Aryal Ananta, Aryal Anil, Pokharel Rhijuta, Timsina Shrinkhala, Gautam Shirjan, Jha Saurav, Pant Subash
Department of Medicine, Kathmandu Medical College Teaching Hospital, Sinamangal, Kathmandu, Nepal.
Nyaya Health Nepal, Achham, Nepal.
JNMA J Nepal Med Assoc. 2024 Nov;62(279):734-738. doi: 10.31729/jnma.8797. Epub 2024 Nov 30.
With the increasing geriatric population, the demand of the geriatric care has been increasing worldwide. Numerous comorbidities like hypertension, COPD, diabetes mellitus, arthritis, are seen commonly in the older population of Nepal, affecting their quality of life. Assessing functional status of individual using Basic Activities of Daily Living and Instrumental Activities of Daily Life scoring is beneficial in predicting the mortality and morbidity among the group. This study hence focuses on determining the comorbidities and functional status of older population.
This descriptive cross-sectional study was conducted from February 2024 to May 2024 in tertiary care hospital at Kathmandu among population of age group above 60 years, after taking ethical approval from Institutional Review Committee (Reference number: 19012024/04). A total of 423 individuals were taken for the study. Data collection for socio-demographic information, comorbidities, functional assessment via Katz and Lawton scale was done and analysed using IBM SPSS.
Among the total 423 participants visiting the outpatient department, 188 (44.44%) were males and 235 (55.56%) were females. Basic Activity of Daily Living using Katz scoring, suggested that 377 (89.13%; 95% CI: 85.76%-91.93%)) were independent. Using Lawton scoring for the assessment of Instrumental Activities of Daily Living, it was seen that 170 (40.19%; 95% CI: 35.48%-45.03%) were independent. There were 184 (43.50%) individual with comorbidities.
Most of the patients were independent in Basic Activities of Daily Living as per Katz Index of independence and almost half were independent in Instrumental Activities of Daily Living as per Lawton-Brody scale.
随着老年人口的增加，全球对老年护理的需求一直在上升。在尼泊尔的老年人群中，高血压、慢性阻塞性肺疾病、糖尿病、关节炎等众多合并症很常见，影响着他们的生活质量。使用日常生活基本活动和日常生活工具性活动评分来评估个体的功能状态，有助于预测该群体的死亡率和发病率。因此，本研究着重于确定老年人群的合并症和功能状态。
本描述性横断面研究于2024年2月至2024年5月在加德满都的一家三级护理医院对60岁以上人群进行，获得了机构审查委员会的伦理批准（参考编号：19012024/04）。共选取423人进行研究。收集了社会人口统计学信息、合并症、通过Katz和Lawton量表进行的功能评估等数据，并使用IBM SPSS进行分析。
在总共423名门诊患者中，188名（44.44%）为男性，235名（55.56%）为女性。使用Katz评分的日常生活基本活动表明，377名（89.13%；95%置信区间：85.76%-91.93%）能够自理。使用Lawton评分评估日常生活工具性活动发现，170名（40.19%；95%置信区间：35.48%-45.03%）能够自理。有184名（43.50%）个体患有合并症。
根据Katz独立性指数，大多数患者在日常生活基本活动方面能够自理，而根据Lawton-Brody量表，几乎一半患者在日常生活工具性活动方面能够自理。
