scholarly journals Functional capacity as a factor promoting the quality of life of the elderly

10.3823/2480 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Ermelinda Maria Bernardo Gonçalves Marques ◽  
Renata Saraiva Jabour

Objective: To evaluate the functional capacity of the elderly and their association with quality of life. Method: A transversal, descriptive and analytical study was carried out by an individual and anonymous interview to 247 elderly people. A structured questionnaire was used, composed of sociodemographic characterization, Katz Index, Lawton & Brody Scale and MOS SF-36 - Medical Outcome Study Short Form - 36. Results: It was found that 80.6% of the elderly were independent in the ADL and 79.8% were independent in the IADL. On the whole, they show a reasonable quality of life. The study of the correlation between the results of the perception of the quality of life and the levels of independence in the ADL and the IADL revealed that the more independent elderly people tend to perceive a better quality of life. Conclusion: These results can contribute to the nurses developing intervention measures that promote the maintenance or recovery of the functional capacity of the elderly and, consequently, improve their quality of life. Keywords: Aged; Quality of Life; Activities of Daily Living; Nursing; Aging.  

Author(s):  
Grassyara Pinho Tolentino ◽  
Viviane Soares ◽  
Patrícia Espíndola Mota Venâncio ◽  
João Lucas de Moraes ◽  
Pablo Rodrigues Lima ◽  
...  

Introduction: The muscular strength exercises can be an effective intervention to prevent falls and to favor the functional capacity (FC) in the elderly. However, few studies have reported the benefits of power training (PT) and the subjective perception of the elderly on these activities. Objective: to evaluate the repercussions of a power training protocol on functional capacity and subjective health parameters in the elderly. Method: It was a prospective study involving 48 elderly people. Two groups were composed: a power training group (PG) with 22 participants with a mean age of 68.14 (5.46) years and the control group (CG) was composed of 32 elderly individuals aged 68.03 (4.83) years. Health-related quality of life was measured from the Medical Outcomes Study 36 – Item Short-Form Health Survey (SF-36). The FC was measured by the Berg Balance and Time Up and Go tests. The PT was performed 2x/week, with duration of 50 min/session, for 14 weeks (first two weeks of adaptation; first six weeks 3X/10-15 repetitions of 40-50% of the Subjective Perceived Exertion (SPE) / 6 following weeks 3X/6-10 repetitions of 60-70% of the SPE). The CG performed rhythm activities with the same frequency and weekly duration. Result: It was observed favorable results in FC after 14 weeks of power training. There was also a positive evaluation of most sf-36 domains, with emphasis on physical and emotional aspects. However, the perception of the elderly in relation to the pain domain presented negative results. Conclusion: The PT positively influenced the FC, the physical and the emotional aspects of the elderly; negatively affected the pain and maintained the low risk of fall after 12 weeks of intervention, without presenting intercurrences during the intervention.


2010 ◽  
Vol 22 (8) ◽  
pp. 1353-1361 ◽  
Author(s):  
Ehud Bodner ◽  
Sara Cohen-Fridel

ABSTRACTBackground: This study is the first to explore the relations between attachment styles, ageism, and quality of life (QoL) among elderly people. The attachment theory describes how human beings relate to each other, according to their attachment style. Previous studies have examined the connection between attachment styles and prejudice toward distinctive social groups and minorities. Ageism as a form of prejudice is a way of relating negatively to people because they are old. QoL among the elderly was found to be associated with negative age-perceptions. It was therefore hypothesized that QoL, attachments styles, and demographic characteristics can explain ageism among the elderly.Methods: Four questionnaires were administered: Fraboni Scale of Ageism (FSA), which comprises four scales (separation, affective, stereotype, and intergeneration); Experiences in Close Relationships Scale, which measures four attachment styles (secure, dismissive, fearful, and preoccupied); SF-36 health status inventory (eight scales); and sociodemographic questions. Ninety-four elderly men and women aged 64–85 years living in the community completed the questionnaires.Results: MANCOVAS indicated that securely attached individuals score higher on separation than fearfully attached individuals, and that securely and dismissively attached individuals score higher than fearful and preoccupied individuals on seven QoL scales. Multiple regression analyses showed that attachment styles, age, gender, and some QoL scales contribute to the explained variance of ageism.Conclusions: Secure attachment in late life seems to be related to less ageism and a better QoL. The enhancement of a secure attachment base in elderly people may assist in moderating ageism and improving older people's QoL.


