ความชุกของภาวะเปราะบางของผู้สูงอายุไทยในเขตรับผิดชอบหลักประกันสุขภาพถ้วนหน้าของสถาบันการแพทย์ระดับตติยภูมิในระดับที่เป็นหน่วยงานของมหาวิทยาลัย จังหวัดนครนายก

Siripich Charoensuksiri; Supanan Suttinak; Khemmapak Charoensuksiri

doi:10.33165/rmj.48.03.e271673

Authors

Siripich Charoensuksiri Faculty of Physical Therapy, Huachiew Chalermprakiet University, Samut Prakan, Thailand https://orcid.org/0000-0001-8031-1885
Supanan Suttinak Department of Physical Medicine and Rehabilitation, HRH Princess Maha Chakri Sirindhorn Medical Center, Faculty of Medicine, Srinakarinwirot University, Nakhon Nayok, Thailand https://orcid.org/0009-0001-3899-1693
Khemmapak Charoensuksiri Faculty of Physical Therapy, Huachiew Chalermprakiet University, Samut Prakan, Thailand https://orcid.org/0009-0006-9672-8769

DOI:

https://doi.org/10.33165/rmj.48.03.e271673

Keywords:

Frailty, Elderly person, Fall

Abstract

Background: Frailty is a major health issue among Thai elderly individuals. This condition increases the risk of illness and injuries from falls.

Objective: To study the prevalence of frailty among Thai elderly residing in Nakhon Nayok province.

Methods: This descriptive cross-sectional study included elderly Thai individuals residing in Nakhon Nayok province, using a purposive sampling method. The research instruments consisted of a demographic data questionnaire and the Thai version of the Simple Frailty Questionnaire. The data were analyzed using descriptive statistics.

Results: The total sample consisted of 353 volunteers aged 60-96 years, 54.94% of whom were female. The most common underlying disease was hypertension. Most participants could continue activities for more than 30 minutes, and 8.22% reported a history of falls, primarily due to slipping. The most common consequence of falling was abrasions. The prevalence of frailty in this study was found to be 9.06%, predominantly among females aged 70-79 years.

Conclusions: The study is beneficial for healthcare professionals, as they can use the information to monitor changes in frailty in their area, manage health promotion with a focus on frailty prevention, and plan health services appropriately for actual health conditions.

References

World Health Organization. Global status report on alcohol and health 2018. 27 September 2018. Accessed 17 March 2025. https://www.who.int/publications/i/item/9789241565639

Wichiansaen P, Samona S, Sanphosh, K. Development strategy for self - health care of the elderly by applying the King’s Philosophy at Udonthani. Journal of Buddhist Anthropology. 2022;7(8):97-113.

Charoensuksiri K, Saelim N, Saraphunt H, Promsuk T. Effect of square-stepping exercise and balance training on balance and health for quality of life in Thai elderly. J Heath Sci Res. 2018;12(2):98-107.

Piravej K. The role of rehabilitation medicine in an aging society. Chula Med J. 2017;61(2):149-150. doi:10.58837/CHULA.CMJ.61.2.1

Assantachai P. Health services for Thai elderly at the primary level. PCFM. 2009;1(2):37-40.

Sriprom K, Samartkit N, Masingboon K. Factors related to lung rehabilitation behavior in chest trauma patients with intercostal chest drainage. The Journal of Faculty of NursingBurapha University. 2020;28(1):83-94.

Tangtrongmit P, Techanirattisal N, Manasvanich B. The association of sarcopenia and bone mineral density in elderly women at the comprehensive geriatric clinic, King Chulalongkorn Memorial Hospital, Thai Red Cross Society. PCFM. 2021;4(2):114-125.

Rosenmann H, Meiner Z, Geylis V, Abramsky O, Steinitz M. Detection of circulating antibodies against tau protein in its unphosphorylated and in its neurofibrillary tangles-related phosphorylated state in Alzheimer's disease and healthy subjects. Neurosci Lett. 2006;410(2):90-93. doi:10.1016/j.neulet.2006.01.072

Miller WR, Rose GS. Toward a theory of motivational interviewing. Am Psychol. 2009;64(6):527-537. doi:10.1037/a0016830

Lueckenotte AG. Gerontologic nursing. Dimens Crit Care Nurs. 1996;15(5):271.

Province MA, Hadley EC, Hornbrook MC, et al. The effects of exercise on falls in elderly patients: a preplanned meta-analysis of the FICSIT trials. JAMA. 1995;273(17):1341-1347. doi:10.1001/jama.1995.03520410035023

Kilner AJ, Janes EF. Intensive care in the elderly. Curr Anesth Crit Care. 1997;3(8):120-125. doi:10.1016/S0953-7112(97)80042-7

Sunongbua A, Suvannasan L. Caring diabetes mellitus: the role of nurses in tertiary care hospital. Journal of Nurse and Public Health, Chaiyaphum. 2022;1(1):8-14.

