Harale Manasi, Oommen Arun, Faruqi Ahsan A, Mundada Mayank, Pancholi Tushar, Yammanuru Bhavya, Yekkaluru Sree Vidya, Reddy Raju Hansini, Gupta Abishak D
General Medicine, Dr. D Y Patil Medical College, Hospital and Research Centre, Pune, IND.
Cureus. 2024 Jul 21;16(7):e65046. doi: 10.7759/cureus.65046. eCollection 2024 Jul.
Introduction Disabilities and non-communicable diseases (NCDs) are prevalent among the elderly, significantly affecting their quality of life. Comprehensive population-based data are essential for effective healthcare planning and rehabilitation. This study aims to determine the prevalence of self-reported disabilities and compare Barthel Index scores among elderly individuals with and without NCDs. Methods A cross-sectional study was conducted at Dr. D. Y. Patil Medical College, Pune, involving 102 patients aged 60 years and above. Patients with a history of strokes or limb amputations were excluded. Data on demographics, comorbidities, and functional status were collected using a structured questionnaire designed based on Barthel Index scoring to assess the activities of daily living (ADL). Results The study included 102 participants: 58 males (56.9%) and 44 females (43.1%). Age distribution showed 73.5% in the 60-74 age group, 22.5% in the 75-84 age group, and 3.9% in the 85+ age group. Comorbidity data revealed that 37.3% had no comorbidities, 26.4% had one comorbidity, and 36.3% had two or more comorbidities. The mean Barthel Index scores were 87.11 for those without comorbidities, 83.89 for those with one comorbidity, and 82.30 for those with two or more comorbidities. The most affected activities were stair climbing (75.7%), bowel control (48.5%), and mobility (47.1%). Conclusion NCDs significantly impact daily activities in the elderly, underscoring the need for targeted healthcare interventions to improve their quality of life. This study highlights the importance of comprehensive care strategies to address the specific needs of elderly patients with comorbidities.
引言
残疾和非传染性疾病(NCDs)在老年人中普遍存在,严重影响他们的生活质量。基于人群的综合数据对于有效的医疗保健规划和康复至关重要。本研究旨在确定自我报告的残疾患病率,并比较患有和未患有非传染性疾病的老年人的巴氏指数得分。
方法
在浦那的D.Y.帕蒂尔医学院进行了一项横断面研究,涉及102名60岁及以上的患者。有中风或肢体截肢病史的患者被排除。使用基于巴氏指数评分设计的结构化问卷收集人口统计学、合并症和功能状态数据,以评估日常生活活动(ADL)。
结果
该研究包括102名参与者:58名男性(56.9%)和44名女性(43.1%)。年龄分布显示,60 - 74岁年龄组占73.5%,75 - 84岁年龄组占22.5%,85岁及以上年龄组占3.9%。合并症数据显示,37.3%没有合并症,26.4%有1种合并症,36.3%有2种或更多合并症。无合并症者的平均巴氏指数得分为87.11,有1种合并症者为83.89,有2种或更多合并症者为82.30。受影响最大的活动是爬楼梯(75.7%)、肠道控制(48.5%)和行动能力(47.1%)。
结论
非传染性疾病对老年人的日常活动有显著影响,强调了需要有针对性的医疗保健干预措施来改善他们的生活质量。本研究强调了全面护理策略对于满足患有合并症的老年患者特定需求的重要性。