2021 ◽  
Vol 13 ◽  
pp. 1453-1459
Author(s):  
Gracielle Pampolim ◽  
Alaércia De Melo Recla ◽  
Rafaela Guio Suzana ◽  
Isabelle Gadiolli Verzola ◽  
Luciana Carrupt Machado Sogame

Objetivo: verificar os fatores associados a percepção regular/negativa da qualidade de vida entre idosos. Métodos: estudo observacional transversal realizado com 171 idosos de uma Unidade de Saúde da Família. A variável desfecho foi a qualidade de vida, avaliada através do Short Form Health Survey – SF-36, as variáveis independentes foram características sociodemográficas, de moradia, hábitos de vida e condições de saúde. Os dados foram analisados através do teste Chi-Quadrado de Pearson. Resultados: dos idosos entrevistados, 98 (57,3%) perceberam sua qualidade de vida como regular/negativa. Ser do sexo feminino, restrito ao lar, não praticar atividade física, de lazer ou atividades ofertadas pela Unidade de Saúde; auto-avaliar negativamente sua saúde, apresentar multimorbidade, polifarmacia, sintomas depressivos, risco de quedas e funcionalidade comprometida, estiveram associadas com o desfecho. Conclusão: incentivar o idoso a participar de atividades que promovam sociabilização e manutenção da funcionalidade é fundamental para preservação ou recuperação de sua qualidade de vida.  


2021 ◽  
Vol 20 (Supplement_1) ◽  
Author(s):  
J Valverde Bernal ◽  
J Ruiz Gabalda ◽  
FJ Delgado Sanchez ◽  
G Berga Congost ◽  
A Marquez Lopez

Abstract Background and objectives Mitral regurgitation is a very limiting disease for the patient. The objetctive is to analitze the effectiveness of the mitral clip implantation on the quality of life and the degree of dependence in patients with mitral regurgitation Methods Almost experiment study of time series. The quality of life was evaluated with the Minnesota Living With Heart Failure (MLWHFQ) and Short-Form 36 (SF-36) questionnaire, 6 months before the intervention, 1 day before, 1 month after and 6 months later. The degree of dependence was evaluated with the Katz Index. The intervention was considered effective when the MLWHDQ decreased in 10 points and/or the Katz Index 1 point. Other variables were socio-demographic and clinical factors Results Twenty patients were introduced with a mean age of 78,6 ± mostly men (75%) and with very prevalent cardiovascular risk factors. The total MLWHFQ score decreased significantly after the intervention by 26.63 points (p = 0.004) and in the physical dimension by 12.13 points (p = 0.004) and 5.75 points (p = 0.007). In contrast, the modification of the score in the Katz Index was 0.14 points (p = 0.257) There was a significant decrease in pre and post intervention symptoms: dyspnea (p = 0.063), fatigue (p = 0.000) and maleolar oedema (p = 0.063) In the SF-36 health transition question, 75% of patients reported feeling better or much better after 6 months of the intervention. Conclusions These results suggest that mitral clip implantation improves short-term quality of life in patients with mitral insufficiency, although it doesn"t change the degree of dependence for short-term daily life activities. In addition, mitral clip implantation improves the limiting symptoms of these patients and the health perception at 6 months.


Author(s):  
Thamires Ineu de Oliveira ◽  
Bruna Rodrigues Maziero ◽  
Daniela Buriol ◽  
Paloma Horbach da Rosa ◽  
Silomar Ilha

Objective: The study’s main purpose has been to analyze the QOL of family members/caregivers of elderly people bearing Alzheimer's disease, as well as to assess during this process the influence of the group named Integrated Multidisciplinary Assistance to Caregivers of people bearing Alzheimer's disease (IMACA). Methods: It is a descriptive-exploratory study with a qualitative approach that was performed with six family members/caregivers, who were participants in the aforementioned group. Data collection took place from April to May 2016, through data sharing between the focus group, semi-structured questionnaire and the assessment of the 36-Item Short Form Health Survey questionnaire (SF-36) for quality of life. Results: The independent data were subjected to content analysis resulting in two categories, as follows: IMACA group: sharing knowledge and experiences in favor of the quality of life; IMACA group: (re)thinking about everyday life, helping with the quality of life. By analyzing the SF-36 evaluation scale, the found objective data pointed out the following factors as the most impaired ones: Limitations due to physical, emotional and vital aspects. Conclusions: It was possible to observe that the Integrated Multidisciplinary Assistance to Caregivers of people bearing Alzheimer's disease has shown significant relevance and influence on the participating family members’/caregivers’ quality of life.


