Graduate Program in Human Development and Technologies, Institute of Biosciences, Paulista State University-UNESP, Rio Claro 13506-900, SP, Brazil.
Department of Physical Therapy and Occupational Therapy, Paulista State University-UNESP, Marília1 7525-900, SP, Brazil.
Int J Environ Res Public Health. 2023 Feb 27;20(5):4227. doi: 10.3390/ijerph20054227.
The World Health Organization (WHO) created the concept of Integrated Care for Older People and one of its constructs is intrinsic capacity (IC). The study aimed to carry out a screening with the tools designated by the WHO to assess the IC domains and whether they can be used as indicators for decision-making on integrated care for older people based on risk categorization. The interaction between the risk category and the domain scores was verified. One hundred and sixty three (163) community-dwelling older people of both genders were evaluated. Domains assessed: cognitive, psychological, vitality, locomotion, and sensory. Scores indicating a low, moderate and high risk were assigned to each domain. For all domains, there were individuals in all risk groups. Effect of risk on the domains: cognitive [χ(2) = 134.042; < 0.001], psychological [χ(2) = 92.865; < 0.001], vitality [χ(2) = 129.564; < 0.001], locomotion [χ(2) = 144.101; < 0.001], and sensory [χ(2) = 129.037; < 0.001]. Scores of the CI domains were affected by the risk category. There were individuals in all risk groups, demonstrating the importance of screening as a public health strategy, making it possible to know which risk category each elderly person belongs to and thus develop strategies in the short-, medium- and long-term.
世界卫生组织（WHO）提出了老年人综合护理的概念，其构建要素之一是内在能力（IC）。本研究旨在使用 WHO 指定的工具进行筛查，以评估 IC 领域，并根据风险分类，评估其是否可作为老年人综合护理决策的指标。验证了风险类别与领域得分之间的相互作用。评估了 163 名（163）居住在社区的男女老年人。评估的领域：认知、心理、活力、运动和感官。为每个领域分配了表示低、中、高风险的分数。对于所有领域，所有风险组都有个体。风险对各领域的影响：认知[χ(2) = 134.042; < 0.001]，心理[χ(2) = 92.865; < 0.001]，活力[χ(2) = 129.564; < 0.001]，运动[χ(2) = 144.101; < 0.001]和感官[χ(2) = 129.037; < 0.001]。CI 领域的得分受到风险类别的影响。所有风险组都有个体，这表明筛查作为公共卫生策略的重要性，这使得了解每个老年人属于哪个风险类别并制定短期、中期和长期战略成为可能。
