Cucato Gabriel Grizzo, Ritti-Dias Raphael Mendes, Franco Fábio Gazelato de Mello, de Mattos Luciana Diniz Nagem Janot, Cendoroglo Maysa Seabra, Wolosker Nelson, Nasri Fábio, Costa Maria Luiza Monteiro, de Carvalho José Antônio Maluf
Hospital Israelita Albert, São Paulo, Brazil.
Hospital Israelita Albert, São Paulo, Brazil.
J Vasc Nurs. 2016 Jun;34(2):39-43. doi: 10.1016/j.jvn.2015.12.004.
Aging has been associated with decreases in physical and cognitive functions. Peripheral artery disease (PAD) has been associated with further impairments in these functions, especially in women. However, no detailed information is available indicating whether PAD leads to further impairment in these functions in elderly women. Thus, the aims of this study were 1) to compare the capacity to perform daily living activities between elderly women with and without PAD and 2) to identify the factors related with the performance in daily activities. Twenty-seven elderly women with PAD and 22 elderly non-PAD women were surveyed in a geriatric hospital. Women aged ≥65 years and with no signal of dementia were included. PAD was identified by the ankle-brachial index ≤0.90, whereas elderly non-PAD women presented ankle-brachial index >1.0. Patients were interviewed to obtain information regarding basic (Katz questionnaire) and instrumental daily living activities (Lawton-Brody scale) and performed the mini-mental state examination, handgrip strength test, and timed up and go tests. PAD and non-PAD women had similar age, clinical characteristics, handgrip strength test, and cognitive function (P > 0.05). The capacity to perform basic and instrumental daily living activities was similar between PAD and non-PAD women (P > 0.05). In PAD and non-PAD, the instrumental daily living activities were significantly correlated with cognitive function (r = 0.44, P < 0.05 and r = 0.74 and P < 0.05, respectively). PAD elderly women present similar capacity to perform basic and instrumental daily activities than non-PAD women. In addition, in both groups, the capacity to perform instrumental daily activities was related with cognitive function.
衰老与身体和认知功能的下降有关。外周动脉疾病（PAD）与这些功能的进一步损害有关，尤其是在女性中。然而，尚无详细信息表明PAD是否会导致老年女性这些功能的进一步损害。因此，本研究的目的是：1）比较患有和未患有PAD的老年女性进行日常生活活动的能力；2）确定与日常活动表现相关的因素。在一家老年医院对27名患有PAD的老年女性和22名未患有PAD的老年女性进行了调查。纳入年龄≥65岁且无痴呆迹象的女性。通过踝臂指数≤0.90确定为PAD，而未患有PAD的老年女性踝臂指数>1.0。对患者进行访谈以获取有关基本日常生活活动（Katz问卷）和工具性日常生活活动（Lawton-Brody量表）的信息，并进行简易精神状态检查、握力测试和计时起立行走测试。患有PAD和未患有PAD的女性在年龄、临床特征、握力测试和认知功能方面相似（P>0.05）。患有PAD和未患有PAD的女性进行基本和工具性日常生活活动的能力相似（P>0.05）。在患有PAD和未患有PAD的女性中，工具性日常生活活动与认知功能均显著相关（分别为r=0.44，P<0.05和r=0.74，P<\0.05）。患有PAD的老年女性进行基本和工具性日常活动的能力与未患有PAD的女性相似。此外，在两组中，进行工具性日常活动的能力均与认知功能有关。
