The Relationship Between Frailty Syndrome and Geriatric Anxiety in Hospitalized Older Adults

Vasiee , Alireza; Otaghi, Masoumeh

[Home ] [Archive]

Journal of Basic Research in Medical Sciences

Main Menu

Home

About Journal

Editorial Board

Articles Archive

Indexing Databases

To Authors

To Reviewers

Registration

Submit Your Article

Policies and Publication Ethics

Archiving Policy

Site Facilities

Contact Us

Google Scholar Metrics

	All	Since 2019
Citations	768	633
h-index	11	11
i10-index	17	14

Search in website

Receive site information

Registered in

Volume 11, Issue 4 (9-2024)

2024, 11(4): 47-58

Back to browse issues page

The Relationship Between Frailty Syndrome and Geriatric Anxiety in Hospitalized Older Adults

Alireza Vasiee

, Masoumeh Otaghi

Department of Nursing, Faculty of Nursing and Midwifery, Ilam University of Medical Sciences, Ilam, Iran , otaghi-m@medilam.ac.ir

Abstract: (90 Views)

Introduction: Aging leads to declines in both physical and mental performance, resulting in major disorders such as frailty syndrome and anxiety. This study aimed to explore the relationship between frailty syndrome and anxiety among older adults hospitalized in educational hospitals in Ilam City in 2024.
Materials & Methods: This cross-sectional study examined 240 older adults at educational hospitals in Ilam from May to July 2024. Data were collected using demographic questionnaires, the Mini-Mental Status Examination (MMSE), the Groningen Frailty Index (GFI), and the Geriatric Anxiety Index (GAI). Data analysis was performed using SPSS V.16, applying Kolmogorov-Smirnov, chi-square, Mann-Whitney, Kruskal-Wallis, simple linear regression, and descriptive statistics (mean, standard deviation, frequency) at a 5% significance level.
Results: The participants had a mean age of 72.44 ± 5.19 years, with GFI and GAI scores of 11.04 ± 2.68 and 15.58 ± 2.55, respectively. Significant relationships were found between literacy level and reasons for hospitalization with the GFI, and marital status and daily care needs with the GAI. A significant positive relationship was observed between the physical dimension of the GFI and mild to moderate anxiety, the social dimension and severe to total anxiety, the psychological dimension and susceptibility to anxiety, and the total GFI score with severe and total anxiety.
Conclusion: The study found that the physical, cognitive, and psychological dimensions of the GFI were related to varying levels of GAI, with specific correlations between the GAI and the social dimension of the GFI.

Keywords: Frailty, Geriatric, Anxiety, Syndrome, Hospital

Full-Text [PDF 1674 kb] (34 Downloads)

Type of Study: Research | Subject: Nursing
Received: 2024/06/8 | Accepted: 2024/09/1 | Published: 2024/09/18

References

1. Bagi M, Abbasi Shawazi MJ. Greater burden of responsibility in old age: investigation of trends and patterns of living arrangements of the elderly in Iran. Welf plan and soci dvlp. 2021;13(47):135-66. doi: 10.22054/qjsd.2021.52456.1991.

2. Novrouzi R, Ghaffari M, Sabouri M, Marashi T, Rakhshanderou S. Investigating the Effect of Self-care on the Nutritional Status of the Elderly by Structural Equation Modeling Analysis. Salmand. 2023;18(1):46-59. doi: 10.32598/sija.2022.3368.1.

3. Ghasemyani S, Jafari M, Teymourlouy AA, Fadayevatan R. Components of elderly long-term care system in Iran and selected countries: A comparative study. Health Scope. 2021;10(3).

4. Esfahani, Afshin m, mohammadi f, Arefnezhad M. Prevalence of depression among Iranian elderly: A Systematic review and Meta-analysis. joge. 2021;5(4):66-77.

5. Khami L, Motalebi SA, Mohammadi F, Momeni M, Shahrokhi A. Can social support predict health-promoting behaviors among community-dwelling older adults? J Scil Hlth & Bhvior. 2020;3(1):22. doi: 10.4103/SHB.SHB_50_19.

