Comparison of three kinds of frailty screening instruments in the elderly with diabetes mellitus  

作　　者：Yue Wang Ya-Nan Wang Ling Xu Li Pei 

机构地区：[1]Graduate School,Tianjin University of Traditional Chinese Medicine,Tianjin 301617,China [2]Tianjin First Central School,Tianjin Medical University,Tianjin 300203,China [3]Nursing School,Tianjin University of Traditional Chinese Medicine,Tianjin 301617,China

出　　处：《Aging Communications》2022年第1期12-16,共5页衰老通讯

基　　金：supported by Research and Innovation Project of Tianjin University of Traditional Chinese Medicine in 2020 with Grant No.YJSKC-20201037;Tianjin College Students'Innovation and Entrepreneurship Training Program with Grant No.201910063045.

摘　　要：Purpose:To evaluate the reliability and validity of the Frailty Phenotype(FP),Tilburg Frailty Indicator(TFI)and Frail Scale(FS)in elderly diabetic patients,and to provide a scientific basis for selecting appropriate frailty screening instruments for medical staff.Design:A cross-sectional study.Participants and Methods:A convenience sample of 169 elderly diabetic patients was selected from a diabetes special hospital in Tianjin,China.We assessed the reliability and validity of the full FP,TFI and FS as well as their domains.The structural validity of the scale was tested by Spearman correlation analysis of items,dimensions and total scores of scales.The predictive validity of FP,TFI and FS was evaluated by calculating the correlation coefficient between the total scores of FP,TFI and FS and the scores of diabetes specific quality of life scale(QSDL).We assessed the test-retest reliability of 17 elderly diabetic patients twice.Results:A total of 169 patients were included,with a mean age 66.53±7.24 years,and 53.8%were female.The prevalence of frailty was 23.1%according to FP,38.5%according to FS and 78.7%according to TFI with a mean score 6.86±3.05.The test-retest reliability of FP,TFI and FS were 0.915,0.942 and 0.956 respectively.The correlation coefficients between each item or dimension and its total frailty score were r=0.293~0.618,0.174~0.753 and 0.255~0.706 respectively(P<0.01).The total scores of the three frailty screening instruments were the strongest correlation with the physiological dimension of DSQL and the worst correlation of social relations.The area under the receiver operating characteristic(ROC)curve for predicting the decline of quality of life of diabetic patients was 0.805,0.500 and 0.816,respectively.Conclusion:The test-retest reliability of FP,TFI and FS is good and the structural validity of TFI and the ability of predicting the decline of quality of life are better than those of FP and FS.Therefore,compared with the other two scales,the TFI is a reliable and valid instrument to assess

关 键 词：FRAILTY SCALE diabetes mellitus RELIABILITY validity 

分 类 号：R58[医药卫生—内分泌]