scholarly journals A Novel Longshi Scale Measured Activity of Daily Living Disability in Elderly Patients Affected by Neurological Diseases: a Multi-center Cohort Study in China

2020 ◽  
Author(s):  
Jingpu Zhao ◽  
Li Wan ◽  
Yan Gao ◽  
Meiling Huang ◽  
Xiangxiang Liu ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Daily Living ◽  
Neurological Diseases ◽  
Correlation Coefficients ◽  
The Elderly ◽  
Community Group ◽  
Cross Sectional ◽  
Significant Difference ◽  
Domestic Group ◽  
The Relationship

Abstract Background: The activity of daily life (ADL) ability is often impaired in the elderly patients with neurological diseases. Barthel index (BI) is a global disability scale which can assess the performance of ADL for old people. The Longshi scale is a novel pictorial-based scale for evaluating a patient’s disability, but few studies assess the elderly patients. Hence, the aim of this study was to determine whether Longshi scale can distinguish the ADL level of the elderly people and investigate the relationship between the Longshi scale and BI in measuring ADL among the elderly disabled. Methods: This was a multi-center cross-sectional study of elderly disabled patients (more than 65 years old). The ADL levels of all patients were evaluated by both Longshi scale and BI. Patients were divided into three groups (Bedridden group, Domestic group, Community group) based on the Longshi scale, while there were four groups (slight dependence, moderate dependence, severe dependence, total dependence) according to different BI scores. The relationship between the scores of Longshi scale and BI at different level were analysed. Results: A total of 2438 consecutive patients were recruited into the study from 9 centers during a period of 6 months (from 1 Oct 2019 to 1 April 2020). There was a significant difference of the total BI scores between the three groups of Longshi scale (p<0.001). Moreover, the Longshi scale scores showed significant differences between the four BI groups in the bedridden group, domestic group and community group of Longshi scale (p<0.001), respectively. Furthermore, the Spearman correlation coefficients between the LS scores of three groups (bedridden, domestic and community group) and BI scores were 0.869, 0.848 and 0.828 (P<0.001, respectively). Conclusions: Longshi scale can efficiently distinguish the degree of ability of daily living activities among the elderly disabled and has positive correlations with the BI.

scholarly journals Assessment of functional capacity in elderly residents of an outlying area in the hinterland of Bahia/Northeast Brazil

2010 ◽  
Vol 68 (1) ◽  
pp. 39-43 ◽  
Author(s):  
Gilson de Vasconcelos Torres ◽  
Luciana Araújo dos Reis ◽  
Luana Araújo dos Reis
Keyword(s):  
Activities Of Daily Living ◽  
Functional Capacity ◽  
Daily Living ◽  
Age Groups ◽  
The Elderly ◽  
Cross Sectional ◽  
Instrumental Activities ◽  
Significant Difference ◽  
The Difference ◽  
Outlying Area

OBJECTIVE: To assess the functional capacity and to determine the difference between the means of functional capacity (basic and instrumental activities of daily living) and the age groups of elderly residents in an outlying area in the hinterland of Bahia/Northeast of Brazil. METHOD: Analytical study with cross-sectional design and a sample of 150 elderly individuals enrolled in four Health Units in the municipality of Jequié, Bahia, Brazil. The instrument consisted of sociodemographic and health data, the Barthel Index and the Lawton scale. RESULTS: In all, 78.00% of the elderly were classified as dependent in the basic activities and 65.33% in the instrumental activities of daily living. Using the Kruskal-Wallis test, we found a statistically significant difference between the means of instrumental activities and the age groups (p=0.011). CONCLUSION: An elevated number of elderly were classified as dependent in terms of functional capacity and increased age is related to greater impairment in the execution of instrumental activities of daily living.

