《初级保健机构中衰弱筛查和管理：国际衰弱和肌肉减少症研究会议工作组指南》解读

doi:10.12114/j.issn.1007-9572.2021.00.222

摘要/Abstract

摘要： 衰弱是老年人常见的一种临床综合征，常与其他疾病共存，可增加老年人的依赖性和死亡风险。由于社区缺乏老年专科医生，且社区老年人缺乏衰弱筛查的意识，社区衰弱老年人常进展为失能，影响躯体功能和生活质量。对初级保健机构中老年人进行早期衰弱筛查和干预是预防衰弱进展、维持躯体功能的重要途径。2020年国际衰弱和肌肉减少症研究会议工作组（ICFSR）制定了针对初级保健机构中老年人衰弱筛查和管理的指南，该指南提出了7种适用于初级保健机构的快速衰弱筛查工具和2种衰弱管理方法，旨在为初级保健机构提供衰弱筛查和管理的实用策略。本文主要对该指南中衰弱筛查和管理方面进行解读，以期为我国社区衰弱老年人群衰弱筛查和管理提供参考。

关键词: 衰弱, 筛查, 管理, 初级卫生保健, 内在能力

Abstract: Frailty is a common clinical syndrome in older adults，often coexists with other diseases，which could increase an individual's vulnerability for developing increased risk of dependency and/or death. Due to the lack of geriatric clinicians and insufficient awareness of frailty screening in community-dwelling older adults，the frailty in these older people often progresses to disability，affecting their physical function and quality of life. Early frailty screening and interventions for older adults in primary care is an important way to prevent the progression of frailty and maintain physical function. In 2020，the International Conference on Frailty & Sarcopenia Research（ICFSR） developed the guidelines on screening for and managing the person with frailty in primary care. The guidelines proposed seven rapid frailty screening tools and two frailty management methods suitable for primary care，providing practical strategies for frailty screening and management in primary care. We mainly interpreted frailty screening and management parts in the guidelines，which will help the screening for and managing Chinese older adults with frailty in the community.

Key words: Frailty, Screening, Management, Primary care, Intrinsic capacity

刘盼,李耘,马丽娜. 《初级保健机构中衰弱筛查和管理：国际衰弱和肌肉减少症研究会议工作组指南》解读[J]. 中国全科医学, 2021, 24(25): 3141-3147. DOI: 10.12114/j.issn.1007-9572.2021.00.222.
LIU Pan,LI Yun,MA Lina. Interpretation of Screening for and Managing the Person with Frailty in Primary Care：ICFSR Consensus Guidelines　[J]. Chinese General Practice, 2021, 24(25): 3141-3147. DOI: 10.12114/j.issn.1007-9572.2021.00.222.

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