2016 ◽  
Vol 29 (3) ◽  
pp. 589-596 ◽  
Author(s):  
Grazielle Cordeiro Aguiar ◽  
Samira Gonçalves Rocha ◽  
Gisele Aparecida da Silva Rezende ◽  
Marcela Rêgo do Nascimento ◽  
Paula Luciana Scalzo

Abstract Introduction: Osteoarthritis (OA), the most common form of arthritis, is considered the main cause of pain and disability in the elderly. Objective: To evaluate the effect of systematic muscle strength training on functional performance and quality of life in individuals with knee OA. Methods: Subjects with knee OA (n = 27, 46 - 76 years) completed the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), Medical Outcomes Short-Form 36-item Health Survey (SF-36), and visual analog scale (VAS) questionnaires, musculoskeletal assessments, and 10-repetition maximum and timed 10-meter walk tests both before and after training. The training consisted of an exercise resistance program and stretches for 12 weeks (three sessions of 80 each per week). Results: Twenty-two subjects completed the training. Reduced overall scores and WOMAC physical function indicated improved functional performance (p < 0.001) as well as increased gait speed (p < 0.001). The perception of pain decreased after training, as evidenced by the VAS, WOMAC pain domain, and SF-36 scores (p < 0.001). Quality of life improvements occurred primarily in the areas of pain, functional capacity, and SF-36 physical aspects. No change in body mass index was noted (p = 0.93). Conclusion: Our results indicate that the combination of resistance training for the quadriceps, gluteus, and abdominal muscles could be a viable alternative to improving functionality and quality of life in patients with knee OA. However, more studies are necessary to confirm our findings.


2017 ◽  
Vol 87 (3) ◽  
Author(s):  
Susanna Ricotti ◽  
Valentina Martinelli ◽  
Patrick Caspani ◽  
Serena Monteleone ◽  
Lucia Petrucci ◽  
...  

Lung transplantation (LT) increases the life expectancy of patients affected by end stage pulmonary disease; specifically, its ultimate aims are to improve survival and health related quality of life (HRQoL). The aim of the present longitudinal study was to determine the HRQoL trajectory and changes in functional capacity from time of entry in the waiting list for LT to 2 year after LT. The study included sixty-nine outpatients enrolled in a single medical center when they entered the waiting list for LT and who subsequently received it. They were then followed up over 2 years after LT. HRQoL was assessed by the physical and mental component summary (PCS and MCS) scores of the 36-item Short Form Health Survey (SF-36) and Saint George’s Respiratory Questionnaire (SGRQ). Psychological distress was evaluated with the General Health Questionnaire (GHQ), and functional capacity was investigated using the six-minute walk test (6MWT) and forced expiratory volume (FEV1). Patients showed low SF-36 PCS (30.5±7.8) and SGRQ total (61.8±17.5) scores at entry in the waiting list, but exhibited significant changes over time after LT (p<0.001). Furthermore, patients who showed an increase of at least 50% in SF36 PCS and SGRQ scores at 6 months survived longer. Both FEV1 and 6MWT distance as well as GHQ scores significantly changed over time, with improvements occurring in the first 6 months after LT but no major changes thereafter. Out of the 69 patients enrolled, 32 died over a median follow-up of 51 months. Although mortality tended to be slightly higher for patients with lower HRQoL at the baseline assessment, this difference was not statistically significant. HRQoL evaluations appear critical in the follow-up of LT candidates, in particularly SGRQ, because of its specificity in targeting respiratory symptoms and functional wellbeing.


Author(s):  
DeJesus BM ◽  

Aim: To evaluate how incorporating dance practice into the lifestyle can impact the Quality of Life (QOL) of People with Disabilities (PWD) over four years. Method: This is a prospective study with dance protocol classes specific for PWD, once a week, 60 min per class, over four years. In addition, the participants performed public presentations each year. Participants were assessed twice per year (at the beginning and at the end of each year of dance practice), totalizing 8 assessments, using the Medical Outcomes Study Survey Short Form 36 (SF- 36) questionnaire. Results: Forty-one PWD with different clinical conditions, both sexes, ranging in age from 3 to 39 years, participated in the study over four years (Y1 to Y4). With regard to QOL domains in the SF-36, significant changes were found when comparing the years (two-way ANOVA (F=19.87; p <0.0001)). Values increased in the following QOL domains: Year I: functional capacity, physical aspects, emotional aspects, vitality, pain and mental health. Year II: physical and emotional aspects, pain and mental health. Year III: functional capacity, physical and emotional aspects, vitality, general health, pain and mental health. In Year IV the values increased in all domains. Interpretation: Over the course of four years, dance practice contributed to the QOL of participants; this suggests that it is an activity that promotes inclusion for PWD in the sociocultural arena.