6. Hashemi Z, Afshari A, Einy S. The effectiveness of acceptance and commitment education on improving the mental health and quality of life of elderly people with cancer. Iran J Hlth Educ Hlth Promot. 2020;8(2):160-71. doi: 10.29252/ijhehp.8.2.160.

7. Zarban I, SerajI M, Abbasi M. Investigating the relationship between spiritual health and quality of life among elders in Iranshahr. J Hlth Ltracy. 2020;5(3):46-52. doi: 10.22038/jhl.2020.51944.1128.

8. Chang JR, Wang X, Lin G, Samartzis D, Pinto SM, Wong AYL. Are Changes in Sleep Quality/Quantity or Baseline Sleep Parameters Related to Changes in Clinical Outcomes in Patients With Nonspecific Chronic Low Back Pain?: A Systematic Review. Clinic J Pain. 2022;38(4). doi: 10.1097/AJP.0000000000001008.

9. Xia F ZJ, Meng S, Qiu H, Guo F. Association of Frailty With the Risk of Mortality and Resource Utilization in Elderly Patients in Intensive Care Units: A Meta-Analysis. Front Med. 2021;4(8):637446. doi: 10.3389/fmed.2021.637446.

10. Dent E, Kowal P, Hoogendijk EO. Frailty measurement in research and clinical practice: a review. Euro J Intrnl Med. 2016;31:3-10. doi: 10.1016/j.ejim.2016.03.007.

11. Uchmanowicz I, Jankowska-Polańska B, Wleklik M, Lisiak M, Gobbens R. Frailty syndrome: nursing interventions. SAGE Open Nurs. 2018;4:23-37. doi: 10.1177/2377960818759449.

12. Pothier K, Gana W, Bailly N, Fougère B. Associations between frailty and inflammation, physical, and psycho-social health in older adults: a systematic review. Front Psychol. 2022;13:805501. doi: 10.3389/fpsyg.2022.805501.

13. Dargahi R, Heravi-Karimooi M, Rejeh N, Montazeri A. Translation and initial validation of the Persian version of Groningen Frailty Inventory. Payesh. 2020;19(4):445-53. doi: 10.29252/payesh.19.4.445.

14. Yang Z, Jia H, Lu Y, Liu S, Dai M, Zhang H. Prevalence and related factors of depression and anxiety in a cohort of Chinese elderly caregivers in the nursing home. Journal of Affective Disorders. 2021;295:1456-61. doi: [DOI:10.1016/j.jad.2021.09.026.]

15. Fakhari A, Herizchi S, Sadeghi-Bazargani H, Amiri S, Noorazar SG, Mirzajanzade M, et al. Prevalence of psychiatric disorders in the aging population in the northeastern of Iran. Middle East Curr Psychiatry. 2023;30(1):25. doi: 10.1186/s43045-023-00287-4.

16. Vrettos I, Anagnostopoulos F, Voukelatou P, Panayiotou S, Kyvetos A, Tsigkri A, et al. The Indirect Effect of the Frailty of Dependent Elderly People Needing Hospitalization on Their Informal Caregivers' Anxiety. Cureus. 2022;14(5):e25144. doi: 10.7759/cureus.25144.

17. Reynolds CF, 3rd, Jeste DV, Sachdev PS, Blazer DG. Mental health care for older adults: recent advances and new directions in clinical practice and research. World Psychiatry. 2022;21(3):336-63. doi: 10.1002/wps.20996.

18. Bastani F, Hajaty S, Hoseini RS. Anxiety and fear of falling in older adults with fall-related orthopedic surgery. Iran J Agig. 2021;15(4):506-23. doi: 10.32598/SIJA.15.4.2968.1.

19. Francesco V, Roberto B, Giulia C, Piero CS, Michele A, Andrea S, et al. All elderly are fragile, but some are more fragile than others: an epidemiological study from one of the busiest trauma centers in Italy. Updates Surg. 2022;74(6):1977-83. doi: 10.1007/s13304-022-01337-y.

20. Delbari A, Zanjari N, Momtaz YA, Rahim F, Saeidimehr S. Prevalence of frailty and associated socio-demographic factors among community-dwelling older people in southwestern Iran: a cross-sectional study. J Diabetes Metab Disord. 2021;20(1):601-10. doi: 10.1007/s40200-021-00787-2.

