, Qi G, Gwee X, Wee SL, et al. Functional health index of intrinsic capacity: multi-domain operationalisation and validation in the Singapore Longitudinal Ageing Study (SLAS2). Age Ageing. [Internet]. 2022 [cited 2025 Jun 11];51(3):afac011. Available from: https://doi.org/10.1093/ageing/afac011.
Chang YH, Chen YC, Ku LE, Chou YT, Chen HY, Su HC, et al. Association between sleep health and intrinsic capacity among older adults in Taiwan. Sleep Med. [Internet]. 2023 [cited 2025 Jul 19];109. Available from: https://doi.org/10.1016/j.sleep.2023.06.016.
Yu R, Lai D, Leung G, Woo J. Trajectories of intrinsic capacity: determinants and associations with disability. J Nutr Health Aging. [Internet]. 2023 [cited 2025 Aug 4];27(3). Available from: https://doi.org/10.1007/s12603-023-1881-5.
Aliberti MJR, Bertola L, Szlejf C, Oliveira DB, Piovezan RD, Cesari M, et al. Validating intrinsic capacity to measure healthy aging in an upper middle-income country: findings from the ELSI-Brazil. Lancet Reg Health Am. [Internet]. 2022 [cited 2025 Sep 1];12:100284. Available from: https://doi.org/10.1016/j.lana.2022.100284.
Gutiérrez-Robledo LM, García-Chanes RE, Pérez-Zepeda MU. Allostatic load as a biological substrate to intrinsic capacity: a secondary analysis of CRELES. J Nutr Health Aging. [Internet]. 2019 [cited 2025 Feb 6];23(9). Available from: https://doi.org/10.1007/s12603-019-1251-5.
Stolz E, Mayerl H, Freidl W, Roller-Wirnsberger R, Gill TM. Intrinsic capacity predicts negative health outcomes in older adults. J Gerontol A Biol Sci Med Sci. [Internet]. 2022 [cited 2025 Mar 28];77(1). Available from: https://doi.org/10.1093/gerona/glab279.
Charles A, Buckinx F, Locquet M, Reginster JY, Petermans J, Gruslin B, et al. Prediction of adverse outcomes in nursing home residents according to intrinsic capacity proposed by the World Health Organization. J Gerontol A Biol Sci Med Sci. [Internet]. 2020 [cited 2025 Jan 30];75(8). Available from: https://doi.org/10.1093/gerona/glz218.
Mokhtari N, Nezafati A, Sheikholeslami F, Kazemnejad LE. Survey of the relationship between health literacy level and health status among elderly people referring to retirement centers in Rasht city. JGBFNM. [Internet]. 2019 [cited 2025 Apr 3];16:170. Available from: https://doi.org/10.29252/JGBFNM.16170.
Slaughter SE, Eliasziw M, Morgan D, Drummond N. Incidence and predictors of excess disability in walking among nursing home residents with middle-stage dementia: a prospective cohort study. Int Psychogeriatr. [Internet]. 2011 [cited 2025 Feb 18];23(1). Available from: https://doi.org/10.1017/S1041610210000116.
Arstanbekova MA. Impairment of stability and gait in elderly patients of a social inpatient institution of the Kyrgyz Republic. J Clin Pract Res. [Internet]. 2021 [cited 2025 Jul 9];6(3). Available from: https://doi.org/10.35693/2500-1388-2021-6-3-25-28.
Giacomino K, Hilfiker R, Beckwée D, Taeymans J, Sattelmayer KM. Assessment tools and incidence of hospital-associated disability in older adults: a rapid systematic review. PeerJ. [Internet]. 2023 [cited 2025 Aug 22];11:e16036. Available from: https://doi.org/10.7717/peerj.16036.
Chen LR, Liu C, Deng A, Zhang A, Zhu M, Hu X. Association between nutritional risk and fatigue in frailty conditions for older adult patients: a multicentre cross-sectional survey study. BMJ Open. [Internet]. 2024 [cited 2025 Sep 14];14(2):e079139. Available from: https://doi.org/10.1136/bmjopen-2023-079139.
Gurrapu R, Antony S, Thirumoorthy A. Social care services for addressing loneliness among inmates of old age homes. Int J Community Med Public Health. [Internet]. 2023 [cited 2025 Jun 27];10(7). Available from: https://doi.org/10.18203/2394-6040.ijcmph20233140.
Stojanović G, Vlaisavljevic Z, Terzić N, Maričić M, Stojanović D, Paunović V. Social isolation and loneliness among the elderly. Ann Nurs. [Internet]. 2023 [cited 2025 May 6];5(2). Available from: https://doi.org/10.58424/annnurs.krv.o5t.mo2.
Silva DF, Alves RA, Pesavento TFC, Vilarinho M, Lombardi Júnior I, Agner VFC. Síndrome de fragilidade: fatores determinantes em idosos institucionalizados. Arch Health Invest. [Internet]. 2021 [cited 2025 Feb 25];10(7). Available from: https://doi.org/10.35693/2500-1388-2021-6-3-25-28.
Descargas
Publicado
Versiones
- 2026-04-28 (5)
- 2026-04-28 (4)
- 2026-04-28 (3)
- 2026-04-28 (2)
- 2026-04-16 (1)
Cómo citar
Número
Sección
Licencia
Derechos de autor 2026 Revista de Pesquisa Cuidado é Fundamental Online
Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial-CompartirIgual 4.0.
TERMO DE TRANSFERÊNCIA DE DIREITOS AUTORAIS
Transfiro os direitos autorais deste artigo para a Revista de Pesquisa Cuidado é Fundamental - Online - RPCF, assim que ele for aceito para a devida publicação eletrônica. Os direitos de autor incluem o direito de reproduzir na íntegra ou em parte por qualquer meio, distribuir o referido artigo, incluindo figuras, fotografias, bem como as eventuais traduções. O autor pode ainda, imprimir e distribuir cópias do seu artigo, desde que mencione que os direitos pertencem a RPCF. Declaro que este manuscrito é original, não tendo sido submetido à publicação, na íntegra ou em partes para outros periódicos online ou não, assim cmmo em Anais de eventos científicos ou capítulos de livros.
