Impaired Activity of Daily Living Status of the Older Adults and Its Influencing Factors: A Cross-Sectional Study

Gao, Jin; Gao, Qing; Huo, Liting; Yang, Jianchuang

doi:10.3390/ijerph192315607

Cited by 10 publications

(2 citation statements)

References 34 publications

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“…In the entire population of elderly patients we examined, data analysis showed that an increase in independence and autonomy in activities of daily living was directly related to a growth in strength. This result is consistent with previous studies in the literature that have linked health to hand strength [57,58]. Furthermore, several studies show that poor muscle strength is associated with cognitive decline, low quality of life, and depressive symptoms in elderly patients [59,60].…”

Section: Discussionsupporting

confidence: 92%

The Role of Rehabilitation on the Evolution of Disability and Self-Sufficiency in a Population of Hospitalized Older Adults

Giovannini,

Iacovelli,

Loreti

et al. 2023

Applied Sciences

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Frailty is characterized by increased vulnerability, which impairs the ability to cope with stressors and represents a risk factor for the development of disability. Moreover, the population of older adults is continuously increasing. For this reason, frailty and aging represent very important social and health topics. The management of elderly patients, especially when they are hospitalized, is complex and requires the collaboration of multiple professionals and different approaches to intervene in the multi-morbidity that characterizes this population. A significant percentage of hospitalized older patients present several comorbidities that cause prolonged hospital stays. This condition could lead to clinical complications, increased costs of care, and a higher likelihood of in-hospital death. Aging is a concept that encompasses several symptoms and requires a multidisciplinary and specific approach, especially during hospitalization and in acute care settings. The present study aims to evaluate how intensive rehabilitation treatment is accompanied by improvement in some hematological and clinical parameters and could contribute to an evolution in disability among elderly patients. The results of the present research show the crucial role of rehabilitation treatment in the development of disability, independence, and self-sufficiency in a population of older inpatients in a post-acute care setting. Further research should be conducted to identify other biomarkers useful in the management of frail patients.

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Section: Discussionsupporting

confidence: 92%

The Role of Rehabilitation on the Evolution of Disability and Self-Sufficiency in a Population of Hospitalized Older Adults

Giovannini,

Iacovelli,

Loreti

et al. 2023

Applied Sciences

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“…Post-pandemic, some participants struggled to be as sociable and physically active as they were in pre-pandemic times due to getting used to staying home and feeling little to no reason to meet people outside. While a gradual reduction of activities of daily living is a typical process as one ages, 34 this does not fully explain the stark difference in socialising in pre-and post-pandemic times. One possible reason for this difference is the long-term deficits that have been found in older adult COVID-19 survivors due to the cognitive and physical changes brought about by the virus.…”

Section: Discussionmentioning

confidence: 97%

Anxiety during the Corona Virus Disease (COVID-19): The Lived Experience of Older Adults

Portelli,

Soler

2024

MRAJ

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This qualitative study explored the lived experience of Maltese older adults experiencing symptoms of anxiety during the coronavirus disease pandemic. The study was carried out through an interpretative phenomenological analysis approach. The participants (7 Maltese older adults) were recruited through purposive and snowball sampling, and semi-structured interviews were utilised to collect data. A cluster of 4 emergent Group Experiential Themes comprising of 13 subthemes highlighted the high levels of fear, as well as the different cognitive processes and attitudes that led to and maintained the experience of anxiety. The challenges of living through the pandemic included social isolation, safety measures, the long-term living outcomes of the pandemic and reflections on vulnerability. Resilience, coping strategies, and support systems played crucial roles throughout this period. Results framed within a Dynamic Biopsychosocial Model revealed that biological, psychological and social factors influencing anxiety evolved with the pandemic, shaping participants' perceptions. Measures supporting older adults to soften the negative mental health outcomes and possible traumas due to death of loved ones or long-term hospitalization should be prioritized.

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The current status of health care indices and functional independence among older adults: data from HelpAge international-jordan study

Abufaraj,

Alhalaseh,

Al-sabbagh

et al. 2024

Aging Clin Exp Res

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Background Health services should anticipate the changing pattern of illnesses associated with population aging to promote healthy aging. Aim We aimed to evaluate health indices and chronic illnesses and their relationship with functional independence in community Syrian refugees & Jordanian elderly. Methods A stratified sample of 1,718 community older adults aged ≥ 60-year-old from four major Jordanian governorates was interviewed in this cross-sectional study. Katz Index of Independence in Activities of Daily Living was utilized to assess functional status. Data were analyzed using STATA 15. Results Despite the similarities in baseline function, Syrian refugees had more multimorbidities but less active health insurance, accessibility to healthcare services and availability of medications and medical devices than Jordanians. Two-thirds had multimorbidities; with heart diseases, musculoskeletal conditions, hypertension, and diabetes being the most commonly reported chronic illnesses. Females had significantly more multimorbidities, and functional dependence, yet less education, income and accessibility to healthcare services. The mean Katz Index score was 4.99 ± 1.61. Significant predictors of functional dependence included increasing age, lower level of education, and some chronic illnesses. Conclusion National inclusive plans to support vulnerable older adults especially refugees and older women, provide health insurance, enhance access to health care facilities, and manage chronic medical illnesses comprehensively are urgently needed to improve independence of community-living older adults and to promote healthy aging.

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Impaired Activity of Daily Living Status of the Older Adults and Its Influencing Factors: A Cross-Sectional Study

Cited by 10 publications

References 34 publications

The Role of Rehabilitation on the Evolution of Disability and Self-Sufficiency in a Population of Hospitalized Older Adults

The Role of Rehabilitation on the Evolution of Disability and Self-Sufficiency in a Population of Hospitalized Older Adults

Anxiety during the Corona Virus Disease (COVID-19): The Lived Experience of Older Adults

The current status of health care indices and functional independence among older adults: data from HelpAge international-jordan study

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