earticle

영어

This study aims to identify clinical factors related to frailty in the elderly population of Korea using data from the 2nd year of the 9th National Health and Nutrition Examination Survey (2023). The subjects were 1,380 elderly people aged 65 years or older. The level of frailty was classified as the robust group, 888 people(8.6%) were in the pre-frailty group, and 374 people(27.1%) were in the frailty group. Factors related to the level of frailty included gender, income level, education level, subjective health status, diastolic blood pressure, HDL, LDL, TG, ALT, Hb, CRP, and BUN. The probability of frailty was 2.820 times higher in those aged 80 years or older, 1.532 times higher in men, 1.780 times higher in those with elementary school education or lower, 2.105 times higher in those living alone, 2.420 times higher in those with poor subjective health status, and 1.890 times higher in those with a history of hospitalization. By clinical factor, the likelihood of frailty was 1.020 times higher when TC was high, 1.050 times higher when CRP was high, 1.030 times higher when BUN was high, and 0.970 times higher when Hct was high. It was shown that the higher the Hct, the higher the risk of frailty was 0.970 times higher. Based on the analysis results, it is necessary to provide customized nursing interventions by utilizing an integrated assessment tool to manage clinical factors related to frailty through early detection and screening of high-risk groups.

한국어

본 연구는 국민건강영양조사 제9기 2차년도(2023년) 자료를 이용하여 한국 노년층에서 나타나는 노쇠와 관련된 임상적 요소들을 확인하기 위함이다. 대상자는 65세 이상 노인으로 최종 1,380명으로, 정상군은 118명(8.6%), 노쇠 전 단계(전노쇠군)은 888명(64.3%), 노쇠 노인(노쇠군)은 374명(27.1%)이었다. 노쇠 수준과 관련된 요인으로는 성별, 소득수준, 교육 수준, 주관적 건강 상태, 이완기혈압, HDL, LDL, TG, ALT, Hb, Hct, WBC, CRP, BUN이 이었다. 노쇠일 확률은 80세 이상 2.820배, 남자 1.532배, 초졸 이하 1.780배, 혼자 거주 2.105배, 주관적 건강 상태가 나쁜 경우 2.420배, 입원한 경험 이 있는 경우 1.890배 노쇠할 확률이 높았다. 임상적 요소에서는 TC가 높은 경우 1.020배, CRP가 높은 경우 1.050배, BUN 이 높은 경우 1.030배 노쇠함으로 나타났고, Hct이 높을수록 0.970배 노쇠하는 것으로 나타났다. 이상의 결과를 토대로 노쇠 와 관련된 임상적 요소의 관리를 위한 통합적 사정 도구를 활용으로 고위험군의 조기 발견 및 선별로 맞춤형 간호 중재를 제 공하는 것이 필요하다.