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Título : Decreased Autonomy In Community-Dwelling Older Adults
Autor: SERGIO SANCHEZ GARCIA
María del Carmen García Peña
ELISEO RAMIREZ GARCIA
Karla Moreno Tamayo
Guillermo Rafael Cantú Quintanilla
Palabras clave : MEDICINA Y CIENCIAS DE LA SALUD;Ciencias médicas;Ciencias clínicas;Geriatría;Personas mayores;Calidad de vida;Actividades de la vida diaria;Soporte social;Geriatrics;Elderly;Quality of life;Activities of daily living;Social support
Fecha de publicación: 2019
Editorial : Dove Medical Press & Society for Applied Research in Aging
Descripción : Purpose: The present study aims to explore characteristics associated with low perception of autonomy among community-dwelling older adults. Patients and methods: This original research was derived from a cross-sectional study based on the study COSFOMA with information from 1,252 (60 years and older) community-dwelling older adults whose data was obtained through a questionnaire that included sociodemographic characteristics, as well as different scales of geriatric assessment. The perception of autonomy was evaluated with the autonomy sub-scale of the Quality of Life Scale of Older Adults from the World Health Organization (World Health Organization Quality of Life of Older Adults, WHOQOL-OLD). Results: The mean (SD) age of the 1,252 community-dwelling older adults participating in the study was 68.5 (7.2) years. The average perception of autonomy was 65.3 (18.2) points out of 100. In the final logistic regression model, schooling <6 years (Odds Ratio, OR = 2.1, 95% Confidence Interval, CI = 1.5–2.9), low social support (OR = 1.6, 1.2–2.2), low spirituality (OR = 2.6, 95% CI = 1.9–3.4), presence of cognitive impairment (OR = 1.9, 95% CI = 1.4–2.5), anxiety (OR = 1.7, 95% CI = 1.2–2.5), and limitation in activities of daily living (ADL) (OR = 1.6, 95% CI = 1.1–2.2) were statistically associated with the presence of low autonomy in older adults. Conclusion: The perception of autonomy among community-dwelling older adults is moderate. Social support and spirituality, as well as cognitive impairment, anxiety, and limitations in ADL, play a significant role for degree of perceived autonomy in this population. Health professionals can use this information to promote participation in decision-making processes through programs that improve quality of life.
URI : http://repositorio.inger.gob.mx/jspui/handle/20.500.12100/17231
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