Vázquez-Sánchez María de los Angeles, Gastelu-Cantero María del Carmen, Casals-Sánchez José Luís
Centro de Salud San Andrés-Torcal, Distrito Sanitario Málaga, Málaga, Spain.
Enferm Clin. 2008 Mar-Apr;18(2):59-63. doi: 10.1016/s1130-8621(08)70699-5.
To determine the needs of elderly individuals living alone and with some degree of dependency for activities of daily live.
We performed a cross-sectional descriptive study in an urban health center (San Andrés-Torcal in Málaga, Spain). Persons aged more than 65 years old who lived alone and had some degree of dependency were studied.
The sample was composed of 64 elderly individuals, 58 women and 6 men. The mean age was 83.3 years (SD 4.13). Sixteen people (25%) were independent for daily living when aided by others, while 48 (75%) had one or more needs that were not covered. The most frequent nursing diagnoses were: impaired physical mobility in 58, risk of falls in 54, diversional activity deficit in 48, impaired urinary elimination in 38, and social isolation or deterioration in social interaction in 36. Fifty-six individuals had family. Half had no contact with neighbors, 12 (18.8%), did not receive visits, and 26 (40.6%) had nobody to whom they could tell their problems. Architectonic barriers to the house were identified in 48 individuals and access barriers to the home were found in 29. The total sample received a pension of between 301 and 600 euros.
The persons evaluated showed numerous areas of dependency and there was a high proportion whose basic needs were not suitably covered. Because of the multiple and distinct problems identified, we believe that active screening should be performed in this vulnerable population. In addition, special attention should be paid to these individuals and the required help should be offered so that they have information and access to the available health and social resources.
确定独居且在日常生活活动方面存在一定程度依赖的老年人的需求。
我们在一家城市健康中心（西班牙马拉加的圣安德烈斯 - 托尔卡尔）进行了一项横断面描述性研究。对年龄超过65岁、独居且有一定程度依赖的人群进行了研究。
样本由64名老年人组成，其中58名女性和6名男性。平均年龄为83.3岁（标准差4.13）。16人（25%）在他人协助下能够独立生活，而48人（75%）有一项或多项需求未得到满足。最常见的护理诊断为：身体活动能力受损58例、跌倒风险54例、娱乐活动缺乏48例、排尿功能受损38例、社会隔离或社交互动恶化36例。56人有家人。一半人与邻居没有联系，12人（18.8%）无人探访，26人（40.6%）无人倾诉问题。48人存在房屋建筑障碍，29人存在进入家中的障碍。样本总体养老金在301至600欧元之间。
所评估的人群显示出众多依赖领域，且有很大比例的人的基本需求未得到妥善满足。由于发现了多种不同的问题，我们认为应对这一弱势群体进行积极筛查。此外，应特别关注这些个体，并提供所需帮助，以便他们了解并获取可用的健康和社会资源。
