scholarly journals Evaluation of the functional capacity among of the aged with stroke

2011 ◽  
Vol 5 (3) ◽  
pp. 748
Author(s):  
Ana Railka de Souza Oliveira ◽  
Alice Gabrielle de Sousa Costa ◽  
Daniel Bruno Resende Chaves ◽  
Filipe Emmanuel Coelho Alves ◽  
Rafaella Pessoa Moreira ◽  
...  
Keyword(s):  
Activities Of Daily Living ◽  
Functional Capacity ◽  
Daily Living ◽  
Cross Sectional Study ◽  
Quantitative Approach ◽  
Sectional Study ◽  
Cross Sectional ◽  
Instrumental Activities ◽  
Las Mujeres ◽  
Cerebral Vascular

ABSTRACTObjective: to evaluate the functional capacity of the aged with stroke. Method: this is about a cross-sectional study, from quantitative approach, performed in Fortaleza-CE city, Brazil. It was carried out from 2006 to 2007, through an interview and application of Barthel’s and Lawton’s scales to measure basic activities of daily living (BADL) and instrumental activities of daily living (IADL). The dates were analyzed by Epi Info software, version 3.3. Results: were evaluated 97 patients who had an average age of 64,3 years, 51,5% were women; 25,3% were illiterate; 90,7% lived with family; 52,6% were married and 54,7% presented diseases associated with stroke. The time after the last stroke was 4,1 years (±4,8) and the average of strokes was 1,4 event (±0,7). The men presented more dependence to activities carry through home. However, the women showed more dependence to outdoors activities. Conclusion: the evaluation of clinical and epidemiological conditions is necessary for allowing adjusts in interventions planning and contributes for to improve the treatment. Thereby the investments in training and qualification of nurses become essential. Descriptors: activities of daily living; stroke; aged; geriatric nursing.RESUMOObjetivo: avaliar a capacidade funcional de idosos após acidente vascular encefálico (AVE). Metodologia: estudo transversal, quantitativo, desenvolvido em Fortaleza, no período de 2006 a 2007, por meio de entrevista e aplicação das escalas de Barthel e Lawton que mediram as atividades básicas (ABVD) e instrumentais (AIVD) da vida diária. Os dados foram analisados pelo programa Epi Info versão 3.3. Resultados: foram avaliados 97 indivíduos, com idade média de 64,3 anos, 51,5% mulheres; 25,3% analfabetos; 90,7% moravam com familiares; 52,6% tinham companheiros e 54,7% apresentavam patologias associadas ao AVE. Encontrou-se tempo após último AVE de 4,1 anos (±4,8) e média de 1,4 episódios (±0,7). Os homens mostraram-se mais dependentes quanto às atividades realizadas dentro do âmbito domiciliar. Já as mulheres, tiveram maior dependência para as atividades desenvolvidas fora do domicílio. Conclusão: a avaliação das condições clínicas e epidemiológicas são necessárias para o enfermeiro planejar estratégias, possibilitando ajustes no planejamento das intervenções contribuindo para melhor atendimento desses indivíduos. Destarte, torna-se imprescindível redirecionar a formação acadêmica e a qualificação dos enfermeiros. Descritores: atividades cotidianas; acidente cerebral vascular; idoso; enfermagem geriátrica.RESUMENObjetivo: evaluar la capacidad funcional de ancianos con accidente cerebrovascular. Método: estudio transversal, cuantitativo, desarrollado en la ciudad de Fortaleza, de 2006 a 2007, por medio de entrevista y aplicación de las escalas de Barthel y Lawton para medida de las actividades básicas e instrumentales de vida diaria. Los datos fueron analizados por el programa Epi Info, versión 3.3. Resultados: se evaluaron 97 individuos, con edad media de 64,3 años, el 51,5% eran mujeres y el 25,3% analfabetos; el 90,7% vivían con familiares; el 52,6% tenían compañeros y el 54,7% presentaban enfermedades asociadas al accidente cerebrovascular. El tiempo medio después del último evento fue 4,1 años (±4,8) y media de 1,4 episodios (±0,7). Los hombres se presentaron con más dependencia para las actividades desarrolladas dentro del domicilio, y las mujeres para actividades desarrolladas fuera de casa. Conclusión: la evaluación de condiciones clínicas y epidemiológicas es fundamental para lo planeamiento del enfermero.  Por lo tanto, es esencial reorientar la formación académica y la cualificación del enfermero. Descriptores: actividades cotidianas; accidente cerebrovascular; anciano; enfermería geriatica.

scholarly journals Functional capacity: association with risk for falls, fear of falling and pain in the elderly

Rev Rene ◽  
2021 ◽  
Vol 22 ◽  
pp. e62430
Author(s):  
Alexandre de Andrade Nadu ◽  
Danila Cristina Paquier Sala ◽  
Carla de Lima Silva ◽  
Odete de Oliveira Monteiro ◽  
Paula Cristina Pereira da Costa ◽  
...  
Keyword(s):  
Activities Of Daily Living ◽  
Functional Capacity ◽  
Daily Living ◽  
Fear Of Falling ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Categorical Variables ◽  
Continuous Variables ◽  
Cross Sectional ◽  
Instrumental Activities

