RESUMO
Objetivos: Los objetivos del estudio fueron determinar la evolución de la capacidad funcional en mayores de 65 años de la Región Sanitaria de Lleida durante su estancia en el programa de atención domiciliaria (ATDOM), y analizar los factores predictores de mortalidad Metodología: Se trata de un estudio longitudinal. La muestra incluye las estancias (procesos) ≥ 6 meses en el programa ATDOM ocurridos durante 5 años. Las variables a estudio fueron la capacidad funcional al ingreso, a la mitad y al final del proceso, las características sociodemográficas, las enfermedades crónicas, el estado de salud, los problemas sociofamiliares y la mortalidad Resultados: Se incluyeron un total de 8.189 personas, con un total de 8.433 procesos abiertos entre los años 2011 y 2016. La capacidad funcional empeoró más en las primeras fases del proceso, y se mantuvo más estable en la fase final. En las personas más mayores, con demencia senil y con presencia de úlceras por presión, la dependencia aumentaba conforme avanzaba el proceso. Conclusiones: Los resultados obtenidos en este estudio sobre la relación de la dependencia funcional en la valoración inicial y el mayor riesgo de mortalidad son coincidentes con estudios desarrollados (AU)
Objectives: The objective of the study was to determine the evolution of functional ability in patients over 65 years of age during the home care program in the Lleida Health Region and analyze the predictors of mortality. Methodology: The sample includes stays in the home care program (processes) of at least six months long over five years. The variables under study were functional ability at the beginning, in the middle, and at the end of the process, sociodemographic characteristics, chronic diseases, health status, socio-family problems, and mortality. Results: A total of 8,189 people were included with a total of 8,433 processes opened between the years 2011 and 2016. Functional ability worsened more in the early stages of the process, remaining more stable in the final phase. In older patients, with senile dementia and the presence of pressure ulcers, dependence increased as the process progressed. Conclusions: The results obtained in this study on the relationship of functional ability in the initial assessment and the increased risk of mortality are consistent with studies carried out (AU)
Assuntos
Humanos , Masculino , Feminino , Idoso , Idoso de 80 Anos ou mais , Serviços de Assistência Domiciliar , Saúde do Idoso , Avaliação Geriátrica , Doença Crônica , Mortalidade , Estudos LongitudinaisRESUMO
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Assuntos
Humanos , Masculino , Feminino , Idoso , Serviços de Saúde para Idosos , Desnutrição/epidemiologia , Fatores de Risco , Apoio SocialAssuntos
Desnutrição/epidemiologia , Idoso , Feminino , Serviços de Saúde para Idosos , Humanos , Masculino , Fatores de Risco , Apoio SocialRESUMO
OBJECTIVE: To know the health professional profile in the province of Lleida with regard to health education. DESIGN: Observational transversal study. SETTING: All the medicine, nursery and social work colleges in the province of Lleida (3060). PARTICIPANTS: Bachelors in medicine (208), graduates in nursery (252), graduates in social work (64). INTERVENTION: A postal survey was send to the private address. The questions were about personal and job characteristics related to activities in health education. RESULTS: The response percentage was 48.1%. The association between the training in health education (28.2%-39.8%) and the realization of activities in health education (44.6%-57%) is significant. The realization of activities in health education is also associated with the resources disposition (CC = 0.3177, p < 0.01), and the job place (CC = 0.3155, p < 0.01). CONCLUSIONS: The assistance to health education courses and the adequacy of resources suppose better participation in activities related to health education.
