[哥伦比亚巴兰基亚机构养老和非机构养老老年人的身体功能]

[The physical functionality of institutionalized and non-institutionalized older people in Barranquilla, Colombia].

作者信息

Pinillos-Patiño Yisel, Prieto-Suárez Edgar

机构信息

Programa de Fisioterapia, Universidad Simón Bolívar, Barranquilla, Colombia.

出版信息

Rev Salud Publica (Bogota). 2012 Jun;14(3):438-47.

PMID:23912434

Abstract

OBJECTIVE

Determining the physical functionality of institutionalised elderly people living in Barranquilla, Colombia

MATERIALS AND METHODS

A cross-sectional descriptive study was designed for use with 469 elderly people (214 residents living in geriatric households and 255 members of the geriatric club/group). Physical functionality was evaluated in terms of dependence or independence regarding basic activities using the Barthel Index of Activities of Daily Living and the Lawton Instrumental Activities of Daily Living Scale (IADL) for instrumental activities.

RESULTS

73.6 % of the elderly were female and 26.4 % male; their mean age was 76 years (SD=8.9). There was a risk of greater functional dependence in carrying out basic daily life activities when elderly people had a medical history [OR 3.0 (2.0-4.5 CI)], were institutionalised [OR 87.5 (12.0-1,789.9 CI)] and walked/wandered or moved with help/support [OR 19.4 (19.8-35.1 CI)]. Risks of dependence concerning instrumental activities in daily living was higher amongst those living in a geriatric home [OR 77.8 (28.6-224.3 CI)] and moving around with help/support [OR 7.1 (3.5-14.5 CI)].

CONCLUSIONS

Elderly functionality was related to place of residence, reliance on aid or support when walking/wandering around and having a medical history.

摘要

目的

确定居住在哥伦比亚巴兰基亚的机构养老老年人的身体功能状况

材料与方法

设计了一项横断面描述性研究，对象为469名老年人（214名居住在老年家庭的居民和255名老年俱乐部/团体成员）。使用日常生活活动能力巴氏指数和日常生活工具性活动能力量表（IADL），从基本活动的依赖或独立程度方面评估身体功能状况。

结果

73.6%的老年人为女性，26.4%为男性；平均年龄为76岁（标准差=8.9）。有病史的老年人[比值比3.0（95%置信区间2.0 - 4.5）]、入住养老机构的老年人[比值比87.5（95%置信区间12.0 - 1789.9）]以及需要他人帮助才能行走/徘徊或移动的老年人[比值比19.4（95%置信区间19.8 - 35.1）]，在进行基本日常生活活动时功能依赖风险更高。在日常生活工具性活动方面，居住在老年之家的老年人[比值比77.8（95%置信区间28.6 - 224.3）]以及需要他人帮助才能四处活动的老年人[比值比7.1（95%置信区间3.5 - 14.5）]，依赖风险更高。