Factors related to lower functional capacity of institutionalized older adults

Authors

DOI:

https://doi.org/10.33448/rsd-v10i7.16253

Keywords:

Aged; Nursing home; Oral Health; Disability evaluation.

Abstract

The aim of this study was to assess the functional capacity of institutionalized older people and to verify which sociodemographic, health factors and oral health were related to the worse ability to perform daily activities. It was a cross-sectional study conducted with 512 institutionalized elderly people. Sociodemographic profile; general health and oral health conditions were evaluated. Functional capacity was assessed by Barthel Index. A high prevalence of functional dependent elderly was found (47.1%). A lower functional capacity was associated with female (p=0.006); higher education (p=0.009); older elderly (p<0.045); decision to institutionalize by others (p=0.011); affected cognitive state (p<0.001); reduced mobility (p<0.001), less autonomy for self-care in oral health and worse oral health. Institutionalized elderly has low functional capacity that is related to several aspects of their lives.

References

Barros, T. V. P., Santos, A. D. B., Gonzaga, J. D. M., Lisboa, M. G. D. C., & Brand, C. (2016). Capacidade funcional de idosos institucionalizados: revisão integrativa. ABCS Health Sciences, 41(3), 176–180. https://doi.org/10.7322/abcshs.v41i3.908

Castro-Monteiro, E., Forjaz, M. J., Ayala, A., Rodriguez-Blazquez, C., Fernandez-Mayoralas, G., Diaz-Redondo, A., & Martinez-Martin, P. (2014). Change and predictors of quality of life in institutionalized older adults with dementia. Quality of Life Research, 23(9), 2595–2601. https://doi.org/10.1007/s11136-014-0706-8

Chiesi, F., Grazzini, M., Innocenti, M., Giammarco, B., Simoncini, E., Garamella, G., … Bonaccorsi, G. (2019). Older People Living in Nursing Homes: An Oral Health Screening Survey in Florence, Italy. International Journal of Environmental Research and Public Health, 16(18), 3492. https://doi.org/10.3390/ijerph16183492

Cobo, C. M. S. (2014). The influence of institutionalization on the perception of autonomy and quality of life in old people. Revista Da Escola de Enfermagem, 48(6), 1011–1017. https://doi.org/10.1590/S0080-623420140000700008

Converso, M. E., & Iartelli, I. (2007). Caracterização e análise do estado mental e funcional de idosos institucionalizados em instituições públicas de longa permanência. Jornal Brasileiro de Psiquiatria, 56(4), 267–272. https://doi.org/10.1590/S0047-20852007000400005

de Medeiros, A. K. B., Barbosa, F. P., Piuvezam, G., Carreiro, A. da F. P., & Lima, K. C. (2019). Prevalence and factors associated with alterations of the temporomandibular joint in institutionalized elderly. Ciencia e Saude Coletiva, 24(1), 159–168. https://doi.org/10.1590/1413-81232018241.06132017

Demura, S., Sato, S., Minami, M., & Kasuga, K. (2003). Gender and age differences in basic ADL ability on the elderly: Comparison between the independent and the dependent elderly. Journal of Physiological Anthropology and Applied Human Science, 22(1), 19–27. https://doi.org/10.2114/jpa.22.19

Ferreira, L. M. de B. M., Ribeiro, K. M. O. B. de F., Jerez-Roig, J., Araújo, J. R. T., & de Lima, K. C. (2019). Recurrent falls and risk factors among institutionalized older people. Ciencia e Saude Coletiva, 24(1), 67–75. https://doi.org/10.1590/1413-81232018241.35472016

Fluetti, M. T., Fhon, J. R. S., Oliveira, A. P. de, Chiquito, L. M. O., & Marques, S. (2018). The frailty syndrome in institutionalized elderly persons. Revista Brasileira de Geriatria e Gerontologia, 21(1), 60–69. https://doi.org/10.1590/1981-22562018021.170098

Freitas, Y. N., Lima, K. C., & da Silva, D. A. (2016). Condições de saúde bucal e capacidade funcional em idosos: Um estudo longitudinal de base populacional. Revista Brasileira de Epidemiologia, 19(3), 670–674. https://doi.org/10.1590/1980-5497201600030016

Gill, T. M., Gahbauer, E. A., Han, L., & Allore, H. G. (2009). Functional trajectories in older persons admitted to a nursing home with disability after an acute hospitalization. Journal of the American Geriatrics Society, 57(2), 195–201. https://doi.org/10.1111/j.1532-5415.2008.02107.x

Gonçalves, L. H. T., da Silva, A. H., Mazo, G. Z., Bertoldo Benedetti, T. R., dos Santos, S. M. A., Marques, S., … Rezende, T. de L. (2010). O idoso institucionalizado: Avaliação da capacidade funcional e aptidão física. Cadernos de Saude Publica, 26(9), 1738–1746. https://doi.org/10.1590/s0102-311x2010000900007

Güths, J. F. da S., Jacob, M. H. V. M., Santos, A. M. P. V. dos, Arossi, G. A., & Béria, J. U. (2017). Perfil sociodemográfico, aspectos familiares, percepção de saúde, capacidade funcional e depressão em idosos institucionalizados no Litoral Norte do Rio Grande do Sul, Brasil. Revista Brasileira de Geriatria e Gerontologia, 20(2), 175–185. https://doi.org/10.1590/1981-22562017020.160058

