Assessment of functional status and daily life problems faced by elderly in a North Indian city.


Journal

Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society
ISSN: 1479-8301
Titre abrégé: Psychogeriatrics
Pays: England
ID NLM: 101230058

Informations de publication

Date de publication:
Sep 2019
Historique:
received: 16 04 2018
revised: 26 09 2018
accepted: 25 12 2018
pubmed: 7 2 2019
medline: 14 2 2020
entrez: 7 2 2019
Statut: ppublish

Résumé

The increase in proportion of elderly implies that their problems demand more attention of the administrators. The current study was carried out to assess the functional status of the elderly and to explore the extent and pattern of routine daily life problems faced by them. An integrated qualitative and quantitative research design was employed. A stratified multistage random sampling technique was used to select the respondents from various areas of Chandigarh. The houses were selected randomly from where elderly persons (> 60 years) were identified. Katz Index of Independence in activities of daily living (ADL) was used to evaluate functional ability of the respondents. Instrumental ADLs (IADLs) were assessed using Lawton and Brody scale. Focus group discussions and in-depth interviews were conducted among the elderly to explore their problems using an interview guide. One thousand and eighty elderly were enrolled in the study. Their mean age was 67.22 ± 7.54 years. (range 60-102 years). The majority (70%) were independent in carrying out their daily life activities. Financially, around one-third were completely dependent and around half were partially dependent. Major dependence was in food preparation, housekeeping and laundry. From the qualitative data, four main themes were formulated, that is general personal problems of elderly; family problems; problems faced by elderly in hospitals and at public places. A feeling of purposelessness, financial insecurity, physical dependency, problems in hospitals and so on, emerged as the main problems. Majority of the elderly considered their lives as problematic because they were dependent physically as well as financially. The main domains of dependency were problems related to bowel continence, food preparation, housekeeping and laundry.

Sections du résumé

BACKGROUND BACKGROUND
The increase in proportion of elderly implies that their problems demand more attention of the administrators. The current study was carried out to assess the functional status of the elderly and to explore the extent and pattern of routine daily life problems faced by them.
METHODS METHODS
An integrated qualitative and quantitative research design was employed. A stratified multistage random sampling technique was used to select the respondents from various areas of Chandigarh. The houses were selected randomly from where elderly persons (> 60 years) were identified. Katz Index of Independence in activities of daily living (ADL) was used to evaluate functional ability of the respondents. Instrumental ADLs (IADLs) were assessed using Lawton and Brody scale. Focus group discussions and in-depth interviews were conducted among the elderly to explore their problems using an interview guide.
RESULTS RESULTS
One thousand and eighty elderly were enrolled in the study. Their mean age was 67.22 ± 7.54 years. (range 60-102 years). The majority (70%) were independent in carrying out their daily life activities. Financially, around one-third were completely dependent and around half were partially dependent. Major dependence was in food preparation, housekeeping and laundry. From the qualitative data, four main themes were formulated, that is general personal problems of elderly; family problems; problems faced by elderly in hospitals and at public places. A feeling of purposelessness, financial insecurity, physical dependency, problems in hospitals and so on, emerged as the main problems.
CONCLUSIONS CONCLUSIONS
Majority of the elderly considered their lives as problematic because they were dependent physically as well as financially. The main domains of dependency were problems related to bowel continence, food preparation, housekeeping and laundry.

Identifiants

pubmed: 30723992
doi: 10.1111/psyg.12406
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

419-425

Subventions

Organisme : Indian Council of Medical Research
ID : 54/14/CFP/GER/2011-NCD-II

Informations de copyright

© 2019 Japanese Psychogeriatric Society.

Références

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Auteurs

Sukhpal Kaur (S)

National Institute of Nursing Education, Post Graduate Institute of Medical Education and Research, Chandigarh, India.

Ashish Bhalla (A)

Department of Internal Medicine, Post Graduate Institute of Medical Education and Research, Chandigarh, India.

Savita Kumari (S)

Department of Internal Medicine, Post Graduate Institute of Medical Education and Research, Chandigarh, India.

Amarjeet Singh (A)

School of Public Health, Post Graduate Institute of Medical Education and Research, Chandigarh, India.

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