Udomwech T, Anusornvongchai T. The association of sarcopenia and elderly fracture. Journal of the Department of Medical Services. 2020;45(3):51-58.

Anupat C, Promkeaw P, Promsombut A. Frailty in older adults during the COVID19-pandemics. Journal of MCU Nakhondhat. 2022;9(9):217-227.

Hanklang S. Care for frail older people in community for sustainability of well-being. APHEIT Journal of Nursing and Health. 2019;1(1):1-17.

Ofori-Asenso R, Chin KL, Mazidi M, et al. Global incidence of frailty and prefrailty among community-dwelling older adults: a systematic review and meta-analysis. JAMA Netw Open. 2019;2(8):e198398. doi:10.1001/jamanetworkopen.2019.8398

Jaidee S, Sasat S. A Study of frailty in older people resided in community, Bangkok. Royal Thai Navy Medical Journal. 2017;43(3):117-135.

Nanudorn A, Chaiyasung P. The relationship between frailty and health-related quality of life among older people in Thanyaburi district, Pathumthani province. Thai Red Cross Nursing Journal. 2022;15(2):148-160.

Anuruang S. Multimorbidity in older persons: situation, challenge issues and care management. Journal of Nursing Science Chulalongkorn University. 2017;29(2):1-14. doi:10.58837/CHULA.CUNS.29.2.1

Charoenlak N, Nilkote R, Lundam C. research and development of a volunteer network in the community to promote health in the vulnerable. Journal of MCU Peace Studies. 2023;11(3):848-861.

Nakhon Nayok Provincial Health Officer. Population divided by age and gender. Nakhon Nayok Provincial Health Officer; 2024. Accessed 17 March 2025. https://dashboard.anamai.moph.go.th/population/pop-y60up/changwat?year=2024&cw=26

Krejcie RV, Morgan DW. Determining sample size for research activities. Educ Psychol Meas. 1970;30(3):607-610. doi:10.1177/001316447003000308

Sriwong WT, Mahavisessin W, Srinonprasert V, et al. Validity and reliability of the Thai version of the simple frailty questionnaire (T-FRAIL) with modifications to improve its diagnostic properties in the preoperative setting. BMC Geriatr. 2022;22(1):161. doi:10.1186/s12877-022-02863-5

Kumpiriyapong N, Krongyuth S, Prasan S, Boonchuwong O. Factors relating to frailty among community-dwelling elderly in Ubon Ratchathani province. Nursing Journal of The Ministry of Public Health. 2024;34(1):188-201.

Charoensuksiri S, Charoensuksiri K, Uankeao A. Balance ability, balance confidence and health-related quality of life among the elderly in a community in Chai Badan district, Lop Buri province. J Med Health Sci. 2022;29(1):1-14.

Charoensuksiri K, Charoensuksiri S. A health-related quality of life and activities of daily living of Thai elderly people in Pathumthani social welfare development center of older persons. J Assoc Med Sci. 2017;50(3):516-524.

Sindhu S, Konggumnerd R, Noonin N, et al. Research reports: A Development of Primary Healthcare Model for the Elderly in New Normal Society: A Proposed Policy for Healthcare Reform. Health Systems Research Institute; 2022. Accessed 17 March 2025. https://kb.hsri.or.th/dspace/handle/11228/5779

Boribun N, Lerttrakarnnon P, Siviroj P. Prevalence and associated factors of the frailty among community-dwelling elders in Sermngam district, Lampang province. J Med Health Sci. 2017;24(1):45-54.

Ongmekiat T. Frailty in older adults: a case study. J Thai Nurse Midwife Counc. 2018;33(3):5-19.

El-Khoury F, Cassou B, Charles MA, Dargent-Molina P. The effect of fall prevention exercise programmes on fall induced injuries in community dwelling older adults: systematic review and meta-analysis of randomised controlled trials. BMJ. 2013;347:f6234. doi:10.1136/bmj.f6234

Herzog AR and Markus HR. The self-concept in life span and aging research. In: Bengtson VL, Schaie KW, eds. Handbook of Theories of Aging. 2nd ed. Springer Publishing Company; 2008:241-243.

Etman A, Kamphuis CB, van der Cammen TJ, Burdorf A, van Lenthe FJ. Do lifestyle, health and social participation mediate educational inequalities in frailty worsening? Eur J Public Health. 2015;25(2):345-350. doi:10.1093/eurpub/cku093