21. Salami M, Alinaghipour A, Daneshvar R, Hamidi G, Agahi A, Soheili M, et al. Adapted MMSE and TYM cognitive tests: how much powerful in screening for Alzheimer’s disease in Iranian people. Aging Ment Health. 2020;24(6):1010-7. doi: 10.1080/13607863.2019.1584786.

22. Bandari R, Heravi-Karimooi M, Miremadi M, Mohebbi L, Montazeri A. The Iranian version of geriatric anxiety inventory (GAI-P): a validation study. Hlth and qlty otcms. 2019;17(1):1-8. doi: 10.1186/s12955-019-1176-z.

23. Chesser AK, Keene Woods N, Smothers K, Rogers N. Health Literacy and Older Adults: A Systematic Review. Gerontol Geriatr Med. 2016;2:2333721416630492. doi: 10.1177/2333721416630492.

24. Graeff DB, Lui JM, Zucco NDP, Alves ALS, Forcelini CM, Dalmolin BM. Clock drawing test: comparison between the Pfizer and the Shulman systems. Dement Neuropsychol. 2021;15(4):480-4. doi: 10.1590/1980-57642021dn15-040009.

25. Bergman YS, Segel-Karpas D. Aging anxiety, loneliness, and depressive symptoms among middle-aged adults: The moderating role of ageism. Journal of Affective Disorders. 2021;290:89-92. doi: [DOI:10.1016/j.jad.2021.04.077.]

26. Kojima G, Taniguchi Y, Aoyama R, Tanabe M. Associations between loneliness and physical frailty in community-dwelling older adults: A systematic review and meta-analysis. Ageing Res Rev. 2022;81:101705. doi: 10.1016/j.arr.2022.101705.

27. Tan M, Bhanu C, Frost R. The association between frailty and anxiety: A systematic review. Int J Geriatr Psychiatry. 2023;38(5):e5918. doi: 10.1002/gps.5918.

28. Shamsalinia A, Hosseini SR, Bijani A, Ghadimi R, Saadati K, Kordbageri MR, et al. Cardiovascular disease risk factors and frailty syndrome in community-dwelling older adults: Results from the Amirkola Health and Aging Project Cohort Study. BMC Geriatr. 2024;24(1):665. doi: 10.1186/s12877-024-05268-8.

29. Alharbi K, Blakeman T, van Marwijk H, Reeves D, Tsang JY. Understanding the implementation of interventions to improve the management of frailty in primary care: a rapid realist review. BMJ Open. 2022;12(6):e054780. doi: 10.1136/bmjopen-2021-054780.

30. Fatin Malek Rivan N, Murukesu RR, Shahar S, Fadilah Rajab N, Subramaniam P, Choon Ooi T, et al. Synergistic effects of cognitive frailty and comorbidities on disability: a community-based longitudinal study. BMC Geriatr. 2024;24(1):448. doi: 10.1186/s12877-024-05057-3.

31. Zhao M, Qu T, Li Y, Wang Y, Li M, Wang K. Interaction effects of anxiety and outdoor activity spaces on frailty among nursing home residents in Jinan, China: Is there a gender difference? Front Public Health. 2023;11:1133340. doi: 10.3389/fpubh.2023.1133340.

32. Andrew MK, Mitnitski AB, Rockwood K. Social vulnerability, frailty and mortality in elderly people. PLoS One. 2008;3(5):e2232. doi: 10.1371/journal.pone.0002232.

Send email to the article author

Add your comments about this article

Mendeley

Zotero

RefWorks

Vasiee A, Otaghi M. The Relationship Between Frailty Syndrome and Geriatric Anxiety in Hospitalized Older Adults. Journal of Basic Research in Medical Sciences 2024; 11 (4) :47-58
URL: http://jbrms.medilam.ac.ir/article-1-864-en.html

Rights and permissions
	This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Volume 11, Issue 4 (9-2024)

Back to browse issues page

Persian site map - English site map - Created in 0.15 seconds with 39 queries by YEKTAWEB 4657