Figueredo Delcina Jesus, Jacob-Filho Wilson
Faculdade de Medicina, Universidade de São Paulo, SP, Brazil.
Einstein (Sao Paulo). 2018;16(1):eAO3987. doi: 10.1590/s1679-45082018ao3987. Epub 2018 Apr 26.
Objetive To identify the functional status in self-care performance of elderly inpatients, through subjective and objective evaluations. Methods Fifty-five pairs of elderly and their respective caregivers of both sexes were submitted to subjective (self-rating and rating by caregivers) and objective assessment. The Performance Test of Activities of Daily Living and items in the Instrumental Activities of Daily Living scale were used. Functional status was rated 1 (unable to perform task), 2 (able to perform task with assistance) or 3 (able to perform task unassisted). The agreement rate among different self-rating and rating by caregivers, and objective assessment was calculated by dividing the number of identical responses by the total. Results Most elderly patients and caregivers were women (58.2% and 83.6%, respectively). The mean age was 80 years for elderly patients and 58.7 years for caregivers. Low schooling levels (1 to 4 years) prevailed among elderly patients (65.4%), while caregivers often had complete high education (32.7%). Functional status (FN=1, 2 and 3) varied between tasks, and the agreement rate between assessment methods ranged from 58 to 98.1%, particularly in comparisons involving objective assessment. Conclusion Self-reported data and data contributed by caregivers must be compared with performance data collected via objective assessment for a reliable appreciation of the true functional status of older adults.
目的 通过主观和客观评估确定老年住院患者自我护理能力的功能状态。方法 55对老年患者及其各自的照料者（男女均有）接受主观（自评和照料者评分）和客观评估。使用日常生活活动能力测试和日常生活工具性活动量表中的项目。功能状态分为1级（无法完成任务）、2级（在协助下能够完成任务）或3级（无需协助能够完成任务）。通过将相同回答的数量除以总数来计算不同自评、照料者评分和客观评估之间的一致率。结果 大多数老年患者和照料者为女性（分别为58.2%和83.6%）。老年患者的平均年龄为80岁，照料者的平均年龄为58.7岁。老年患者中低学历水平（1至4年）者居多（65.4%），而照料者通常具有完整的高中学历（32.7%）。功能状态（FN = 1、2和3）因任务而异，评估方法之间的一致率在58%至98.1%之间，特别是在涉及客观评估的比较中。结论 为了可靠地评估老年人的真实功能状态，必须将自我报告的数据和照料者提供的数据与通过客观评估收集的表现数据进行比较。