2020 ◽  
Vol 2020 ◽  
Author(s):  
Hiroko Tadaura ◽  
Norbert Feldmann ◽  
Sabine Bartholomeyczik ◽  
Niu Kaijun ◽  
Ryoichi Nagatomi ◽  
...  

Background: The number of elderly people having physical disabilities and other chronic diseases has dramatically increased with the rapid aging of society. The importance of the care has been noticed again from the viewpoint of the prevention, and the effective care is expected for both sides to be assisted Kinästhetik/Kinaesthetics (hereinafter, referred to as Kinesthetics) and is noticed. The purpose of this study was to clarify the relationship between QOL and Kinsesthetics by conducting a comparative study on QOL, pain, and sensation of movement for elderly people under long-term medical treatment, and nurses and caregivers working at the same hospital and nursing homes.Methods: The subjects were elderly people, nurses and caregivers in geriatric wards of general hospitals and nursing homes in Austria, Germany, where Kinaesthetics clinical practice has been introduced the longest. We analyzed data from VSA-QOL (Visual Analog Scale for Quality of Life), SDS (Symptom Distress Scale) modified, pain (Numerical Rating Scale: NRS-Pain), Kinesthetic senses before and after assisting with movement, medical record surveys, functional evaluation BI (Barthel-Index), and Braden Scale for the elderly. SF -36 v2, pain (NRS-Pain) before and after the movement assistance, Kinesthetic senses in the movement support, problem on the health and countermeasure, and Kinaesthetics mastery situation were analyzed for nurses and caregivers. SOPMAS (Structure of the Observed Patient Movement Assistance Skill) evaluation was also carried out for both subjects.Results: The subjects were included in 115 elderly people of Kinaesthetics group, 34 Non-Kinaesthetics group, 149 nurses and caregivers of Kinaesthetics group, and 46 nurses and caregivers of Non-Kinaesthetics group. The QOL of the elderly in the Kinaesthetics group was significantly improved after 1 month (p=0.03). The eldely in the Kinaesthetics group showed a significant improvement for SDS after 1 month (p=0.01). There was a significant difference for Bowel in SDS in repeated measures analysis of variance (spherical assumption; time x group) (p=0.01). SF -36 v2 of Nurses and caregivers using Kinaesthetics showed a significant difference in the role emotional (p=0.04). The level of pain before and movement assistance (NRS) was further significantly enhanced in the Non-Kinaesthetics group. The muscle strain was significantly higher in the Non- Kinaesthetics group for both the elderly and nurses (p=0.01).Conclusion: Kinaesthetics applications enhance QOL among the elderly, nurses, and caregivers in Germany and Austria.


2019 ◽  
Vol 41 (1) ◽  
pp. 36-42 ◽  
Author(s):  
Lucineide da Silva Santos Castelo Branco de Oliveira ◽  
Edila C. Souza ◽  
Rosilene Andrade Silva Rodrigues ◽  
Carlos Alexandre Fett ◽  
Angelo Biagini Piva

Abstract Introduction: Health problems may negatively affect the psychological and physical aspects of life, influencing the quality of life of older adults. The objective of this study was to analyze the effects of physical activity on quality of life, anxiety, and depression in the elderly population. Methods: We performed a cross-sectional study of 200 elderly people of both genders. Subjects were divided into two groups: one with 100 senior citizens engaged in physical activities in a social center for the elderly; and another composed of 100 subjects who lived in the community but were not engaged in physical activities. The instruments used to assess physical activities, quality of life, and anxiety and depression were, respectively: the modified Baecke questionnaire; the 36-Item Short Form Health Survey (SF-36); and the Hospital Anxiety and Depression Scale (HADS). The data were analyzed using the Student's t test, Pearson's r, and analysis of variance (ANOVA), with odds ratio and a 5% significance level (p<0.05). Results: We observed that the active group showed higher scores of physical activity and quality of life. Conversely, the sedentary group revealed higher scores of anxiety and depression. Data assessment revealed a strong correlation between the domains quality of life, level of vitality, and mental health (r=0.77). The prevalence ratio showed that physical activity is a protective factor against anxiety and depression in the elderly. Conclusion: The findings suggest a correlation between low levels of physical activity and symptoms of anxiety and depression in the elderly living in the community.


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