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高度社会脆弱地区老年居民的衰弱、概况与认知

Frailty, profile and cognition of elderly residents in a highly socially vulnerability area.

作者信息

Araújo Júnior Fábio Baptista, Machado Isabela Thaís Jesus, Santos-Orlandi Ariene Angelini Dos, Pergola-Marconato Aline Maino, Pavarini Sofia Cristina Iost, Zazzetta Marisa Silvana

机构信息

Departamento de Gerontologia, Universidade Federal de São Carlos (UFSCar). Rod. Washington Luís km 235, Cidade Universitária. São Carlos SP Brasil.

Departamento de Enfermagem, UFSCar. São Paulo SP Brasil.

出版信息

Cien Saude Colet. 2019 Aug 5;24(8):3047-3056. doi: 10.1590/1413-81232018248.26412017.

Abstract

This study aimed to associate frailty with sociodemographic profile and cognition of elderly people living in highly socially vulnerable contexts registered at a Social Assistance Referral Centers in a city of inland São Paulo. This is a cross-sectional and quantitative study with 48 elderly. Data was collected with a sociodemographic interview, the Edmonton Frail Scale and the Montreal Cognitive Assessment, and was analyzed with the Jonckheere-Terpstra test, Spearman's correlation and logistic regression (α = 5.0%). This study was approved under Opinion Nº 72182. Of the 48 elderly interviewed, 33.4% were non-frail, 20.8% were apparently vulnerable and 45.8% were frail at some level (mild, moderate or severe). Women (OR = 4.64) and nonwhites (OR = 3.99) were more likely of being frail. The realms with the greatest influence in the determination of frailty were cognition, independence and functional performance, general health and mood, although gender (p = 0.0373) and ethnicity (p = 0.0284) had a significant association. Worth highlighting is that considering the frailty profile of the elderly warrants the development of specific care strategies for this segment of the population in a vulnerable area, preventing futures complications.

摘要

本研究旨在探讨生活在圣保罗内陆某城市社会救助转诊中心登记的、处于高度社会脆弱环境中的老年人的脆弱状况与社会人口学特征及认知之间的关联。这是一项针对48名老年人的横断面定量研究。通过社会人口学访谈、埃德蒙顿脆弱量表和蒙特利尔认知评估收集数据,并采用琼克尔-特普斯特拉检验、斯皮尔曼相关性分析和逻辑回归进行分析(α = 5.0%)。本研究已获得第72182号意见批准。在接受访谈的48名老年人中,33.4%无脆弱状况,20.8%明显脆弱,45.8%在某种程度上(轻度、中度或重度)存在脆弱状况。女性(OR = 4.64)和非白人(OR = 3.99)更易出现脆弱状况。在确定脆弱状况方面影响最大的领域是认知、独立性和功能表现、总体健康和情绪,尽管性别(p = 0.0373)和种族(p = 0.0284)也存在显著关联。值得强调的是,考虑到老年人的脆弱状况,有必要为处于脆弱地区的这部分人群制定具体的护理策略,以预防未来的并发症。

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