José Rodolfo Torres de Araújo, Lidiane Maria de Brito Macedo Ferreira, Javier Jerez-Roig, Kenio Costa de Lima
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引用次数: 6
摘要
背景和目的:流动性是人类的一项基本需求，流动性的限制损害了健康状况，特别是对来自发展中国家和居住在养老院的老年人而言。本研究的目的是确定居住在养老院的老年人活动能力限制的患病率和相关因素。方法:对巴西东北部10家养老院的305名老年人(≥60岁)进行横断面研究。利用Barthel指数中的“步行”项对活动能力限制进行评价。收集了有关参与者和机构的社会人口/经济数据，以及可能影响老年人流动状况的条件。采用χ2检验和多元logistic回归，显著性水平为5%。结果和讨论:活动受限的患病率为65.6%(95%可信区间[CI]， 59.6-70.4)。39.7%的样本(26.9%的轮椅使用者和12.8%的卧床者)被确定为行走依赖，而25.9%的人在辅助下行走(16.7%的人在最大程度的帮助下行走，9.2%的人在最小程度的帮助下行走)。活动受限与营养不良/营养不良风险(1.86,95% CI, 1.54-2.26, P < .001)和年龄≥81岁(1.35,95% CI, 1.12-1.63, P = .002)显著相关。结论:活动受限在巴西养老院的老年人中患病率很高，并且与高龄和营养状况不佳有关。保健专业人员应提倡保持活动能力和适当的营养支持。
Mobility Limitation in Older Adults Residing in Nursing Homes in Brazil Associated With Advanced Age and Poor Nutritional Status: An Observational Study.
Background and purpose: Mobility is a basic human need, and its limitation compromises health status, especially in older adults from developing countries and residing in nursing homes. This study aims to determine the prevalence and factors associated with mobility limitation in older adults residing in nursing homes.
Methods: A cross-sectional study was conducted with 305 older adults (≥60 years) residing in 10 nursing homes in Northeast Brazil. Mobility limitation was evaluated using the "walking" item of the Barthel index. Sociodemographic/economic data concerning the participants and institutions, as well as conditions that could influence the mobility state of the older adults, were collected. The χ2 test and multiple logistic regression were performed using a significance level of 5%.
Results and discussion: The prevalence of mobility limitation was 65.6% (95% confidence interval [CI], 59.6-70.4). Walking dependence was identified in 39.7% of the sample (26.9% wheelchair users and 12.8% bedridden), while 25.9% walked with assistance (16.7% with maximal assistance and 9.2% with minimal assistance). Mobility limitation was significantly associated with malnutrition/risk of malnutrition (1.86, 95% CI, 1.54-2.26, P < .001) and age ≥81 years (1.35, 95% CI, 1.12-1.63, P = .002).
Conclusion: Mobility limitation has a high prevalence among older adults residing in nursing homes in Brazil, and is associated with advanced age and poor nutritional status. Health professionals should advocate for the maintenance of mobility and adequate nutritional support.
期刊介绍：
Journal of Geriatric Physical Therapy is the leading source of clinically applicable evidence for achieving optimal health, wellness, mobility, and physical function across the continuum of health status for the aging adult.
The mission of the Academy of Geriatric Physical Therapy is building a community that advances the profession of physical therapy to optimize the experience of aging.
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