[Daily living functionality in elderly adults]. / Funcionalidad para la vida diaria en adultos mayores.

OBJECTIVE: to evaluate the daily living activities in elderly adults and to determine the factors related to disability. METHODS: cross-sectional and analytic study with convenience samples. INCLUSION CRITERIA: both sex, without cognitive diseases. VARIABLES: socio-demographics, functionality for daily living basic activities (DLBA), functionality for daily living instrumental activities (DLIA): Katz Scale, Lawton and Brody Index. ANALYSIS: descriptive statistics and odds ratio (OR) with 95 % confidence intervals. RESULTS: a hundred elderly adults, 60 % females and 40 % males. Mean age 69.71 ± 7.01 years. Functionality for DLBA: normal 26 %, very slightly disabled 33 %, slightly disabled 17 %, moderately disabled 23%, severely disabled 1 %. Functionality for DLIA: independent 8 %, moderately dependent 71 %, dependent 21 %. Associated factors for basic dependence: age > 74 years. Associated factors for instrumental dependence: unmarried. CONCLUSIONS: the frequency of basic dependence was different from that reported by other authors. The frequency of instrumental dependence was greater than earlier regional studies. More studies are need to arrive at better conclusions.

Síndrome de sobrecarga en cuidadores primarios de adultos mayores de Cárdenas, Tabasco, México: enero a mayo de 2008 / Overcharge syndrome in primary caretakers of elderly population from Cardenas, Tabasco, Mexico: January-May, 2008

Objetivo: determinar la prevalencia del síndrome de sobrecarga del cuidador primario del adulto mayor, y los factores asociados, en una muestra de derechohabientes usuarios del Instituto Mexicano del Seguro Social (IMSS), Cárdenas, Tabasco. Materiales y métodos: diseño transversal, analítico. Universo: cuidadores primarios de adultos mayores derechohabientes usuarios del IMSS, numero fi nito e indeterminado. Muestra: no probabilística ajustada por conveniencia. Criterios de inclusión: edad mayor o igual a 18 años, cualquier sexo, sin enfermedades cognitivas ni discapacidades físicas que acudieron acompañando a su adulto mayor a recibir atención en unidades del IMSS durante Enero-Mayo de 2008, aceptaron participar y firmaron consentimiento informado. Variables: sociodemográficas, económicas, percepción de la funcionalidad familiar, síndrome de sobrecarga del cuidador. Instrumentos: Apgar Familiar, Escala de Zarit & Zarit. Análisis: estadística descriptiva, razón de posibilidades (OR) con 95% de confianza (p≤0,05). Software: SPSSR versión 10,0. Resultados: 100 cuidadores, 69% femeninos, 31% masculinos. Edad media 40,2 + 12,8 años, mínima 18, máxima 75. Prevalencia de síndrome de sobrecarga 15 % cuidadores. Factores asociados: estado civil no unido OR 24,89 (IC 95 7,92, 78,18), escolaridad baja OR 30,96 (IC 95 10,27, 93,33), disfunción familiar OR 9,08 (IC95 2,36, 34,90), estado civil unido OR 0,04 (IC 95 0,01, 0,13), escolaridad media-alta OR 0,03 (IC95 0,01, 0,10), familia funcional OR 0,11 (IC 95 0,03, 0,42). Conclusiones: la prevalencia del síndrome es baja, comparada con reportes similares, mientras que los factores asociados concuerdan con lo reportado por otros autores. Se requieren estudios más amplios para mejores conclusiones...

Objective: to determine overcharge syndrome in primary caretaker of elderly population prevalence, and associated factors, in a sample of Instituto Mexicano del Seguro Social (IMSS) users, Cardenas, Tabasco. Material and methods: cross-sectional and analytic design. Universe: primary caretakers of elderly population IMSS users, finite and indeterminate number. Sample: no randomized adjusted for convenience. Inclusion criterions: age ≥18 years, any gender, without cognitive diseases neither physic disabilities that goes accompanying elderly population to receive attention in IMSS units during January-May 2008, accept participate and signed informed consent. Variables: sociodemographics, economics, family functionality perception, caretaker overcharge syndrome. Instruments: Family Apgar, Zarit & Zarit Scale. Analysis: descriptive statistic, odds ratio (OR) with 95% of confidence (p≤0,05). Software: SPSSR version 10,0. Results: 100 caretakers, 69% females, 31 males. Mean age 40,2 +12,8 years, minimum 18, maximum 75. Overcharge syndrome prevalence 15 X 100 caretakers. Associated factors: single civil status OR 24,89 (CI 95 7,92, 78,18), low scholar lever OR 30,96 (CI 95 10,27, 93,33), family dysfunction OR 9,08 (CI 95 2,36, 34,90), united civil status OR 0,04 (CI 95 0,01, 0,13), medium-high scholar level OR 0,03 (CI95 0,01, 0,10), functional family OR 0,11 (CI95 0,03, 0,42). Conclusions: the syndrome prevalence is lower compared with similar reports, while that the associated factors according with the reported for other authors. Wider studies are required for better conclusions...