Objective: to associate functional capacity with the risk of falls, fear of falling, and pain in hospitalized elderly. Methods: cross-sectional study with 130 elderlies. The following scales were applied: Activities of Daily Living, Instrumental Activities of Daily Living, Morse Falls, Fear of Falling and Pain. The Kruskal-Wallis test was used to associate the categorical variables to the Daily Living Activities and Pain Scales and the Chi-square test to the Morse Falls. Spearman’s Correlation Coefficient was used to associate the continuous variables with the Fear of Falling Scale. Results: most of the elderlies were independent for basic and instrumental activities of daily living, had high risk for falls, little concern about the possibility of falling, and no pain. Those with higher risk for falls are those with more dependence and have more concern about falling. Conclusion: there was an association between functional capacity and the scales fear of falling and pain.

scholarly journals Functional impairments of elderly in rural areas of east Sikkim, India: cross-sectional study

2018 ◽  
Vol 5 (7) ◽  
pp. 3136
Author(s):  
Frieda Bokali P. Engheepi ◽  
Nikita Joshi Sonowal ◽  
V. K. Mehta ◽  
Ajoy Daniel Rai
Keyword(s):  
Health Care ◽  
Activities Of Daily Living ◽  
Rural Areas ◽  
Daily Living ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Functional Impairments ◽  
Sectional Study ◽  
Cross Sectional ◽  
Instrumental Activities

Background: Ageing is a universal, biological reality, which affects every individual on this earth.India, being the second largest country with 8.4% of the total population belonging to the age group of 60 years and above faces challenges of population ageing. The major concern now being the health care of the elderly as functional ability decreases with age leading to avoidance of challenging situations, restricted activity and further decline in health. The objective of this study was to find out the functional impairments of elderly in rural areas of East Sikkim using Lawton’s instrumental activities of daily living scale.Methods: Cross-sectional study was carried out with 324 elderly people aged 60 years and above. The study sample was obtained using multistage random sampling method. Out of total 52 GPU’s in rural areas of east Sikkim, 18 GPU’s were selected using random generation number method and then the list of all the elderly were obtained from each selected GPU. From this list, 18 elderlies in each GPU were randomly selected for the study thus the total sample size was 324. The study was conducted using Lawton’s instrumental activities of daily living (IADL) scale.Results: There was significant difference between the IADL score of both the genders (p=0.0001). There was no significant relationship in IADL score with age (r=-0.072). However, 2.5% of the elderly were totally dependent for IADL activity.Conclusions: Developing multidisciplinary approaches for improving quality of life might be a fruitful approach in elderly and thus enhancing the policy makers for forming a comprehensive geriatric rehabilitation services to provide health care accessibility for every elderly.

scholarly journals Socioeconomic Factors and Health Status Disparities Associated with Difficulty in ADLs and IADLs among Long-Lived Populations in Brazil: A Cross-Sectional Study

2021 ◽  
Vol 58 ◽  
pp. 004695802110072
Author(s):  
Júlia Cristina Leite Nóbrega ◽  
Juliana Barbosa Medeiros ◽  
Tácila Thamires de Melo Santos ◽  
Saionara Açucena Vieira Alves ◽  
Javanna Lacerda Gomes da Silva Freitas ◽  
...  
Keyword(s):  
Health Status ◽  
Activities Of Daily Living ◽  
Socioeconomic Factors ◽  
Chronic Diseases ◽  
Daily Living ◽  
Female Gender ◽  
Well Being ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional

Objective: To evaluate the association between socioeconomic factors, health status, and Functional Capacity (FC) in the oldest senior citizens in a metropolis and a poor rural region of Brazil. Method: Cross-sectional study of 417 seniors aged ≥80 years, data collected through Brazil’s Health, Well-being and Aging survey. FC assessed by self-reporting of difficulties in Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs). Chi-square tests and multiple logistic regression analyses were performed using “R” statistical software. Results: Socioeconomic and demographic inequalities in Brazil can influence FC in seniors aged 80 years and older. Comparatively, urban long-lived people had a higher prevalence of difficulties for ADLs and rural ones showed more difficulties for IADLs. Among urban oldest seniors, female gender and lower-income were correlated with difficulties for IADLs. Among rural oldest seniors, female gender, stroke, joint disease, and inadequate weight independently were correlated with difficulties for ADLs, while the number of chronic diseases was associated with difficulties for IADLs. Conclusion: Financial constraints may favor the development of functional limitations among older seniors in large urban centers. In poor rural areas, inadequate nutritional status and chronic diseases may increase their susceptibility to functional decline.