scholarly journals REHABILITATION NURSING: DIFFERENTIATION IN PROMOTING THE AUTONOMY OF THE ELDERLY

2021 ◽  
Vol 4 (1) ◽  
pp. 15-22
Author(s):  
Andreia Maria Lima ◽  
Maria Manuela Ferreira da Silva Martins ◽  
Maria Salomé Martins Ferreira ◽  
Francisco Sampaio ◽  
Soraia Dornelles Schoeller ◽  
...  
Keyword(s):  
Activities Of Daily Living ◽  
Daily Living ◽  
The Elderly ◽  
Nurse Specialist ◽  
Snowball Sampling ◽  
Cross Sectional ◽  
Rehabilitation Programs ◽  
Instrumental Activities ◽  
Significant Difference ◽  
Specialist Nurses

Introduction: The promotion of autonomy, through the use of nursing interventions that promote physical, cognitive and social integration skills, are added competencies of nurses specialized in rehabilitation nursing, so it is important to realize whether these professionals invest in this area in their practices. Objectives: To identify and compare the perception of nurses who are specialists in rehabilitation nursing and nurses who are specialists in other specialty areas. Methodology: A descriptive, correlational, cross-sectional, quantitative study with non-probabilistic snowball sampling. For data collection, the Self-Assessment Scale of Elderly Autonomy was used between September and October 2020. Results: The sample consists of 151 specialist nurses, 72 specialists in rehabilitation nursing, and 79 specialists in other specialty areas. All specialist nurses promote the autonomy of the elderly with less visibility in the development of interventions for instrumental activities of daily living. It is perceived that the nurse specialist in rehabilitation nursing promotes more autonomy of the elderly on a broader scale (p <0.05), with a more significant difference concerning the development of physical and cognitive interventions (<0.001). Conclusion: All specialist nurses perceive that they promote the elderly's autonomy but have weaknesses in interventions that promote instrumental activities of daily living. The specialist nurses in rehabilitation nursing realize that they promote more autonomy for the elderly, probably due to the implementation of rehabilitation programs aimed at this promotion.

scholarly journals Predictors of nursing workload in elderly patients admitted to intensive care units

2008 ◽  
Vol 16 (2) ◽  
pp. 218-223 ◽  
Author(s):  
Cleber Ricardo de Sousa ◽  
Leilane Andrade Gonçalves ◽  
Maria Cecília Toffoleto ◽  
Karine Leão ◽  
Kátia Grillo Padilha
Keyword(s):  
Intensive Care ◽  
Elderly Patients ◽  
The Elderly ◽  
Simplified Acute Physiology Score ◽  
Cross Sectional Study ◽  
Nursing Workload ◽  
Cross Sectional ◽  
Significant Difference ◽  
Surgical Icu ◽  
Independent Risk Factors

The age of patients is a controversial issue in admission to intensive care unit (ICU). The aim of this study was to compare severity and nursing workload of elderly patients with 60-69, 70-79, and e"80 years of age and to identify predictors of nursing workload in elderly patients. A cross sectional study was performed with a sample of 71 elderly patients admitted to three ICU in the city of Sao Paulo, Brazil from October to November 2004. Data were prospectively collected using Nursing Activities Score (NAS) and Simplified Acute Physiology Score II (SAPS II). There was no significant difference in nursing workload among the elderly patients age subgroups (p=0.84). Multiple regression analysis indicated that the independent risk factors of high nursing workload were severity, age e"70 years, and to be a surgical ICU patient. Age as an isolated factor should not be discriminative for elderly patients admission to ICU.

scholarly journals HUBUNGAN TINGKAT KECEMASAN DENGAN KUALITAS TIDUR PADA LANSIA PENDERITA HIPERTENSI

2020 ◽  
Vol 6 (2) ◽  
pp. 53
Author(s):  
Tantri Puspita
Keyword(s):  
Elderly Patients ◽  
Sleep Quality ◽  
The Elderly ◽  
P Value ◽  
Cross Sectional ◽  
Psychological Conditions ◽  
Care Workers ◽  
Improve Sleep Quality ◽  
The Relationship

