Escola Superior de Saúde, Instituto Politécnico de Beja, Beja, Portugal.
Escola Superior de Enfermagem de São João de Deus, Universidade de Évora, Évora, Portugal.
Sci Rep. 2020 Feb 4;10(1):1770. doi: 10.1038/s41598-020-58596-1.
A core set of International Classification of Functioning, Disability and Health codes was used to ascertain general profiles of functionality as a function of biological and sociodemographic characteristics and to develop structured nursing interventions in accordance with self care deficits identified by studying self care behavior for elderly people living in both extensively and sparsely populated rural areas. Data were collected by health professionals in the participants' houses. An exploratory factor analysis enabled reduced data dimensions, and factorial validity was assessed by a confirmatory factor analysis. An ordinal regression model was built to identify general profiles of functionality as a function of age. A bar graph was used as a measurement tool for nursing care needs as a function of self care behavior and functional profile level. No functional problems were expected among people under the age of 74 years, while mild functionality problems were expected among people older than 74 years. Regarding nursing care needs, the results of the constructed model suggested that the functional concept "Support and Relationships" is associated with higher levels of functional problems and thus a greater need for self care interventions and that people aged 85 years and older always show therapeutic self care deficits.
采用国际功能、残疾和健康分类核心组合标准，根据在广泛和稀疏农村地区居住的老年人的自我护理行为研究确定的自我护理缺陷，确定一般功能状况，制定结构化护理干预措施。数据由在参与者家中的卫生专业人员收集。通过探索性因子分析降低数据维度，并通过验证性因子分析评估因子有效性。建立有序回归模型，根据年龄确定一般功能状况。使用条形图作为测量工具，根据自我护理行为和功能状况水平来测量护理需求。74 岁以下的人预计没有功能问题，而 74 岁以上的人预计有轻度功能问题。关于护理需求，所建模型的结果表明，功能概念“支持和关系”与更高水平的功能问题相关，因此需要更多的自我护理干预，85 岁及以上的人总是表现出治疗性自我护理缺陷。
