Family health strategy: relevance to the functional capacity of older people

Silva, Carla Silvana de Oliveira e; Barbosa, Mayke Müller Soares; Pinho, Lucinéia de; Figueiredo, Maria Fernanda Santos; Amaral, Caroline Oliveira; Cunha, Franciele Ornelas; Alves, Elaine; Barbosa, Dulce Aparecida

doi:10.1590/0034-7167-2017-0078

Cited by 27 publications

(17 citation statements)

References 15 publications

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“…The complexity of the morphological and functional modifications of aging is one of the concerns of the health services, especially with regard to disease prevention and quality of life improvement. (1) During the aging process, chronic non-communicable diseases (CNCDs) are frequently identified, and their increased incidence is related to a greater loss of functional capacity. (1) These diseases are of multifactorial and noninfectious origin, present determinants and conditioning factors and may be associated with deficiencies.…”

Section: Introductionmentioning

confidence: 99%

“…(1) During the aging process, chronic non-communicable diseases (CNCDs) are frequently identified, and their increased incidence is related to a greater loss of functional capacity. (1) These diseases are of multifactorial and noninfectious origin, present determinants and conditioning factors and may be associated with deficiencies. (2) In Brazil, CNCDs account for approximately 70% of health care expenditures.…”

Section: Introductionmentioning

confidence: 99%

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Capacidade funcional e fatores associados em idosos residentes em comunidade

et al. 2019

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1 Universidade Federal da Paraíba, João Pessoa, PB, Brasil. 2 Universidade Federal de Pernambuco, Recife, PE, Brasil.Confl itos de Interesse: Cada um dos autores declara que não apresenta qualquer tipo confl ito de interesse e aprovou a apresentação do estudo. AbstractObjective: Estimate the level of functional capacity, self-reported diseases and the associated factors between community-dwelling elderly people; Methods: This was a quantitative, descriptive, cross-sectional study conducted with 159 elderly people. We used the Brazil Old Age Schedule, Lawton and Brody scale, Katz index and a self-reported disease questionnaire; Results: In the sample of 159 participants, it was observed that of the elderly people were between 60 and 70 years old, female, widowed, divorced or never married, could read and write, did not work and received minimum wage. For basic activities of daily living, having diabetes was the most important factor, with seven point thirty times the likelihood of been dependent. For instrumental and advanced activities of daily living, not been literate and suffering from stroke, respectively, were the most important factors; Conclusion: Functional capacity was associated with osteoporosis and stroke and was correlated with self-reported diseases. ResumoObjetivo: Estimar o nível de capacidade funcional, as doenças autorreferidas e fatores associados entre idosos comunitários. Métodos: Estudo quantitativo, descritivo, transversal, realizado com 159 idosos. Foram utilizados o questionário Brazil Old Age Schedule (BOAS), a escala de Lawton e Brody, o índice de Katz e um questionário de doença autorreferida. Resultados: Na amostra de 159 participantes, 85 idosos tinham entre 60 e 70 anos, eram do sexo feminino, viúvos, divorciados ou nunca casados, sabiam ler e escrever, não trabalhavam e recebiam salário mínimo. Para as atividades básicas da vida diária, ter diabetes foi o fator mais importante, com 7.30 vezes a probabilidade de ser dependente. Para atividades instrumentais e avançadas da vida diária, não ser alfabetizado e sofrer acidente vascular cerebral (AVC), respectivamente, foram os fatores mais importantes. Conclusão: A capacidade funcional foi associada à osteoporose e AVC, e teve correlação com doenças autorreferidas. ResumenObjetivo: Estimar el nivel de capacidad funcional, enfermedades autorreferidas y factores asociados entre ancianos de residencias geriátricas. Métodos: Estudio cuantitativo, descriptivo y transversal realizado con 159 ancianos. Se utilizó el cuestionario Brazil Old Age Schedule (BOAS), la escala de Lawton y Brody, el índice de Katz y un cuestionario de enfermedad autorreferida. Resultados: En la muestra de 159 participantes, 85 ancianos tenían entre 60 y 70 años, eran de sexo femenino, viudos, divorciados o nunca casados, sabían leer y escribir, no trabajaban y recibían salario mínimo. Para las actividades básicas de la vida diaria, tener diabetes fue el factor más importante, con 7.30 veces de probabilidad de ser dependiente. Para actividades instrumentales y avanzada...