Potential associated factors of functional disability in Chinese older inpatients: A multicenter cross-sectional study

2020 ◽  
Author(s):  
Hongpeng Liu ◽  
Jing Jiao ◽  
Chen Zhu ◽  
Minglei Zhu ◽  
Xianxiu Wen ◽  
...  
Keyword(s):  
Older Adults ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Functional Disability ◽  
Age Groups ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Older Inpatients ◽  
Hospital Wards

Abstract Background: Older adults are vulnerable to a decline in physical functioning, including basic activities of daily living (ADL) and higher-level instrumental activities of daily living (IADL). The causes of functional disability in older adults are multifactorial. A comprehensive understanding of these factors will contribute toward future health service planning. However, studies of ADL and IADL in Chinese older adults are insufficient. The aim of this study is to describe the level of ADL and IADL in different age groups and explore the factors associated with functional disability in Chinese older inpatients. Methods: We conducted a cross-sectional study consisted of 9,996 Chinese older inpatients aged 65 years and older. Participants were recruited from six provinces or municipality city in southwest (Sichuan province), northeast (Heilongjiang), south central (Hubei province), northern (Beijing municipality city), northwest (Qinghai province), and eastern China (Zhejiang province) from October 2018 to February 2019. The levels of ADL and IADL were measured by scores of the Barthel index and Instrumental Activities of Daily Living Scale in consecutive intervals from 65 years of age. After controlling for the cluster effect of hospital wards, a mixed-effect generalized linear model was used to examine the association between functional disability and covariates. Results: The average ADL score was 27.68±4.59 and the mean IADL score 6.76±2.01 for all participants. A negative correlation between scores and age was observed, and there was a significant difference in ADL and IADL scores among different age groups. The top negatively influential factor in ADL and IADL was stair climbing and shopping, respectively. After controlling for the cluster effect of hospital wards, aging, emaciation, frailty, depression, falling accidents in past 12 months, hearing dysfunction, cognitive dysfunction, urinary dysfunction, and defecation dysfunction were associated with ADL and IADL. Patients transitioned from the emergency department and other hospitals were also affected by ADL disability. Former smoking was associated with lower IADL scores. Higher level of education, living in a building without elevators, and current alcohol consumption were correlated with better IADL performance. Conclusion: Decreased functional ability was associated with the increasing age. Sociodemographic characteristics (such as age), physical health variables (frailty, emaciation, hearing dysfunction, urinary dysfunction, defecation dysfunction, falling accidents in past 12 months), and mental health variables (cognitive dysfunction, depression) were associated with functional disability. These findings potentially have major importance for the planning of hospital services, discharge planning, and post-discharge care.

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 Activities of daily living independence in Iranian blind war survivors: A cross sectional study, 2008

2012 ◽  
Vol 13 (3) ◽  
pp. 741-750 ◽  
Author(s):  
Reza Amini ◽  
Robab Sahaf ◽  
Alireza Kaldi ◽  
Hamid Haghani ◽  
Keyvan Davatgaran ◽  
...  
Keyword(s):  
Activities Of Daily Living ◽  
Daily Living ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
War Survivors

scholarly journals Assessing Functional Capacity and Factors Determining Functional Decline in the Elderly: A Cross-Sectional Study

2019 ◽  
Vol 32 (10) ◽  
pp. 654 ◽  
Author(s):  
Anamélia Oliveira ◽  
Paulo Nossa ◽  
Anabela Mota-Pinto
Keyword(s):  
Activities Of Daily Living ◽  
Functional Capacity ◽  
Daily Living ◽  
Functional Decline ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Adult Day Care ◽  
Medication Usage ◽  
Cross Sectional ◽  
Care Support

Introduction: The aim of this study is to assess functional capacity and determine the factors associated with functional decline in the elderly in adult day care centres and home care support in the County of Coimbra, Portugal.Material and Methods: Cross-sectional study. A total of 115 participants of both genders, aged between 65 and 98, were enrolled in the home care support and adult day care system of the County of Coimbra, Portugal. Functional capacity was assessed using the Barthel index and the Lawton index. Another questionnaire gathered social, demographic and health status information.Results: The basic activities of daily living were significantly associated with age, cohabitation, medication usage, falls and multiple morbidity. Analysis of the study’s variables and the instrumental activities of daily living found significant associations between age, institutional affiliation, perceived health status, hospitalizations, medication usage, physical exercise, multiple morbidities, falls, and fall prevention.Discussion: The results demonstrate that no statistically observable differences were found between gender and functional dependence. A significant association between the Barthel index and cohabitation was also found. We should also highlight that this sample revealed the extremely important role of families in determining the protection of highly dependent older people. Likewise, a significant association was observed between instrumental activities of daily living and levels of physical activity in which greater independence was found in those seniors who practiced physical exercise three or more times per week.Conclusion: The results of this study allow us to identify factors that may be associated with the functional decline in the elderly. Useful evidence for the adoption of intervention strategies in the elderly population was added, focused on the prevention of functional decline and maintenance of the functional capacities of the elderly.

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