Gobbens整合模式视角下老年肺癌患者衰弱现状及影响因素的研究进展 ^*

Frailty in elderly lung cancer patients: status, determinants, and insights from Gobbens’ integration model

摘要

老年肺癌患者衰弱发生率较高, 且与不良临床转归密切相关。Gobbens整合模式基于动态演进视角构建多维度整合框架, 强调衰弱是躯体、心理及社会等多重因素协同作用下导致机体功能储备进行性耗竭。本文对衰弱的概念范畴、多维评估工具、肺癌患者衰弱的发生率及其与不良临床结局的关系、影响因素以及干预措施进行了综述, 旨在为制定更为精准有效的干预策略提供理论依据, 以期延缓衰弱进展, 改善患者生活质量。

Abstract

Frailty is commonly prevalent among elderly lung cancer patients and is significantly linked to negative clinical outcomes, requiring immediate care. The Gobbens integration model establishes a multi-dimensional integration framework from a dynamic evolution standpoint, highlighting that frailty is a progressive depletion of the body's functional reserves resulting from the synergistic influence of various factors, including physical, psychological, and social elements. This article examines the concept and classification of frailty, multidimensional assessment instruments, the prevalence of frailty and its association with negative clinical outcomes, contributing factors, and intervention strategies, with the objective of establishing a theoretical foundation for developing more precise and effective intervention approaches, ultimately aiming to mitigate the progression of frailty and enhance patients' quality of life.

关键词

Gobbens整合模式 / 老年人 / 肺癌 / 衰弱

Key words

Gobbens integration model / Elderly / Lung cancer / Frailty

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基金资助

^*上海市科技计划项目(23010502900)

2023年老年长期照护教育部重点实验室开放基金重点项目(LNZD-2023-01)

高校学位点培优培育计划(A1-2601-25-203001)