scholarly journals Disability and Its Influencing Factors among the Elderly in a County, Guangxi Province, China

2018 ◽  
Vol 15 (9) ◽  
pp. 1967 ◽  
Author(s):  
Shiyi Chen ◽  
Jian Qin ◽  
You Li ◽  
Yi Wei ◽  
Bingshuang Long ◽  
...  
Keyword(s):  
Activities Of Daily Living ◽  
Influencing Factors ◽  
Educational Level ◽  
Daily Living ◽  
Influencing Factor ◽  
Binary Logistic Regression ◽  
The Elderly ◽  
Guangxi Province ◽  
Chi Square ◽  
Disability Rate

Objectives: This study aims to understand the disability status of the elderly residents of a County (Guangxi Province, China) and explore its influencing factors. Methods: Respondents consisted of 2300 elderly people aged 60 and above from three townships in the county we studied. The Activities of Daily Living (ADL) Scale was used to assess the disability of the elderly sample. Chi-square test was applied to compare the disability rate among the elderly with different demographic characteristics. The graph showed the disability rates of ADL, six items of Physical Activities of Daily Living (PADL) and eight items of Instrumental Activities of Daily Living (IADL) at different ages. Binary logistic regression was used to analyze the influencing factors of disability rate among the elderly. Results: The disability rates of ADL, PADL, and IADL in the elderly were 43.4%, 11.6%, and 42.4%, respectively. As with the increase in age, the disability rates of ADL, IADL, PADL, and their 14 items gradually increased (p < 0.05), with walking, using the telephone, and using public vehicles having higher disability rates than other items. The influencing factors of ADL disability were gender (OR = 0.579, 95%CI = 0.441–0.759), age (OR = 2.270, 95%CI = 1.867–2.759; OR = 4.719, 95%CI = 2.998–7.429; OR = 6.249, 95%CI = 3.667–10.648), educational level (OR = 2.844, 95%CI = 2.076–3.897; OR = 1.677, 95%CI = 1.246–2.230), and having metabolic syndrome (MetS) (OR = 1.298, 95%CI = 1.044–1.613). Compared with ADL, the influencing factor of PADL disability was gender, whereas that of IADL disability was whether someone had MetS. Conclusions: With age, the possibility of ADL, PADL, and IADL damage in the elderly is higher. Gender, age, educational level, the number of chronic diseases, and whether someone has MetS might be the influencing factors of disability. Interventions should be taken from a variety of sources specific to the content of each entry.

scholarly journals Cognition, functionality and depression indicative among elderly

Rev Rene ◽  
2016 ◽  
Vol 17 (1) ◽  
pp. 103
Author(s):  
Winnie Andaki Nunes ◽  
Flavia Aparecida Dias ◽  
Janaína Santos Nascimento ◽  
Nayara Cândida Gomes ◽  
Darlene Mara dos Santos Tavares
Keyword(s):  
Activities Of Daily Living ◽  
Cognitive Decline ◽  
Daily Living ◽  
Functional Disability ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
The Elderly ◽  
Cognitive Status ◽  
Chi Square ◽  
Chi Square Test

to describe the socioeconomic characteristics of the elderly according to cognitive status, and, to associate the cognitive decline with functional disability and depression indicative among the elderly. Methods: this is a quantitative, retrospective and observational study with 92 elderly. The used instruments were: Mini Examination of Mental State; Katz Index; Lawton and Brody Scale and Abbreviated Geriatric Depression Scale. Statistical analysis and chi-square test (p<0.05) were used. Results: elderly with a cognitive decline for females were predominant, 80 years and older, widowed and living with children, with one to three years of study, individual income up to a minimum wage. The proportion of elderly with a dependent cognitive decline in basic activities of daily living (p=0.043) and instrumental activities of daily living (p=0.008) was higher than independent. There were no significant differences in the depression indicative (p=0.437). Conclusion: the proportion of dependent elderly was higher in those with cognitive decline.

scholarly journals Health Status of the Elderly and Its Influence on Their Activities of Daily Living in Shangrao, Jiangxi Province

