Silva José Felipe Costa da, Reis Luciana Araújo Dos, Carvalho de Farias Catharinne Angélica, Oliveira-Sousa Silvana Loana de, Morillas Felipe León, Nobre Thaiza Teixeira Xavier
Public Health at the Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil.
Department of Health I, State University of Southwest Bahia, Jequié, Bahia, Brazil.
Medicine (Baltimore). 2025 Jul 25;104(30):e43372. doi: 10.1097/MD.0000000000043372.
In elderly individuals, it is more common to observe a decline in their functionality, resulting in difficulties in performing daily activities and participating in the community. To mitigate this decline, longitudinal monitoring of the elderly individual is necessary, along with the use of instruments such as the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0), which evaluates functionality across various aspects. The scope is to analyze the use of WHODAS 2.0 as an instrument for assessing functionality in community-dwelling elderly individuals. A scoping review was conducted on WHODAS 2.0 as an instrument for assessing functionality in community-dwelling elderly individuals. The descriptors "Disability Assessment Schedule II"; "WHODAS 2.0"; "WHODAS"; "Aged"; "Elderly"; "Aging"; "Primary Health Care"; "Primary Care"; "Primary Healthcare" were used in the following databases: Medline, Embase, CINAHL, Scopus, Web Of Science, Embase, Science Direct, and Google Scholar. The initial collection resulted in a total of 425 studies addressing the topic. After readings using inclusion and exclusion criteria, 14 studies were included for analysis. The majority of studies were conducted in primary healthcare, with a greater number of women in various countries. The domains that most impacted functionality were mobility, activities of daily living, and social participation. Conversely, interpersonal relationships and self-care were the least affected domains. It is notable that WHODAS 2.0 is an instrument that can be used in community-dwelling elderly individuals. The domains that most negatively influenced functionality were mobility, activities of daily living, and social participation.
在老年人中,功能衰退更为常见,这导致他们在进行日常活动和参与社区活动时遇到困难。为了缓解这种衰退,有必要对老年人进行纵向监测,并使用世界卫生组织残疾评定量表2.0(WHODAS 2.0)等工具,该量表可从多个方面评估功能。其目的是分析WHODAS 2.0作为评估社区居住老年人功能的工具的使用情况。对WHODAS 2.0作为评估社区居住老年人功能的工具进行了一项范围综述。在以下数据库中使用了描述词“残疾评定量表II”、“WHODAS 2.0”、“WHODAS”、“老年人”、“老年”、“老龄化”、“初级卫生保健”、“初级保健”、“初级医疗保健”:Medline、Embase、CINAHL、Scopus、科学网、Embase、Science Direct和谷歌学术。初步收集共得到425项涉及该主题的研究。在根据纳入和排除标准进行阅读后,纳入14项研究进行分析。大多数研究在初级卫生保健领域开展,不同国家的女性参与研究的数量更多。对功能影响最大的领域是行动能力、日常生活活动和社会参与。相反,人际关系和自我护理是受影响最小的领域。值得注意的是,WHODAS 2.0是一种可用于社区居住老年人的工具。对功能产生最负面影响的领域是行动能力、日常生活活动和社会参与。