Capacidad funcional en personas mayores de 65 años de la Región Sanitaria de Lleida atendidas en domicilio

  1. Rosa Roure Murillo
  2. Miguel Ángel Escobar Bravo
  3. Pilar Jürschik Giménez
Journal:
Gerokomos: Revista de la Sociedad Española de Enfermería Geriátrica y Gerontológica

ISSN: 1134-928X

Year of publication: 2019

Volume: 30

Issue: 2

Pages: 56-60

Type: Article

More publications in: Gerokomos: Revista de la Sociedad Española de Enfermería Geriátrica y Gerontológica

Abstract

ABSTRACT Objective: To evaluate the relationship between patient’s health problems and caregiver’s overburden with the deterioration of the functional capacity in people older than 65 years included, on home health care program. Methodology: The sample includes every process ≥6 months of Lleida’s Health Region patients during 6 years, keeping in mind that a patient can present more tan one process. The study compiles the patient´s evaluation data at the admission. The variables utilized were: socio-demographic characteristics, functional capacity, cognitive status, risk of pressure ulcer, overburden of the caregiver and social risk. Results: The total of the processes was 8.433, whose duration were between 6 and 92.7 months. The age average resulted as 86 years, and the 64.2% were women. The prevalence of whatever dependency degree resulted as 92.4%, and of whole 72.1% presented a degree of dependency from low to moderate and 20.3% presented severe or total dependency. Independent factors associated to functional loss resulted as: having 86 years or more, cognitive impairment, risk of pressure ulcer and caregiver’s overburden. Conclusions: The prevalence of whatever degree of dependence is higher in patients of 65 years or more included in home health care, being the most common the low to moderate dependence. The nurse that provides the cares of these patients has to keep in mind factors such as being older, certain health problems and the overburden of the caregiver, that can influence functional loss of this population.

