巴西机构养老老年人的活动受限情况。

Activity Limitations in Brazilian Institutionalized Older Adults.

作者信息

Jerez-Roig Javier, de Medeiros Jéssica Fernandes, do Nascimento Moreira Fidélis Kalyne, de Lima Filho Bartolomeu Fagundes, de Oliveira Nayara Priscila Dantas, Paes de Andrade Fabienne Louise Juvêncio, de Brito Macedo Ferreira Lidiane Maria, Leandro Bezerra Souza Dyego, Costa Lima Kenio

机构信息

1Graduate Program in Collective Health, Odontology Department, Federal University of Rio Grande do Norte (UFRN), Lagoa Nova, Natal-RN, Brazil. 2Physiotherapy Department, Federal University of Rio Grande do Norte (UFRN), Campus Universitário, Natal-RN, Brazil. 3Health Science College of Trairi (FACISA), Federal University of Rio Grande do Norte (UFRN), Santa Cruz-RN, Brazil. 4Collective Health Department, Federal University of Rio Grande do Norte (UFRN), Campus Universitário, Lagoa Nova, Natal-RN, Brazil.

出版信息

J Geriatr Phys Ther. 2017 Oct/Dec;40(4):214-222. doi: 10.1519/JPT.0000000000000101.

DOI:10.1519/JPT.0000000000000101

PMID:27537071

Abstract

BACKGROUND AND PURPOSE

Although functional assessments and programs to prevent activity limitations are fundamental for efficient geriatric evaluations and interventions, these procedures have not been satisfactorily explored at nursing homes in Brazil. Literature is scarce on the evaluation of disability in Brazilian institutionalized older people.

METHODS

A cross-sectional study was conducted in 10 nursing homes in the city of Natal (Northeast Brazil). Sociodemographic and health data were collected and activity limitations were assessed by the Katz Index.

RESULTS AND DISCUSSION

The prevalence of activity limitations was 72.9% (95% confidence interval: 67.8-77.5) and the most affected activity was "bathing" (71.6%), followed by "dressing" (65.4%) and "toileting" (62.0%). The final model revealed associations with private (for-profit) institutions (odds ratio [OR] = 3.33; P < .001), age ≥ 83 years (OR = 2.34; P = .003), institutionalization due to lack of caregiver (OR = 1.80; P = .033), and presence of osteoporosis (OR = 2.94; P = .045), adjusted by sex.

CONCLUSIONS

Activity limitations affected almost 73% of institutionalized older people in this sample and were associated with private nursing homes, age, osteoporosis, and institutionalization due to lack of caregiver. Activity limitations exact high socioeconomic impacts and affect the quality of life of older people. The results obtained herein emphasized the importance of planning strategies for their prevention and treatment, directed to reduce the prevalence of this health issue.

摘要

背景与目的

尽管功能评估及预防活动受限的方案对于高效的老年医学评估和干预至关重要，但在巴西的养老院中，这些程序尚未得到令人满意的探索。关于巴西机构养老老年人残疾评估的文献很少。

方法

在巴西东北部纳塔尔市的10家养老院进行了一项横断面研究。收集了社会人口学和健康数据，并通过Katz指数评估活动受限情况。

结果与讨论

活动受限的患病率为72.9%（95%置信区间：67.8 - 77.5），受影响最严重的活动是“洗澡”（71.6%），其次是“穿衣”（65.4%）和“如厕”（62.0%）。最终模型显示与私立（营利性）机构（比值比[OR]=3.33；P<.001）、年龄≥83岁（OR = 2.34；P = .003）、因缺乏照料者而入住机构（OR = 1.80；P = .033）以及存在骨质疏松症（OR = 2.94；P = .045）有关，按性别进行了调整。