Sleep quality of elderly is influenced by psychological conditions. Elderly with hypertension are affected not only by physical but also pshychological conditions. Anxiety is a part of its. This study was used a cross-sectional approach to identify the relationship between anxiety level (independent variable) and sleep quality in the elderly (dependent variable) with hypertension in the working area of ??Karangmulya Health Center, Garut Regency. This study was used Zung Self-rating Anxiety Scale (ZSAS) and the Pitsburgh Sleep Quality Index (PSQI) questionnaires. The results showed that the majority of respondents were female, 63 respondents (65.6%) and widow/widower (69.8%). The Correlation analysis between the level of anxiety and sleep quality of elderly patients with hypertension showed results P-value = 0.041(p<0.05), which means there was a relationship between the level of anxiety and sleep quality in elderly patients. It is expected that health care workers especially nurses can help the elderly to improve sleep quality through handling anxiety in elderly people with hypertension.

scholarly journals Factors associated with functional impairment of elderly patients in the emergency departments

2015 ◽  
Vol 13 (2) ◽  
pp. 209-214 ◽  
Author(s):  
Maria Carolina Barbosa Teixeira Lopes ◽  
Julieth Santana Silva Lage ◽  
Cássia Regina Vancini-Campanharo ◽  
Meiry Fernanda Pinto Okuno ◽  
Ruth Ester Assayag Batista
Keyword(s):  
Emergency Department ◽  
Elderly Patients ◽  
Activities Of Daily Living ◽  
Functional Capacity ◽  
Functional Impairment ◽  
Daily Living ◽  
The Elderly ◽  
Ratio Test ◽  
Cross Sectional ◽  
Instrumental Activities

ABSTRACT Objective: To assess the functional capacity of elderly patients in the emergency department as to Basic and Instrumental Activities of Daily Living. Methods: A cross-sectional study of 200 elderly patients admitted to the emergency department of a teaching hospital in São Paulo (SP), Brazil. The functional capacity of the elderly was assessed by the Katz index and Lawton & Brody scale. Statistical analyses were performed using analysis of variance, Bonferroni correction, χ2 test, or the likelihood ratio test. Results: Most seniors were independent (65%), and the degree of dependence was related to age, female gender, being single and widowed, and presence of cerebrovascular disease and dementia. The more dependent elderly for Instrumental Activities of Daily Living had increased dependence for Basic Activities. Conclusion: We emphasize the importance of assessing the functional capacity of the elderly in the emergency department as it provides data for the nursing care in order to minimize or to avoid their functional impairment.

scholarly journals Perfil de idosos admitidos em serviço de fisioterapia frente à sazonalidade

2017 ◽  
Vol 27 (2) ◽  
pp. 24994
Author(s):  
Paulo Giusti Rossi ◽  
Ana Claudia Silva Farche ◽  
Juliana Hotta Ansai ◽  
Anielle Crtisthine de Medeiros Takahashi ◽  
Marcello Ávila Mascarenhas
Keyword(s):  
Physical Therapy ◽  
Elderly Patients ◽  
Medical Records ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Subtropical Zone ◽  
Significant Difference ◽  
Therapy Center

*** Profile of elderly admitted to a physical therapy center as a function of seasonality ***AIMS: To analyze the profile and the prevalence of diseases in elderly patients admitted to a physical therapy center in a medium-sized Brazilian city located in a subtropical zone in two different seasons of the year.METHODS: A cross-sectional study assessed the medical records of patients treated during summer and winter months in 2011. Medical records of male and female elderly patients (aged over 60 years) were included, and those without information on present medical diagnosis were excluded. Age and sex and both current and previous diagnostic records were analyzed. The chi-square test was used for the comparative analysis of the profile of the elderly patients for both seasons.RESULTS: Seventy-one medical records were analyzed. The mean age was 69.2±8.1 years and 48 (70.4%) patients were female. There was a higher prevalence of trauma-orthopedic diseases (60.6%). The greatest number of admissions was in winter (62.0%). At the time of referral, there were 17 cases (63.0%) of trauma-orthopaedic diseases in summer and 26 (59.1%) in winter; 3 cases (11.1%) of rheumatologic diseases in summer and 10 (22.7%) in winter; 5 cases (18.5%) of neurologic disorders in summer and 4 (9.1%) in winter; and 2 cases (7.4%) of postoperative complications in summer and 4 (9.1%) in winter (p=0.64).CONCLUSIONS: There was a greater demand for referrals of elderly patients to the physical therapy center in winter than in summer, with a predominance of female patients in both seasons. The most prevalent causes of referral were related to trauma-orthopaedic diseases, but there was no significant difference in the frequency of diagnoses according to season. Knowledge about the profile of the elderly admitted to physical therapy centers is important for targeting actions at this age group, conducting information, prevention, and health promotion campaigns.

