Cognitive and functional assessment about elderly people users of health public service

Melo, Beatriz Rodrigues de Souza; Diniz, Maria Angélica Andreotti; Casemiro, Francine Golghetto; Figueiredo, Leandro Correa; Santos-Orlandi, Ariene Angelini dos; Haas, Vanderlei José; Orlandi, Fabiana de Souza; Gratão, Aline Cristina Martins

doi:10.1590/2177-9465-EAN-2016-0388

Acessibilidade / Reportar erro

Brasil

Español English

sumário « anterior atual seguinte »

Sumário

RESEARCH • Esc. Anna Nery 21 (4) • 2017 • https://doi.org/10.1590/2177-9465-EAN-2016-0388 copy

Cognitive and functional assessment about elderly people users of health public service^a a Article derived from the Master's Dissertation entitled "Cognitive and Functional Assessment of Elderly Users from the Public Health Service and Caregivers Burden", presented to the Graduate Program in Nursing of the Federal University of São Carlos (PPGEnf-UFSCar), 2015. The Dissertation is part of the Research Project "Integral Healthcare for Older Adults and Caregivers in the Municipality of São Carlos", financed through the CNPq Universal Request for Proposals 2012-2015, PROCESS 484864/2012-2.

Evaluación funcional y cognitiva de los ancianos usuários de los servicios de salud pública

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Objective:

To evaluate the functional capacity, cognition and mood in three different care models for older adults.

Method:

A cross-sectional study conducted in 2014 with 140 older adults (37 institutionalized, 53 hospitalized and 50 outpatients). The MMSE, Clock Drawing Test (CDT), Activities of Daily Living Scale - ADLs (Katz, Lawton) and the Geriatric Depression Scale (GDS) were applied.

Results:

Of those institutionalized, the majority were totally dependent for ADLs and 100% presented cognitive decline. Of those hospitalized and the outpatients, the majority were independent for ADLs, with 62.3% and 48.0% presenting cognitive decline, respectively. The minority presented depressive symptoms. The results indicated that age was a predictor of cognitive decline and the likelihood of prevalence in hospitalized and outpatient older adults increased by 8.7% for each year of life.

Conclusion:

It is important to pay attention to the cognitive and functional performance of older adults with the aim of preventing their decline, which is so frequent in the public health services in Brazil.

Keywords:
Older adult; Daily Activities; Cognition

Variables	Categories	LSIOA		UH		UHU
Variables	Categories	n	(%)	n	(%)	n	(%)
Gender	Female	17	45.9	26	49.9	34	68.0
Gender	Male	20	54.1	27	50.1	16	32.0
Marital status	Single	25	67.6	04	7.5	04	8.0
	Married	02	5.4	30	56.6	21	42.0
	Widowed	09	24.3	14	26.4	21	42.0
	Separated	01	2.7	05	9.4	04	8.0
Diseases	SAH	12	32.4	22	41.5	25	51.0
Diseases	DM	07	18.9	14	26.4	12	24.5
Smoking	Yes	06	16.2	12	22.6	02	4.0
Smoking	No	31	83.8	41	77.4	48	96.0
Physical activity	Yes	05	13.5	20	37.7	30	60.0
Physical activity	No	32	86.5	33	62.3	20	40.0
Depressive symptoms	Yes	11	29.7	22	41.5	18	36.0
Depressive symptoms	No	26	70.3	31	58.5	32	64.0
Cognitive decline	Yes	37	100.0	33	62.3	24	48.0
Cognitive decline	No	00	0.0	20	37.7	26	52.0
Total		37	100.0	53	100.0	50	100.0

Variables	LSIOA			UH			UHU
Variables	M (sd)	Min	Max	M (sd)	Min	Max	M (sd)	Min	Max
Age	74.4 (9.8)	60	95	70.8 (8.1)	60	86	75.1 (9.2)	61	96
Schooling	1.2 (1.7)	00	04	4.3 (3.3)	00	14	5.3 (5.1)	00	20
CDT	1.6 (1.7)	01	09	4.9 (2.1)	00	10	5.1 (2.4)	01	10
MMSE	6.6 (7.7)	00	22	17.3 (9.8)	00	30	19.0 (10.6)	00	30
IADLs	10.0 (4.1)	07	19	16.1 (5.8)	07	21	16.1 (6.0)	07	21
BADLs	2.4 (2.2)	00	06	4.4 (2.4)	00	06	4.5 (2.3)	00	06
GDS	4.5 (3.5)	00	11	4.8 (3.8)	00	15	4.1 (3.1)	00	11

Presence of cognitive decline	Yes		No		Total
Presence of cognitive decline	n	(%)	n	(%)	n	(%)
LSIOA	37	100.0	00	00.0	37	26.4
UH	33	62.3	20	37.7	53	37.9
UHU	24	48.0	26	52.0	50	35.7
Total	94	67.1	46	32.9	140	100.0

Variables	p-value	OR	95% CI
Variables	p-value	OR	LL	UL
Institution	0.161	2.430	0.978	6.039
Gender	0.579	0.777	0.319	1.895
Age	0.002^* * p-value < 0.05.	1.087	1.030	1.147
Depressive symptoms	0.325	1.602	0.626	4.102
Morbidities	0.169	0.732	0.469	1.142

Care Modes	BADLs			IADLs
Care Modes	Mean	Median	p-value^* * Kruskal-Wallis.	Mean	Median	p-value^* * Kruskal-Wallis.
LSIOA	2.35	2.00		9.97	7.00
UH	4.42	6.00	< 0.001	16.15	19.00	< 0.001
UHU	4.54	6.00		16.10	20.00

Universidade Federal do Rio de Janeiro Rua Afonso Cavalcanti, 275, Cidade Nova, 20211-110 - Rio de Janeiro - RJ - Brasil, Tel: +55 21 3398-0952 e 3398-0941 - Rio de Janeiro - RJ - Brazil
E-mail: annaneryrevista@gmail.com

Acompanhe os números deste periódico no seu leitor de RSS

[1] Corresponding author: Aline Cristina Martins Gratão. E-mail: aline-gratao@hotmail.com