門診慢性病老人衰弱症之分析 - tagg.org.tw

1 5 1 36 1 1 2 1 1 1,2 189 65 Fried 19% ( ) 81% 75 79 5 8 (WONCA-COOP) (BSRS-5) (MMSE) (GDS-15) (MNA) ( ) ( ) 19 2010 5(1) 36-49 1 2 100 17 4 440 ( ) (886) 2-3393-2198 E-mail: Vo l.

2 5 N o . 1 Taiwan Geriatr Gerontol 37 2005 (frailty) [1] [2] [3] [4,5] [6-9] [10] ( ) 2007 1 2008 6 4 2 65 90 (Delphi method) (inclusion criteria) / / / / 5 3 8 1 2 80 6 ( ) 1.

3 (1) (2) 5 1 38 (3) (functional review) (4) WONCA-COOPS [11] (5) BSRS-5 (Brief symptoms rating scale-5) [12] (6) (Mini-Mental State Examination, MMSE) (Clock Drawing Test) [13-15] (7) (Geriatric Depression Scale-15, GDS-15) [16] (8) (Mini Nutritional Assessment, MNA) [17,18] (9) (Barthel Index) (Activities of Daily Living) Lawton Brody (Instrumental Activities of Daily Living) [19-21] (10) Fried 5 3 2 5% 3 ( 5% 5 ) (Taiwan International Physical Activity Questionnaire- Short Form for the elderly, Taiwan IPAQ- elderly) (Minnesota Leisure Time Activity questionnaire) [6,22] 5 1 2 (prefrail) 3 (frail)

4 (11) [23] 2. JAMAR 3 HOGGAN micro FET2 3 3. (Up and go test) (chair rise test) [6,24,25] Vo l . 5 N o . 1 Taiwan Geriatr Gerontol 39 ( ) ( ) SPSS PC Version ( ) Fried Fried t (logistic regression analysis) ( ) 189 Fried 19% 81% Fried ( 1)

5 75 79 ( 2) 2 1 Fried Fried n= 189 n(%) n=153 n(%) n=36 n(%) 19( )8( )11( ) 56( )25( )31( ) 9( )1( )8( ) 62( )30( )32( ) 122( )87( )35( )( ) 5 80 5 8 5 1 40 ( 3) ( ) (WONCA-COOPS) (BSRS-5) (MMSE) (GDS-15) (MNA) ( 4) ( )

6 5 6 2 n=189n (%) n=153 n (%) n=36 n (%) p .071 65-69 26 ( ) 26 (17 ) 0 ( .0) 70-74 37 ( ) 31 ( ) 6 ( ) 75-79 53 ( ) 40 ( ) 13 ( ) 80-84 47 ( ) 35 ( ) 12 ( ) 85 26 ( ) 21 ( ) 5 ( ) .387 91 ( ) 76 ( ) 15 ( ) 98 ( ) 77 ( ) 21 ( ) .094 97 ( ) 74 ( ) 23 ( ) 27 ( ) 24 ( ) 3 ( ) 28 ( ) 24 ( ) 4 ( ) 37 ( ) 31 ( ) 6 ( ).

7 584 128 ( ) 105 ( ) 23 ( ) 61 ( ) 48 ( ) 13 ( ) .074 17 ( ) 11 ( ) 6 ( ) 172 ( ) 142 ( ) 30 ( ) Vo l . 5 N o . 1 Taiwan Geriatr Gerontol 41 3 n=189n % n=153n % n=36 n % p 80 70 ( ) 52 ( ) 18 ( ) .073 5 110 ( ) 83 ( ) 27 ( ) .023 8 29 ( ) 19 ( ) 10 ( ) .021 19 ( ) 9 ( ) 10 ( ).

8 001 57 ( ) 51 ( ) 6 ( ) .050 52 ( ) 38 ( ) 14 ( ) .089 125 ( ) 89 ( ) 36 ( ) .001 105 ( ) 75 ( ) 30 ( ) .001 74 ( ) 51 ( ) 23 ( ) .001 55 ( ) 33 ( ) 22 ( ) .001 147 ( ) 112 ( ) 35 ( ) .002 140 ( ) 108 ( ) 32 ( ).

9 024 57 ( ) 34 ( ) 23 ( ) .001 22 ( ) 9 ( ) 13 ( ) .001 81 ( ) 60 ( ) 21 ( ) .037 29 ( ) 18 ( ) 11 ( ) .005 77 ( ) 60 ( ) 18 ( ) .237 152 ( ) 121 ( ) 31 ( ).

10 339 122 ( ) 92 ( ) 30 ( ) .009 159 ( ) 131 ( ) 28 ( ) .247 90 ( ) 70 ( ) 20 ( ) .289 79 ( ) 60 ( ) 19 ( ) .138 51 ( ) 36 ( ) 15 ( ) .027 115 ( ) 34 ( ) 10 ( ) 101 ( ) 20 ( ) 3 ( ) 14 ( ) 14 ( ) 7 ( ) .003 .001.