Hoeksema, A. R., Peters, L. L., Raghoebar, G. M., Meijer, H. J. A., Vissink, A., & Visser, A. (2017). Oral health status and need for oral care of care-dependent indwelling elderly: from admission to death. Clinical Oral Investigations, 21(7), 2189–2196. https://doi.org/10.1007/s00784-016-2011-0

Janssens, B., Vanobbergen, J., Petrovic, M., Jacquet, W., Schols, J. M. G. A., & Visschere, L. De. (2017). The oral health condition and treatment needs of nursing home residents in Flanders (Belgium). Community Dental Health, 34, 143–151. https://doi.org/10.1922/CDH

Jerez-Roig, J., De Brito MacEdo Ferreira, L. M., De Araújo, J. R. T., & Lima, K. C. (2017). Functional decline in nursing home residents: A prognostic study. PLoS ONE, 12(5), 1–14. https://doi.org/10.1371/journal.pone.0177353

Khanagar, S., Naganandini, S., Rajanna, V., Naik, S., Rao, R., & Madhuniranjanswamy, M. S. (2015). Oral hygiene status of institutionalised dependent elderly in India - A cross-sectional survey. Canadian Geriatrics Journal, 18(2), 51–56. https://doi.org/10.5770/cgj.18.147

Kuo, H. T., Lin, K. C., Lan, C. F., & Li, I. C. (2017). Activities of daily living trajectories among institutionalised older adults: A prospective study. Journal of Clinical Nursing, 26(23–24), 4756–4767. https://doi.org/10.1111/jocn.13828

Lantto, A., Lundqvist, R., & Wårdh, I. (2018). Oral Status and Prosthetic Treatment Needs in Functionally Impaired and Elderly Individuals. The International Journal of Prosthodontics, 31(5), 494–501. https://doi.org/10.11607/ijp.5491

Mahoney, F. I., & BARTHEL, D. W. (1965). Functional evaluation: the Barthel Index. Md State Med J, 14, 61–65.

Montal, S., Tramini, P., Triay, J. A., & Valcarcel, J. (2006). Oral hygiene and the need for treatment of the dependent institutionalised elderly. Gerodontology, 23(2), 67–72. https://doi.org/10.1111/j.1741-2358.2006.00111.x

Nihtilä, A., Tuuliainen, E., Komulainen, K., Autonen-Honkonen, K., Nykänen, I., Hartikainen, S., … Suominen, A. L. (2017). Preventive oral health intervention among older home care clients. Age and Ageing, 46(5), 846–851. https://doi.org/10.1093/ageing/afx020

Oliveira, J. R. de, & Júnior, P. R. R. (2014). Avaliação da qualidade de vida e capacidade funcional de idosos institucionalizados. Revista Kairós Gerontologia, 1(3), 343–353.

Oliveira, P. H. de, & Mattos, I. E. (2012). Prevalência e fatores associados à incapacidade funcional em idosos institucionalizados no Município de Cuiabá, Estado de Mato Grosso, Brasil, 2009-2010. Epidemiologia e Serviços de Saúde, 21(3), 395–406. https://doi.org/10.5123/s1679-49742012000300005

Pfeiffer, E. (1975). A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. Geriatr Soc., 23(10), 433–441.

Pinillos-Patiño, Y., & Prieto-Suárez, E. (2012). Funcionalidad física de personas mayores institucionalizadas y no institucionalizadas en Barranquilla, Colombia. Revista de Salud Pública (Bogotá, Colombia), 14(3), 438–447.

Portella, F. F., Rocha, A. W., Haddad, D. C., Fortes, C. B. B., Hugo, F. N., Padilha, D. M. P., & Samuel, S. M. W. (2015). Oral hygiene caregivers’ educational programme improves oral health conditions in institutionalised independent and functional elderly. Gerodontology, 32(1), 28–34. https://doi.org/10.1111/ger.12049

Shah, S., Vanclay, F., & Cooper, B. (1989). Improving the sensitivity of the Barthel Index for stroke rehabilitation. J Clin Epidemiol, 42(8), 703–709. https://doi.org/10.1016/0550-3213(73)90429-X

Vivian, A. de S., & Argimon, I. I. de L. (2009). Estratégias de enfrentamento, dificuldades funcionais e fatores associados em idosos institucionalizados. Cadernos de Saude Publica, 25(2), 436–444. https://doi.org/10.1590/s0102-311x2009000200022

WHO, (1998). Oral Health Surveys: Basic Methods. Geneva.

Downloads

Published

14/06/2021

How to Cite

SILVA, R. A. D. A. da; SILVA , E. F. da; FREIRE JÚNIOR, J. L. M. . . .; MOURA, W. V. B. de; REGIS , R. R. .; TEIXEIRA , A. K. M. . Factors related to lower functional capacity of institutionalized older adults. Research, Society and Development, [S. l.], v. 10, n. 7, p. e6310716253, 2021. DOI: 10.33448/rsd-v10i7.16253. Disponível em: https://www.rsdjournal.org/index.php/rsd/article/view/16253. Acesso em: 19 apr. 2024.

Issue

Section

Health Sciences