Bibliographic References

  • Arnau, A,Espaulella, J,Serrarols, M,Canudas, J,Formiga, F,Ferrer, M. (2012). Factores asociados al estado funcional en personas de 75 o más años de edad no dependientes. Gac Sanit. 26. 405
  • Abellán, A,Pujol, R,Pérez, J,Rodríguez-Laso, A. (2015). Cambios en la discapacidad de las personas mayores entre 1999 y 2008 en España. Estadística Española. 57. 215
  • Fhon, JRS,Castro, JR,Coelho, SC,Fernandes, A,Rodrigues, RAP. (2015). Factors associated with functional ability in older adults treated a geriatric day hospital. Nure Inv. 12.
  • Arenas, M,Álvarez-Ude, F,Angoso, M,Berdud, I,Antolín, A,Lacueva, J. (2006). Valoración del grado de dependencia funcional de los pacientes en hemodiálisis. Nefrología. 5. 600
  • Sánchez, C. (2006). Impacto sociosanitario de las enfermedades neurológicas en España. Fund Española Enfermedades Neurológicas.
  • Avellaneda, A,Izquierdo, M,Torrent-Farnell, J,Ramón, JR. (2007). Enfermedades raras: Enfermedades crónicas que requieren un nuevo enfoque sociosanitario. An Sist Sanit Navar. 30. 177
  • Aranzana, A,Cegri, F,Limón, E. (2003). Manual de atención domiciliaria. Fundación de Atención Primaria: SCMFIC. Barcelona.
  • Muñoz Díaz, B,Arenas de Larriva, AP,Molina-Recio, G,Moreno-Rojas, R,Martínez de la Iglesia, J. (2018). Estudio de la situación nutricional de pacientes mayores de 65 años incluidos en el programa de atención domiciliaria de una población urbana. Aten Primaria. 50. 88-95
  • Dalfó-Pibernat, A. (2006). Comorbilidad y evaluación cognitivo-funcional en pacientes ATDOM > = 65 años en un Consorcio de Atención Primaria de Salud. Ágora de Enfermería. 10. 921
  • Ballester, M,Borrás, L,Corbalán, G,Hernández, B,Paul, G,Pérez, J. (2008). Perfil de salud y diagnósticos de enfermería en la población de atención domiciliaria del Área Básica de Salud Castellar del Vallès. Nure Inv. 1-18
  • Sancho, A,Albiol, R,Mach, N. (2012). Relación entre el estado nutricional y el riesgo de presentar úlceras por presión en pacientes incluidos en el programa de atención primaria. Aten Primaria. 44. 586
  • (2001). World Health Organization International Classification of Functioning, Disability and Health (ICF). WHO. Geneva.
  • Shah, S,Vanclay, F,Cooper, B. (1989). Improving the sensitivity of the Barthel Index for stroke rehabilitation. J Clin Epidemiol. 42. 703
  • Balu, S. (2009). Differences in psychometric properties, cut-off scores, and outcomes between the Barthel Index and Modified Rankin Scale in pharmacotherapy-based stroke trials: systematic literature review. Curr Med Res Opin. 25. 1329
  • Uyttenboogaart, M,Stewart, RE,Vroomen, PCAJ,Keyser, J de,Luijckx, GJ. (2005). Optimizing cutoff scores for the Barthel Index and the modified Rankin Scale for defining outcome in acute stroke trials. Stroke. 36. 1984
  • Pfeiffer, E. (1975). Short portable mental status questionnaire for the assessment of organic brain deficits in the elderly. J Am Geriatr Soc. 433
  • Braden, BJ. (1987). The Braden Scale for Predicting Pressure Sore Risk. Nurs Res. 36. 205
  • Zarit, S,Reever, K,Bach-Peterson, J. (1980). Relatives of the impaired elderly: correlates of feelings of burden. Gerontologist. 649
  • (2013). Institut Català de la Salut. El Treball social sanitari en l'atenció al pacient crònic. Document de metodologia de procés.
  • Revilla, L de la,Espinosa, J. (2003). La atención domiciliaria y la atención familiar en el abordaje de las enfermedades crónicas de los mayores. Aten Primaria. 31. 587
  • Doumit, JH,Nasser, RN,Hanna, DR. (2014). Nutritional and health status among nursing home residents in Lebanon comparison: across gender in a national cross sectional study. BMC Public Health. 14. 629
  • Sato, S,Demura, S,Tanaka, K,Kasuga, K,Kobayashi, H. (2001). ADL ability characteristics of partially dependent older people: Gender and age differences in ADL ability. Environ Health Prev Med. 6. 92
  • Menéndez, J,Guevara, A,Arcia, N,León Díaz, EM,Marín, C,Alfonso, JC. (2005). Enfermedades crónicas y limitación funcional en adultos mayores: estudio comparativo en siete ciudades de América Latina y el Caribe. Rev Panam Salud Publica. 17. 353
  • Laan, W,Bleijenberg, N,Drubbel, I,Numans, ME,Wit, NJ de,Schuurmans, MJ. (2013). Factors associated with increasing functional decline in multimorbid independently living older people. Maturitas. 75. 276
  • Serrano-Urrea, R,Gómez-Rubio, V,Palacios-Ceña, D,Fernández-De-Las-Peñas, C,García-Meseguer, MJ. (2017). Individual and institutional factors associated with functional disability in nursing home residents: An observational study with multilevel analysis. PLoS One. 12. 1-15
  • Garcés, J,Ródenas, F,Sanjosé, V. (2004). Care needs among the dependent population in Spain: an empirical approach. Health Soc Care Community. 12. 466
  • Dorantes-Mendoza, G,Ávila-Funes, JA,Mejía-Arango, S,Gutiérrez-Robledo, LM. (2007). Factores asociados con la dependencia funcional en los adultos mayores: un análisis secundario del Estudio Nacional sobre Salud y Envejecimiento en México, 2001. Rev Panam Salud Pública. 22. 1-11
  • Cesari, M,Phaor, M,Bartali, B,Cherubini, A,Penninx, B,Williams, G. (2004). Antioxidants and physical performance in elderly persons: the Invecchiare in Chiant (InCHIANTI) study. Am J Clin Nutr. 79. 289
  • Furuta, M,Komiya-Nonaka, M,Akifusa, S,Shimazaki, Y,Adachi, M,Kinoshita, T. (2013). Interrelationship of oral health status, swallowing function, nutritional status, and cognitive ability with activities of daily living in Japanese elderly people receiving home care services due to physical disabilities. Community Dent Oral Epidemiol. 41. 173
  • Lee, HJ,Ju, YJ,Park, EC,Kim, J,Lee, SG. (2017). Effects of home-visit nursing services on hospitalization in the elderly with pressure ulcers: A longitudinal study. Eur J Public Health. 822
  • Jiménez, A,Huete, A. (2002). La discapacidad en España: Datos epidemiológicos.
  • Borrell, C,Baranda, L,Rodriguez, M. Manual de l'enquesta de salut de Barcelona 2000-2001.
  • Hawranik, PG,Strain, LA. (2000). Health of informal caregivers: effects of gender, employment, and use of home care services. The Prairie Women's Health Centre of Excellence.
  • McDowell, I,Hill, G,Lindsay, J,Helliwell, B,Costa, L,Beattie, BL. (1994). Canadian study of health and aging: study methods and prevalence of dementia. Can Med Assoc J. 150. 899-913
  • McDowell, I,Aylesworth, R,Stewart, M,Hill, G. (2001). Study sampling in the canadian study of health and aging. Int Psychogeriatr. 13. 49-56
  • Islas, NL,Ramos, B,Aguilar, MG,García, ML. (2006). Perfil psicosocial del cuidador primario informal del paciente con EPOC. Rev Inst Nac Enf Resp Mex. 19. 266