2019 ◽  
Vol 16 (10) ◽  
pp. 1771 ◽  
Author(s):  
Rudan Xu ◽  
Xueqing Zhou ◽  
Shiling Cao ◽  
Boshu Huang ◽  
Chiyu Wu ◽  
...  
Keyword(s):  
Chronic Disease ◽  
Health Status ◽  
Activities Of Daily Living ◽  
Cognitive Ability ◽  
Influencing Factors ◽  
Daily Living ◽  
The Elderly ◽  
Elderly Subjects ◽  
Term Care ◽  
New Findings

To investigate the activities of daily living (ADL) and influencing factors, this survey study was conducted in Shangrao of Jiangxi. A total of 1087 elderly subjects in a long-term care (LTC) program participated in this study and their physical function, cognitive ability, self-rated health, and chronic disease were recorded during March 2017 and April 2018. The ADL scale was used to evaluate the health status of the elderly. F-test and multiple linear regression showed that the average ADL of the participants was 15.12 ± 17.59. The incidence of visual and verbal impairment was 68.6% and 14.1%, respectively. Over 74% of the elderly had severe cognitive impairment; and the prevalence of chronic disease was 84.5%. Multivariate analysis revealed that age, education, BMI (Body Mass Index), low income, verbal and cognitive ability, visual status, health self-evaluation, and some chronic diseases were related to self-care ability (p < 0.05). In summary, this study revealed that the ADL score is lower in this region and identified several influencing factors. These new findings will be useful for the local government to enhance the current LTC program for the elderly population.

scholarly journals Activities of daily living amongst inmates of home for aged in Nagpur, Maharashtra, India: a cross sectional study

2017 ◽  
Vol 5 (5) ◽  
pp. 1964 ◽  
Author(s):  
Ashok R. Jadhao ◽  
Pravin R. Ghongte ◽  
Suresh N. Ughade
Keyword(s):  
Activities Of Daily Living ◽  
Daily Living ◽  
Nuclear Family ◽  
Female Gender ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Economic Assistance ◽  
Sectional Study ◽  
Chi Square ◽  
Cross Sectional

Background: Although persons of all ages may have problems performing the Activities of Daily Living (ADL), prevalence rates are much higher for the elderly (65 years and over) than for the non-elderly. Elderly population face many problems. They become economically dependent on family for their basic needs and health care. Due to nuclear family norm, there is no place for elderly parent who feel alone and insecure. The study was undertaken to assess activities of daily living and reasons for admitting in home for aged amongst them. Objectives of present study were to assess the activities of daily living (ADL) and to identify the reasons for admitting in home for aged, in two homes for aged in Nagpur city, Central India.Methods: A cross sectional study was undertaken in two homes for aged namely Panchvati Vridhashram, Umred road and Home for aged, Untakhana, Nagpur, Maharashtra, India. Total 176 study subjects had consented for participation in study.Results: Mean age of study subjects was 73.47±6.06 year ranging from 61 to 90 years. Proportion of female inmate was 55.11%. Around one-fifth of study subjects (19.32%) were illiterate. Significantly more illiterate study subjects were of female gender (chi- square=5.78, d.f.=1, P=0.016). Mean duration of stay in home for aged was 5.29±3.29 years with the range of 9 months to 17 years. Number of study subject’s dependent for at least one ADL was 37 (21.02%). Amongst dependents 32 (18.8%) inmates were partially dependent with ADL score of 1-5 and only 5 (2.85%) inmates were totally dependent with ADL score of 6-12. The proportion of inmates with dependency for at least one activity of activities of daily living increases as the age increases. Positive liner trend was observed between age and dependency (r=0.1971, P=0.0087).Conclusions: Prevalence of ADL dependency was 21.02% among the inmates of home for aged. Dependency for activities of daily living increases with increase in age. Major reasons for admission to the home for aged were - no one to look after, strained relation with family members and economic constraints. There is need for economic assistance through social security to economically dependent inmates.

scholarly journals Analysis of Medication Adherence and Its Influencing Factors in Patients with Schizophrenia in the Chinese Institutional Environment