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Capacidade funcional e fatores associados em idosos residentes em comunidade

et al. 2019

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“…Elderly individuals aged 80 years old or older had a 3.19 times higher prevalence of developing functional disability when compared to those aged 60 to 69 years old. 17 Data analyzed in Avaré, São Paulo, further demonstrate that the age group between 60 and 69 years old appears as a protective factor for functional dependence. 18 Advancing in age, various physiological systems gradually decline, including the nervous and the muscle-skeletal ones, which are essential for performing certain basic activities such as bathing, dressing, going to the bathroom, lying down, and getting out of bed or chair, eating alone, combing, cutting toenails, or climbing stairs.…”

Section: Discussionmentioning

confidence: 90%

“…14 Recent studies conducted in a city in the state of Minas Gerais, signals that there is a significant influence of chronic diseases on functional capacity and, among these diseases, cardiac, pulmonary, SAH and arthropathy have negative consequences for the functionality of the elderly. 17 In the univariate analysis using the gross relative risk, and in the multivariate analysis using the adjusted relative risk, the variables age (≥ 70 years old) and presence of comorbidities (SAH/DM) were associated with some degree of dependence for the functional capacity. According to the multivariate analysis, older women aged ≥ 70 years old have approximately 1.9 a chance of having some degree of dependence compared to those aged 60 to 69 years old.…”

Section: Discussionmentioning

confidence: 95%

“…This proportion statistically decreased in the elderly over 80 yearsold. 17 Dependence on BADLs among elderly people is differentiated between sociodemographic groups, with a higher prevalence found in those with unfavorable sociodemographic conditions. 11 The functional capacity impairment observed in older people in this study is also found in the national and international literature.…”

Section: Discussionmentioning

confidence: 99%

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Factors associated with the functional capacity of elderly individuals with hypertension and/or diabetes mellitus

et al. 2020

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Objective: To identify the association of sociodemographic and clinical factors with the functional capacity of elderly individuals with hypertension and/or diabetes mellitus. Method: An outpatient, non-probabilistic cross-sectional study, performed in two Health Units in a city from the inland of Bahia, Brazil, with a population of 100 elderly individuals monitored through the HIPERDIA Program. Data was collected using a questionnaire covering socio-demographic data, the Katz index and the Mini Mental State Examination. Results: The analysis showed that 45% of the respondents had some degree of dependence. In the multivariate analysis it as observed that the elderly individuals aged 70 years old or more presented 1.9 times more chances to develop some degree of dependence in relation to those under 70 years old. Considered the same age group, it was shown that those with concomitant comorbidities (hypertension and diabetes) were 1.7 times more likely to develop some dependence compared to those who only had hypertension. Conclusion and implications for practice: It was possible to conclude that functional capacity as a multifactorial condition in this population was determined by age and by the presence of comorbidities (hypertension and diabetes). Identifying these disability-conditioning factors allows for a better planning of nursing care based on promoting a healthy, independent and autonomous aging process.

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Family Functioning Mediates the Relationship Between Activities of Daily Living and Poststroke Depression

et al. 2020

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Background Poststroke depression is common and includes depressive and somatic symptoms. However, few studies have confirmed the influence of family functioning on poststroke depression or explored the association among daily activities, family functioning, and poststroke depression. Objectives We examined the independent risk factors of daily activities and family functioning for poststroke depression and identified the mediating effect of family functioning on the association between daily activities and poststroke depression. Methods This cross-sectional study design used convenience sampling to recruit 422 stroke survivors from the neurology department of a hospital in Harbin, China, from February to July 2018. We assessed participants’ demographic and clinical variables, including depression, daily activities, and family functioning. Pearson’s correlations and multiple linear regression analyses were conducted, and a path analysis with bootstrapping was utilized to define direct/indirect effects. Results Daily activities and family functioning had a significant and direct negative effect on participants’ depression. The indirect effect of 1,000 bootstrap samples after bias correction with a 95% confidence interval was below zero, indicating that family function had a significant mediating effect on the association between depression and daily activities. Discussion This study revealed the importance of family functioning in the association between depression and daily activities in stroke survivors. To the best of our knowledge, this study was the first to explore the mediating role of family functioning in poststroke depression, emphasizing the importance of family for the mental health of stroke patients. To reduce the incidence of poststroke depression, interventions that enhance daily activities and family functioning may include nurses, family therapists, rehabilitation physicians, and community workers.

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Family health strategy: relevance to the functional capacity of older people

Cited by 27 publications

References 15 publications

Capacidade funcional e fatores associados em idosos residentes em comunidade

Capacidade funcional e fatores associados em idosos residentes em comunidade

Factors associated with the functional capacity of elderly individuals with hypertension and/or diabetes mellitus

Family Functioning Mediates the Relationship Between Activities of Daily Living and Poststroke Depression

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