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COVID-19 导致的社交隔离对 65 岁以上人群日常生活活动和独立性的影响:一项横断面研究。

Impact of Social Isolation Due to COVID-19 on Daily Life Activities and Independence of People over 65: A Cross-Sectional Study.

机构信息

Facultad Ciencias de la Salud, Universidad Católica de Córdoba, Córdoba 5000, Argentina.

Facultad de Ciencias de la Salud, Departamento de Fisioterapia, Universidad de Málaga, 29071 Málaga, Spain.

出版信息

Int J Environ Res Public Health. 2023 Feb 26;20(5):4177. doi: 10.3390/ijerph20054177.

Abstract

UNLABELLED

The mandatory confinement caused by the COVID-19 pandemic has significantly affected the older adult population. The main objective of this study is to assess independence in basic activities of daily living (BADL) and instrumental activities of daily living (IADDL) of people over 65 years of age during social, preventive, and compulsory isolation due to COVID-19, identifying and quantifying the activities of personal independence that present difficulties in their execution.

DESIGN

A cross-sectional study.

SETTINGS

Private's health insurance Hospital, Córdoba, Argentina.

PARTICIPANTS

A total of 193 participants with mean age of 76.56 years (121 women and 72 men) who met inclusion criteria were included in the study.

INTERVENTIONS

A personal interview was conducted between July and December 2020. Sociodemographic data were collected, and perceived independence was assessed.

OUTCOMES MEASURES

The Barthel index and the Lawton and Brody scale were used to assess independence of basic and instrumental activities of daily living.

RESULTS

Minimal limitations were noted with function. The activities that represented the greatest difficulties were going up and down stairs (22%) and moving around (18%), and the greatest difficulties in instrumental activities of daily living were shopping (22%) and preparing food (15%).

CONCLUSIONS

COVID-19 has caused isolation, leading to functional limitations for many, especially older adults. Perceived declines in function and mobility may lead to decreased independence and safety for the older adult; therefore, preventative planning and programming should be considered.

摘要

目的

评估 65 岁以上人群在因 COVID-19 而进行的社会、预防和强制隔离期间基本日常生活活动(BADL)和工具性日常生活活动(IADDL)的独立性,识别和量化在执行过程中存在困难的个人独立活动。

设计

横断面研究。

设置

阿根廷科尔多瓦的私人健康保险医院。

参与者

共纳入 193 名符合纳入标准的参与者,平均年龄为 76.56 岁(121 名女性和 72 名男性)。

干预

2020 年 7 月至 12 月进行了个人访谈。收集了社会人口统计学数据,并评估了感知独立性。

结局测量

使用巴氏指数和 Lawton 和 Brody 量表评估基本和工具性日常生活活动的独立性。

结果

功能受限最小。代表最大困难的活动是上下楼梯(22%)和四处走动(18%),而工具性日常生活活动中最大的困难是购物(22%)和准备食物(15%)。

结论

COVID-19 导致了隔离,使许多人,尤其是老年人的功能受限。感知到的功能和活动能力下降可能导致老年人独立性和安全性下降;因此,应考虑预防性规划和编程。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2f0/10001756/f9726ffa45eb/ijerph-20-04177-g001.jpg

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