2021 ◽  
Vol 18 (9) ◽  
pp. 4746
Author(s):  
Wei Yu ◽  
Jie Tong ◽  
Xirong Sun ◽  
Fazhan Chen ◽  
Jie Zhang ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Medication Adherence ◽  
Activities Of Daily Living ◽  
Influencing Factors ◽  
Self Efficacy ◽  
Daily Living ◽  
Institutional Environment ◽  
Factors Influencing ◽  
Quality Of Life Scale

Background: Factors related to medication adherence in patients with schizophrenia have always been key to the treatment and rehabilitation of these patients. However, the treatment modes in different countries are not the same, and there is no research on the factors influencing medication adherence under different mental health service modes. Objectives: The purpose of this study was to explore medication adherence and its influencing factors in patients with schizophrenia in the Chinese institutional environment. Methods: We conducted a cross-sectional study of hospitalized persons living with schizophrenia from November 2018 to January 2019. A systematic sampling method was used to select 217 hospitalized persons living with schizophrenia. The Medication Adherence Rating Scale (MARS), Positive and Negative Syndrome Scale (PANSS), General Self-Efficacy Scale (GSES), Schizophrenia Quality of Life Scale (SQLS), and Scale of Social Skills for Psychiatric Inpatients (SSPI) were used to explore medication compliance and its influencing factors in the Chinese institutional environment. Results: The descriptive analysis and ANOVA showed that there were no significant differences in medication adherence when assessed by demographic characteristics such as sex, marital status, and education level (p > 0.05). A correlation analysis showed that there was no significant correlation between medication adherence and mental symptoms (p > 0.05) but that there was a positive correlation with self-efficacy, quality of life, and activities of daily living (p < 0.01). The linear regression analysis showed that self-efficacy, psychosocial factors, symptoms/side effects, and activities of daily living had significant effects on medication adherence (F = 30.210, p < 0.001). Conclusions: Our findings show that the self-efficacy, quality of life, and social function of patients with schizophrenia are important self-factors influencing medication adherence in the Chinese institutional environment.

scholarly journals The Relationship between Clinic Visit Accompanied by Family and Dementia Severity in Taiwan

2021 ◽  
Vol 18 (4) ◽  
pp. 1792
Author(s):  
Chih-Yen Chang ◽  
Shou-Jen Lan ◽  
Chiao-Lee Chu ◽  
Ching-Sung Ho
Keyword(s):  
Educational Level ◽  
Binary Logistic Regression ◽  
Cross Sectional Study ◽  
Clinic Visit ◽  
Clinical Dementia Rating ◽  
Score Distribution ◽  
Chi Square ◽  
Cross Sectional ◽  
Central Taiwan ◽  
Severity Of Dementia

Introduction: This study analyzes the severity of dementia status with clinical dementia rating (CDR) score distribution among patients according to various family functional and sociodemographic issues. Methods: A cross-sectional study was performed in a regional hospital in Central Taiwan. The sample consisted of 318 patients who came to the clinic from May 2018 to April 2019, and who were diagnosed by the physicians with CDR scores ≧ 0.5. The Chi-Square test and binary logistic regression analyses were performed for inferential statistical analysis. Results: The mean age of the sample was 78.7 ± 8.51 years, and 61.6% of the samples’ CDR scores were equal or less than 1.0. Patients visiting the clinic were accompanied by spouses (21.7%), sons or daughters-in-law (40.6%), daughters (23.6%). Of the sample, 142 (44.3%) patients live with sons. Patients with a lower educational level had higher CDR scores. Compared to the patients who went to the clinic by themselves, the higher OR values of CDR scores ≧ 2 are found in patients who were accompanied by other relatives (OR = 18.871, 95% C.I. = 3.117–114.237, p = 0.001), or spouse (OR = 10.783, 95% C.I. = 1.996–58.245, p = 0.006). Conclusion: The family member who accompanied the patient to a clinic visit and the patient’s educational level are both significant issues relating to the severity of dementia.

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