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 P0806RESIDUAL RENAL FUNCTION IS COMPLEMENTARY TO GERIATRIC ASSESSMENT SCORE IN ASSESSING CLINICAL RISK OF ELDERLY PATIENTS

2020 ◽  
Vol 35 (Supplement_3) ◽  
Author(s):  
Alberto Castagna ◽  
Davide Bolignano ◽  
Irma Figlia ◽  
Rosa Paola Cerra ◽  
Carmen Ruberto ◽  
...  
Keyword(s):  
Renal Function ◽  
Risk Stratification ◽  
Activities Of Daily Living ◽  
Geriatric Assessment ◽  
Comprehensive Geriatric Assessment ◽  
Daily Living ◽  
The Elderly ◽  
Residual Renal Function ◽  
Elderly Subjects ◽  
Old Patients

Abstract Background and Aims Renal function impairment is highly pervasive in the elderly and triggers increased morbidity and mortality. Comprehensive geriatric assessment (CGA) is a validated multidisciplinary instrument to assess medical, psychosocial and functional limitations of old patients with diagnostic and risk-stratification purposes. In a focused cohort of frail individuals, we aimed at evaluating possible relationships between single CGA items and renal function. Method 254 consecutive elderly subjects (mean age 79.9±6.6 years, female 65.8%) from the geriatric division of a large Italian community hospital were studied. We collected clinical data including CGA and renal function (CKD-EPI formula). CGA single items included the Cumulative Illness Rating Scale (CIRS), the Exton Smith Scale (ESS), the Mini Nutritional Assessment Short Form (MNA-SF), the Katz‘s Activities of Daily Living (ADL), the Lawton’s Instrumental Activities of Daily Living (IADL), the Short Portable Mental Status Questionnaire (SPMSQ) and the amount of drugs administered (AD). Results Mean eGFR was 66.37±30.94 mL/min/1.73 m2. Overall, the reported CIRS, ESS, MNA, ADL and AD scores were low (7.6±3.3) while IADL and SPMQ were on a mild range, denoting a potential alarm signal for poor prognosis and the risk for adverse outcomes. At univariate analyses, eGFR was significantly associated with CIRS (R=-0.389, p&lt;0.0001), ESS (R=0.355, p&lt;0.0001), MNA (R=0.394, p&lt;0.0001), ADL (R=0.394, p&lt;0.0001), AD (R=-0.374, p&lt;0.0001. while a weak, although significant correlation was found with IADL (R=0.131, p=0.038) and SPMSQ (R=-0.141, p=0.038). In a fully adjusted multivariate analyses only SPMSQ (ß=-0.174, p=0.04), ADL (ß=0.182, p=0.012), IADL (ß =0.209, p=0.003) and AD (ß=-0.354, p&lt;0.0001) remained significant predictors of residual renal function. Conclusion In elderly frail subjects, residual renal function may influence daily life and cognitive activities, the perceived quality of living and the entity of drug assumption. Inclusion of renal function within a comprehensive geriatric assessment could help improving risk stratification in the elderly

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 Use of the Barthel Index to Assess Activities of Daily Living before and after SARS-COVID 19 Infection of Institutionalized Nursing Home Patients

2021 ◽  
Vol 18 (14) ◽  
pp. 7258
Author(s):  
Bibiana Trevissón-Redondo ◽  
Daniel López-López ◽  
Eduardo Pérez-Boal ◽  
Pilar Marqués-Sánchez ◽  
Cristina Liébana-Presa ◽  
...  
Keyword(s):  
Nursing Homes ◽  
Activities Of Daily Living ◽  
Barthel Index ◽  
Daily Living ◽  
Elderly Population ◽  
The Elderly ◽  
Elderly Subjects ◽  
Nursing Home Patients ◽  
Before And After

The objective of the present study was to evaluate the activities of daily living (ADLs) using the Barthel Index before and after infection with the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and also to determine whether or not the results varied according to gender. The ADLs of 68 cohabiting geriatric patients, 34 men and 34 women, in two nursing homes were measured before and after SARS-CoV-2 (Coronavirus 2019 (COVID-19)) infection. COVID-19 infection was found to affect the performance of ADLs in institutionalized elderly in nursing homes, especially in the more elderly subjects, regardless of sex. The COVID-19 pandemic, in addition to having claimed many victims, especially in the elderly population, has led to a reduction in the abilities of these people to perform their ADLs and caused considerable worsening of their quality of life even after recovering from the disease.

scholarly journals Health Status and Health Patterns in Urban-rural Dwelling Elderly in Nakhonratchasima Province, Thailand

2019 ◽  
Author(s):  
Nutthita Petchprapai
Keyword(s):  
Older Adults ◽  
Health Status ◽  
Activities Of Daily Living ◽  
Rural Areas ◽  
Daily Living ◽  
Tap Water ◽  
The Elderly ◽  
Health Problems ◽  
Religious Activities ◽  
Urban Rural

Introduction: As rapid urbanizing spreads throughout Thailand, the combination of urban-rural lifestyle has been gradually found. These changes may effect on health pattern of the older adults. This study was aimed to explore the incidence of health problems and life styles of the elderly in urban-rural areas. Methods: A random interview survey with qualitative approach was used. Data were randomly collected from 14 areas in central sub-districts of Nakhonratchasima province, Thailand. Twenty-five older adults in each area were interviewed. The recording forms consisted of demographic data, perceived health status and health problems, medication use, activities of daily living, instrumental activities of daily living, mental health, social and religious activities, and accommodation and environment. Non-invasive physical examinations of the elderly were performed by weighing, measuring height and testing muscle strength with one leg standing. Results: Most of the elderly reported having at least one chronic disease and/or degenerative problems that had impact on their daily lives. Forty percent rated their health status as moderate to poor, 18% encountered falls while 18% were hospitalized in the past six months. Only one-third underwent an annual health check–up while 30% of the female had cancer cervix screening. Most of the elderly could perform daily tasks on their own with assistive instruments and were healthy in mind. However, many of them drank tap water without boiling or filtering. Conclusion: The older adults in the urban-rural areas had access to health care services and had a good health status. However, their health promotion and prevention behaviors are questionable

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