scholarly journals Perbedaan Tingkat Activity of Daily Living (ADL) antara Lansia Aktif dengan Lansia Tidak Aktif Melakukan Kunjungan

2020 ◽  
Vol 1 (2) ◽  
pp. 58-64
Author(s):  
Maria Srisuharny ◽  
Maria Diyah ◽  
Erni Yohani Mahtuti
Keyword(s):  
Daily Living ◽  
Research Result ◽  
The Elderly ◽  
Activity Of Daily Living ◽  
Chi Square ◽  
Cross Sectional ◽  
Level Of Activity ◽  
Significant Difference ◽  
Chi Square Test ◽  
Quota Sampling

Increasing one's age will be followed by various changes that will affect the physical and psychological conditions. The older is a person, the more his physical abilities will decline causing the elderly to become dependent on others, including in meeting their ADL needs. Activity of Daily Living (ADL) is a form of measuring one's ability to do ADL independently, which includes bathing, eating, toileting, continents, dressing, and moving. The purpose of this research is to know the differences in the level of Activity of Daily Living (ADL) between the active elderly and the elderly doesn't actively visits to the elderly posyandu in the Tunggulwulung Village of Lowokwaru District. This study used an observational method with a cross sectional approach. The sample in this study amounted to 50 respondents (25 active elderly and 25 inactive elderly). The technique in this study used a purposive quota sampling with analysis of the data using the Chi-Square test. From the research result is obtained ρ: 0,006 ; α: 0,05. Because ρ<α, Ho is rejected, meaning that there is a significant difference in the level of activity of daily living between the active elderly and the elderly doesn’t actively visits to the elderly posyandu. The results of this study are expected to provide motivation to the elderly that making visits to the elderly posyandu is a fom of activity to control, maintain, and improve the health to the elderly which is held once a month at the local posyandu.

scholarly journals Epidemiological, clinical and evolutionary aspects of tuberculosis among elderly patients of a university hospital in Belém, Pará

2017 ◽  
Vol 20 (1) ◽  
pp. 45-55
Author(s):  
Emanuele Cordeiro Chaves ◽  
Irna Carla do Rosário Souza Carneiro ◽  
Maria Izabel Penha de Oliveira Santos ◽  
Nathália de Araújo Sarges ◽  
Eula Oliveira Santos das Neves
Keyword(s):  
Length Of Stay ◽  
Elderly Patients ◽  
Adverse Reactions ◽  
Signs And Symptoms ◽  
The Elderly ◽  
University Hospital ◽  
Elderly Persons ◽  
Cross Sectional ◽  
Significant Difference ◽  
Evolutionary Aspects

Abstract Objective: To evaluate the epidemiological, clinical and evolutionary aspects of tuberculosis in elderly patients of a university hospital in Belém, Pará. Method: A cross-sectional study was conducted in a university hospital, where 82 records of cases of tuberculosis in elderly patients were analyzed. The data was analyzed by applying the G-test, assuming a level of α=0.05 (5%) and a value of p=0.05. Results: Most of the elderly patients were male (64.6%), aged 60-69 years, especially among men (64.2%). Most were new cases of tuberculosis (95.1%), with a pulmonary clinical form (75.6%), associated diseases (69.5%) and a length of stay exceeding 21 days. Fever (67.1%), dyspnea (64.6%), weight loss (61.0%), productive cough (59.8%), chest pain (51.2%) were the main signs and symptoms. Regarding treatment, there was a high percentage of adverse reactions (50%), predominantly gastrointestinal events (70.7%). Most patients were cured (59.8%), but mortality from tuberculosis was considered high (15.9%). In terms of the exposure variables and outcome, there was a statistically significant difference for the age group (p=0.017), length of stay (p=0.000) and adverse reactions (p=0.018) only. Conclusion: The clinical presentation and therapeutic management of tuberculosis among the elderly has characteristics peculiar to this group, making it important to strengthen strategies that facilitate early identification of suspected cases of TB among elderly persons in the community, which should take place mainly through the primary care system.

