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首页> 外文期刊>Frontiers in Public Health >Online Multi-Domain Geriatric Health Screening in Urban Community Dwelling Older Malaysians: A Pilot Study
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Online Multi-Domain Geriatric Health Screening in Urban Community Dwelling Older Malaysians: A Pilot Study

机译：在线多领域老年健康筛选在城市社区住宅较大的马来西亚人：试点研究

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Introduction: With a rapidly aging population, the Malaysian health care system needs to develop solutions to address the lack of resources that are required for the assessment of the older person. The complex nature of geriatric syndromes coupled with the occurrence of multiple comorbid illnesses with aging, make geriatric assessment a resource intensive process. Digital health solutions could play an important role in supporting existing health care systems, especially in low and middle income countries, with limited speciality services in geriatrics. Objective: This is a pilot study aimed at screening for geriatric syndromes through self-administered online surveys in urban community dwelling older Malaysians and assessing the pattern of geriatric syndromes in relation to the frailty status of the study participants. Methods: This is a cross-sectional pilot study conducted between July-September 2020. Community dwelling adults aged 60 years and over were invited to take part in an online survey. Information on sociodemographic variables, comorbidities, and the self-reported results of geriatric syndromes (frailty, sarcopenia, anorexia of aging, urinary incontinence, falls, and cognitive impairment), were collected through the survey. Results: Data was collected for 162 participants over a period of 2 months. The mean (SD) age of the respondents was 66.42 (5.25) years with 64.9% females. Majority of the respondents were of Chinese ethnic origin (67.9%) and had tertiary level of education (75.9%). The average time taken by participants to complete the survey was 16.86 min. Urinary incontinence was the highest reported geriatric syndrome (55.1%) followed by falls (37.6%), anorexia of aging (32.8%), cognitive impairment (27.8%), and sarcopenia (8.3%). Frailty was detected in 4.5% of the study population. Loss of weight in the previous year was the highest reported component of the frailty assessment tool. The presence of sarcopenia, anorexia of aging, poor/fair self-rated health, urinary incontinence, and multimorbidity were significantly higher in older adults who were frail or prefrail. Conclusion: Screening for geriatric syndromes through online surveys is a feasible approach to identify older adults in the community who are likely to benefit from geriatric assessment. However, the demographic profile of the older population that are accessible through such digital platforms is limited.
机译：引言：随着人口迅速老龄化，马来西亚的医疗保健系统需要开发解决方案，以解决缺乏所需的老年人的评估资源。再加上多个合并疾病与衰老的发生老年证的复杂性，使老人评估资源密集的过程。数字医疗解决方案，在支持现有的卫生保健系统中发挥重要作用，尤其是在低收入和中等收入国家，随着老年医学专科有限服务。目的：这是一个试验性研究，旨在通过自我管理的网上调查城市社区筛选老年证居住年长马来西亚人和评估有关研究参与者的脆弱状态老年证的格局。方法：这是间七月至九月2020年社区居住的60岁的成年人和超过被邀请参加一个网上调查进行剖试验研究。在社会人口变量，合并症和老年证（虚弱，肌肉减少，老龄化，尿失禁的厌食，跌倒和认知功能障碍）的自报结果的信息，是本次调查收集。结果：数据收集的162名与会者在为期2个月。受访者平均（SD）年龄为66.42（5.25）岁，女性64.9％。受访者大多数是中国人种（67.9％）和有教育的高等教育水平（75.9％）。完成调查采取参与者的平均时间为16.86分钟。尿失禁是接着瀑布（37.6％）最高报老年综合征（55.1％）的老化（32.8％），厌食，认知障碍（27.8％），少肌症和（8.3％）。弱者在研究人口的4.5％进行检测。在过去一年体重减轻是脆弱评估工具的最高的报告的组成部分。少肌症的存在，延缓衰老，贫穷/公平自测健康，尿失禁，和multimorbidity的厌食老年人谁是年老体弱或prefrail均显著较高。结论：通过在线调查筛选老年证是一个可行的方法，在社会谁都有可能从老人评估效益，以确定老年人。然而，这是访问通过这样的数字平台，老年人口的人口状况是有限的。

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