Consejo Nacional de Ciencia y Tecnología-Universidad Autónoma del Estado de Hidalgo, Hidalgo. Mexico.
Gerontology Academic Area, Instituto de Ciencias de la Salud, Universidad Autónoma del Estado de Hidalgo, Hidalgo. Mexico.
Gac Med Mex. 2020;156(5):412-417. doi: 10.24875/GMM.M20000429.
Older adults constitute the most vulnerable population group to the COVID-19 pandemic. In Mexico, their biopsychosocial conditions might intensify their vulnerability.
Affiliation to health systems, health conditions and gerontological evaluation of 3,218 older adults were analyzed following the methodology of the PAHO-Mexico Health, Well-being and Aging Survey.
88.6 % of older adults referred being affiliated to health systems; 30.2 %, 52.4 %, 10.3 %, 4.1 % and 5.6 % referred suffering from diabetes mellitus, high blood pressure, chronic obstructive pulmonary disease, heart disease and cerebrovascular disease, respectively; 15.6 % reported urinary incontinence, and 11.3%, fecal incontinence; 12.1 % of the women referred having suffered from breast cancer at some point, and 6.3 %, cervical cancer. The habit of smoking tobacco was observed in 11.1 %, risk of malnutrition in 32.8 %, established malnutrition in 4.1 %, functional dependence for basic and instrumental activities of daily life in 16.3 % and 17.6 %, respectively.
Comprehensive gerontological evaluation is essential for efficient care of older adults who suffer from COVID-19, and for adequate care of the effects or health conditions at the conclusion of the confinement imposed by the pandemic.
老年人是 COVID-19 大流行中最脆弱的人群。在墨西哥，他们的身心社会状况可能会使他们的脆弱性加剧。
根据泛美卫生组织-墨西哥健康、幸福和老龄化调查的方法，分析了 3218 名老年人与卫生系统的关联、健康状况和老年评估。
88.6%的老年人表示他们与卫生系统有关联；30.2%、52.4%、10.3%、4.1%和 5.6%的老年人分别患有糖尿病、高血压、慢性阻塞性肺病、心脏病和脑血管疾病；15.6%的老年人报告有尿失禁，11.3%的老年人有大便失禁；12.1%的女性曾患有乳腺癌，6.3%的女性曾患有宫颈癌。11.1%的老年人有吸烟习惯，32.8%的老年人有营养不良风险，4.1%的老年人有营养不良，16.3%的老年人有基本日常生活活动功能依赖，17.6%的老年人有工具性日常生活活动功能依赖。
对患有 COVID-19 的老年人进行全面的老年评估对于提供有效的护理至关重要，并且对于在大流行期间实施的隔离结束时对健康状况或疾病的影响进行适当的护理也至关重要。
