居家养老服务对老年人生活满意度和健康自评的影响。
Life satisfaction and health self-assessment of older adults assisted through home care.
机构信息
Universidade Federal do Rio Grande do Sul. Porto Alegre, Rio Grande do Sul, Brazil.
University of Alberta, Faculty of Nursing. Edmonton, Alberta, Canada.
出版信息
Rev Bras Enferm. 2021 Mar 19;74Suppl 2(Suppl 2):e20200357. doi: 10.1590/0034-7167-2020-0357. eCollection 2021.
OBJECTIVE
to identify sociodemographic and health characteristics according to age groups and to analyze the association between self-assessed health status and satisfaction with regular/bad life with sociodemographic characteristics, global functioning and falls of older adults linked to home care within the primary health care network.
METHOD
cross-sectional study with 124 older adults, conducted using home interviews. A sociodemographic data and health status questionnaire was used, together with Barthel Index, Lawton Instrumental Activities of Daily Living Scale (IADL), the Mini-Mental State Examination, the Geriatric Depression Scale and the Timed Up and Go Test. Bivariate and multivariate analyses (Poisson regression) were applied.
RESULTS
there was a predominance of female octogenarians. Self-assessment of regular/bad health was associated with mild (p=0.002) and severe (p<0.001) depressive symptoms. Satisfaction with regular/bad life was associated with fear of falling (p=0.019) and with mild (p<0.001) and severe (p<0.001) depressive symptoms.
CONCLUSION
depressive symptoms were associated with a worse life satisfaction and health self-assessment.
目的
根据年龄组确定社会人口学和健康特征，并分析与初级保健网络中的家庭护理相关的老年人的自我健康评估状况和对常规/不良生活的满意度与社会人口学特征、整体功能以及跌倒之间的关联。
方法
这是一项横断面研究，共纳入了 124 名老年人，采用家庭访谈的方式进行。使用了社会人口学数据和健康状况问卷，以及巴氏量表、洛文工具性日常生活活动量表（IADL）、简易精神状态检查、老年抑郁量表和计时起立行走测试。进行了单变量和多变量分析（泊松回归）。
结果
研究对象以 80 岁以上的女性为主。常规/不良健康自评与轻度（p=0.002）和重度（p<0.001）抑郁症状相关。对常规/不良生活的满意度与跌倒恐惧（p=0.019）以及轻度（p<0.001）和重度（p<0.001）抑郁症状相关。
结论
抑郁症状与较差的生活满意度和健康自评相关。
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