基层医疗保健中老年人功能失能的预测因素。
Predictors for the functional incapacity of the elderly in primary health care.
作者信息
Pereira Lívia Carvalho, Figueiredo Maria do Livramento Fortes, Beleza Cinara Maria Feitosa, Andrade Elaine Maria Leite Rangel, Silva Maria Josefina da, Pereira Antonio Francisco Machado
机构信息
Universidade Federal do Piauí, Centro de Ciências da Saúde, Programa de Pós-Graduação em Enfermagem. Teresina-PI, Brasil.
Universidade Federal do Piauí, Centro de Ciências da Saúde, Departamento de Enfermagem. Teresina-PI, Brasil.
出版信息
Rev Bras Enferm. 2017 Jan-Feb;70(1):112-118. doi: 10.1590/0034-7167-2016-0046.
OBJECTIVES
: to assess the predictors for the functional incapacity of the elderly in primary health care.
METHOD
: cross-sectional study, of which 388 older people participated, conducted in three Primary health care Units, using the Katz index and Lawton's scale. The research project was approved by the Research Ethics Committee.
RESULTS
: regarding the degree of dependency for Basic Activities, 90.2% were less independent for dressing themselves; and for Instrumental Activities, 77.1% of the elderly were less independent for doing handwork. The functional incapacity for basic activities was associated with age and color; for instrumental activities, with age, education, income of the elderly and self-assessment of health.
CONCLUSION
: attention should be paid to the overall assessment of the elderly person, in order to tailor care plans geared towards the preservation of their autonomy and the promotion of active ageing.
目的
评估初级卫生保健中老年人功能丧失的预测因素。
方法
采用横断面研究，在三个初级卫生保健单位对388名老年人进行研究，使用卡茨指数和劳顿量表。该研究项目已获得研究伦理委员会的批准。
结果
关于基本活动的依赖程度，90.2%的老年人在穿衣方面独立性较差；在工具性活动方面，77.1%的老年人在手工操作方面独立性较差。基本活动的功能丧失与年龄和肤色有关；工具性活动的功能丧失与年龄、教育程度、老年人收入和健康自我评估有关。
结论
应重视对老年人的全面评估，以便制定旨在维护其自主性和促进积极老龄化的护理计划。
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