scholarly journals A novel Longshi Scale measured activity of daily living disability in elderly patients affected by neurological diseases: a multi-center cross-sectional study in China

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jingpu Zhao ◽  
Xiangxiang Liu ◽  
Li Wan ◽  
Yan Gao ◽  
Meiling Huang ◽  
...  
Keyword(s):  
Older Adults ◽  
Activities Of Daily Living ◽  
Barthel Index ◽  
Neurological Disease ◽  
Daily Living ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Community Group ◽  
Cross Sectional ◽  
Significant Difference

Abstract Background Ability in the activities of daily life is often impaired in the older adults with a neurological disease. The Barthel Index is an instrument used worldwide to assess such ability. The Longshi Scale is a picture-based alternative, but its effectiveness has not been evaluated with older adult subjects. This study was to determine whether the Longshi Scale can effectively quantify the ability of older adults in the activities of daily living by comparing its ratings with those using the Barthel Index. Methods A multi-center cross-sectional study was conducted among patients over 65 years. A total of 2438 patients were divided into three groups, including bedridden, domestic, or community group based on their ability to go out of bed, move outdoors, and return indoors. Their ability in the activities of daily living among three groups was evaluated using both the Longshi Scale and the Barthel Index, and the results were compared. Results There was a significant difference in the average Barthel Index scores of three groups classified using the Longshi Scale. The average Longshi Scale scores also showed significant differences between the four groups classified using the Barthel Index. Spearman correlation coefficients showed strong correlation(>0.83) between the Longshi Scale and Barthel Index scores. Conclusions The Longshi Scale can efficiently distinguish the ability in the activities of daily living of people with a neurological disease. Its rating correlate well with those using the Barthel Index.

The Relationship Between The Perception of Elderly’s Health Status and Health Behaviors in Nakhon Nayok Province, Thailand

2019 ◽  
Vol 12 (1) ◽  
pp. 420-423
Author(s):  
Prapada Watcharanat ◽  
Prasong Tanpichai ◽  
Ravee Sajjasophon
Keyword(s):  
Regression Analysis ◽  
Health Status ◽  
Health Behaviors ◽  
Multiple Regression Analysis ◽  
Multiple Regression ◽  
Statistical Significance ◽  
The Elderly ◽  
Cross Sectional ◽  
Congenital Diseases ◽  
The Relationship

Purpose: This research aims to study the relationship between perception of elderly’s health and health behaviors in Nakhon Nayok province, Thailand Methods: This research was a cross-sectional study. The questionnaire was used to collect the data. This research was conducted in Nakhon Nayok province. The sample size was 270 which applied Taro Yamane's formula at a significant level 0.05. The descriptive statistics was implemented to describe the variables by presenting the frequency, percentage, mean and standard deviation. Furthermore, multiple regression analysis was applied to analyze the relationship between perception of elderly’s health and health behaviors. The statistical significance was considered to reject Hypothesis-null at < 0.05. Results: From a total of 270 people, more than 58.22% of the elderly perceived that they had moderate health conditions. Most elderly had congenital diseases (62.2%). The multiple regression analysis results showed that health status perception and health status perception when compared to their cohort related significantly to health behavior. Conclusion: The government should support the elderly on participation, trust, engagement, and cultural concern of the people in the community, which can contribute to promoting the physical, mental and social condition of the elderly.

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