Cognitive state and functionality for basic activities in the institutionalized elderly

Introduction. Aging is a physiological process in which the organism constantly undergoes changes. This process is accompanied by cognitive decline as well as a decline in functionality for basic activities of daily living (ADLs). Objective. To uncover the relationship between cognitive state and fu...

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Detalles Bibliográficos
Autores: Flores Silva, Alejandra Susana, Fierros Flores, Ahtziri, Gallegos Novela, Vanessa Edelmira, Magdaleno Ordaz, Giselle, Velasco Rodríguez, Raymundo, Pérez Hernández, María Gicela
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2020
País:México
Institución:UNIVERSIDAD NACIONAL AUTÓNOMA DE MÉXICO
Repositorio:Cuidarte ?El arte del cuidado?
Idioma:español
OAI Identifier:oai:ojs.pkp.sfu.ca:article/72760
Acceso en línea:https://revistas.unam.mx/index.php/cuidarte/article/view/72760
Access Level:acceso abierto
Palabra clave:Elderly
Cognitive state
Functionality
Basic activities of daily living
Adulto Mayor
Estado Cognitivo
Funcionalidad
Actividades básicas de la vida diaria
Descripción
Sumario:Introduction. Aging is a physiological process in which the organism constantly undergoes changes. This process is accompanied by cognitive decline as well as a decline in functionality for basic activities of daily living (ADLs). Objective. To uncover the relationship between cognitive state and functionality for basic ADLs in the institutionalized elderly. Methodology. Descriptive cross-study of 32 senior citizens of both sexes. With the subjects’ informed consent, Folstein’s Mini-Mental State Examination and the Barthel index were used on the subjects. Spearman’s rank correlation coefficient was used in order to identify the association between variables, and the chi-squared test was used in order to identify the association with gender. A value of P≤0.05 was established to identify significant differences between both groups. Results. 56.2% (n=18) of subjects were women, and 43.75% (n=14) were men. The mean age was 80.5±8.97. The Barthel index identified that only 12.5% (n=4) were independent, while 87.5% (n=28) were functionally dependent to various levels. The Folstein test showed that 6.2% (n=2) were normal, while the rest (n=30) showed signs of some degree of cognitive decline. No significant differences in functionality (p=0.45) or cognitive decline (p=0.85) were found on the basis of sex. Spearman’s correlation revealed r=0.66 and p<0.0001. Conclusion. There is an association between cognitive state and functionality for basic ADLs in institutionalized senior citizens; the greater the level of cognitive decline, the greater the senior citizen’s functional dependency. Gender has no influence on this association.