Global functionality and associated factors in the older adults followed by Home Care in Primary Health Care
DOI:
https://doi.org/10.1590/1518-8345.5026.3476%20Keywords:
Geriatric Nursing; Aging; Activities of Daily Living; International Classification of Functioning, Disability and Health; Home Health Nursing; Primary Health Care.Abstract
Objective: to analyze the association of global functionality
with the main functional systems and the sociodemographic
variables of older adults followed by Home Care in Primary
Health Care. Method: a cross-sectional study with 124 older
people developed through home interviews. Functionality
was assessed by Basic Activities of Daily Living (Barthel) and
Instrumental Activities of Daily Living (Lawton and Brody);
the main functional systems were assessed using the Mini-
Mental State Exam, by the Timed Up and Go test, by the
Geriatric Depression Scale (15 items), and questionnaire
with sociodemographic variables. Bivariate and multivariate
analyses were applied (Poisson Regression). Results: 46% of
the older adults showed moderate/severe/total dependence
for basic activities and instrumental activities had a median
of 12. In the multivariate analysis, there was an association
between moderate/severe/total dependence on basic activities
with cognitive decline (p=0.021) and bedridden/wheelchair
users (p=0.014). Regarding the dependence on instrumental
activities, there was an association with age ≥80 years
(p=0.006), single/divorced marital status (p=0.013), cognitive
decline (p=0.001), bedridden/wheelchair (p=0.020), and Timed
Up and Go ≥20 seconds (p=0.048). Conclusion: the decline
in cognitive and mobility was associated with poor functionality
in basic and instrumental activities. The findings highlight the
need to monitor Home Care for these individuals and serve as
guidelines for health actions.
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