Prevalence and factors associated with functional dependency in homebound elderly people in Brazil

Autores

  • Gracielle Pampolim Escola Superior de Ciências da Santa Casa de Misericórdia de Vitória - EMESCAM
  • Christiane Lourenço Escola Superior de Ciências da Santa Casa de Misericórdia de Vitória (EMESCAM )
  • Vanezia Gonçalves da Silva Escola Superior de Ciências da Santa Casa de Misericórdia de Vitória (EMESCAM)
  • Maria Carlota de Rezende Coelho Programa de Pós-Graduação em Políticas Públicas e Desenvolvimento Local da Escola Superior de Ciências da Santa Casa de Misericórdia de Vitória (EMESCAM ) – Vitória (ES), Brasil
  • Luciana Carrupt Machado Sogame Programa de Pós-Graduação em Políticas Públicas e Desenvolvimento Local da Escola Superior de Ciências da Santa Casa de Misericórdia de Vitória (EMESCAM ) – Vitória (ES), Brasil

DOI:

https://doi.org/10.7322/jhgd.127747

Palavras-chave:

Homebound Elderly, Functional Dependence, Family Health Strategy.

Resumo

Introduction: Population ageing is a worldwide reality that requires attention, and a concern for healthy and functional ageing is increasingly the focus of government policies and programmes.

Objective: To identify the prevalence of homebound elderly people, and the influence of sociodemographic and economic characteristics on their functional dependency.

Methods: Cross-sectional study with 178 homebound elderly people assisted by a family healthcare unit in Vitória, ES, Brazil. Functional independence was measured by the Functional Independence Measure (FIM) and the sociodemographic and economic variables were collected by a questionnaire developed by the authors. Binary logistic regression was used to determine the influence of the sociodemographic and economic characteristics on the risk of being functionally dependent.

Results: Forty-eight percent of the participants were functional dependents, 80% were female, 72% belonged to the fourth age, 74% were white, 63% were widowed, 78% had retired, 90% had children, 83% had a caregiver, 52% had low education and 40% had low income. Logistic regression indicated that having a caregiver increased by 40 times the chance of being functionally dependent (OR = 40.2; 95%CI 4.8–355.4) and having between one to eight years of education decreased the chance of functional dependency (OR = 0.2; 95%CI 0.04-0.9).

Conclusions: The prevalence of functional dependency was very high in this sample, and since the presence of a caregiver was the strongest and significant predictor of functional dependency, we suggest that guidance and support should be offered to caregivers, followed   by a family healthcare strategy, to make consistent efforts with the objective of improving  functional recovery and independence of homebound elderly.

Biografia do Autor

  • Gracielle Pampolim, Escola Superior de Ciências da Santa Casa de Misericórdia de Vitória - EMESCAM

    Graduada em Fisioterapia e Mestre em Políticas Públicas e Desenvolvimento Local pela Escola Superior de Ciências da Santa Casa de Misericórdia de Vitória - EMESCAM. Atualmente é Professora do Curso de Graduação em Fisioterapia da EMESCAM.

  • Maria Carlota de Rezende Coelho, Programa de Pós-Graduação em Políticas Públicas e Desenvolvimento Local da Escola Superior de Ciências da Santa Casa de Misericórdia de Vitória (EMESCAM ) – Vitória (ES), Brasil
    Escola Superior de Ciências da Santa Casa de Misericórdia de Vitória (EMESCAM)

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Publicado

2017-09-06

Edição

Seção

Artigos Originais