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急诊老年患者的功能能力和生活质量。

Functional capacity and quality of life of elderly people admitted to emergency service.

机构信息

Universidade Federal de São Paulo, Escola Paulista de Enfermagem, São Paulo, SP, Brasil.

出版信息

Rev Esc Enferm USP. 2020 Dec 11;54:e03651. doi: 10.1590/S1980-220X2019021203651. eCollection 2020.

Abstract

OBJECTIVE

To correlate the functional capacity and quality of life of elderly people admitted to emergency service.

METHOD

This is a cross-sectional and analytical study carried out with elderly patients admitted to a university hospital's emergency service in the city of São Paulo, between December 2015 and January 2017. Data were collected through interviews using a structured questionnaire, the Medical Outcome Study 36, the Katz of Independence in Activities of Daily Living, and the Functional Independence Measure.

RESULTS

Two hundred fifty elderly people with a mean age of 71.9 years, male (56.8%), white in color (67.2%), married (54.0%), with low education (32.0%), low income (58.0%), with comorbidities (81.2%) and home providers (53.6%) have participated. The most compromised Quality of Life dimensions were physical aspect (11.4%), emotional aspect (21.6%) and functional capacity (25.2%). Concerning functional capacity, independence was characterized for Basic Activities of Daily Living and moderate dependence for Instrumental Activities of Daily Living. The higher the scores of the Functional Independence Measure, the higher the quality of life scores.

CONCLUSION

The more independent the elderly the better their quality of life.

摘要

目的

分析急诊老年患者的功能能力和生活质量的相关性。

方法

这是一项横断面分析研究,对象为 2015 年 12 月至 2017 年 1 月期间在圣保罗市某大学附属医院急诊就诊的老年患者。研究通过使用结构化问卷、医疗结局研究 36 项简表、Katz 日常生活活动独立性量表和功能独立性量表对患者进行访谈来收集数据。

结果

共纳入 250 名年龄均为 71.9 岁的老年患者,其中男性(56.8%)、白人(67.2%)、已婚(54.0%)、受教育程度低(32.0%)、收入低(58.0%)、合并多种疾病(81.2%)且有家庭护理者(53.6%)。生活质量受损最严重的维度为生理方面(11.4%)、情感方面(21.6%)和功能能力(25.2%)。日常生活活动方面,基本活动独立性较好,而工具性日常生活活动方面存在中等依赖。功能独立性量表评分越高,生活质量评分越高。

结论

功能独立性越高,老年患者的生活质量越好。

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