Evolution of the functional independence of elderly patients from a home care service through the point of view of caregivers
DOI:
https://doi.org/10.11606/issn.2317-0190.v13i1a102572Keywords:
Aging Health, Frail Elderly, Homebound Patients, Home Care Services, Functional Independence MeasureAbstract
The knowledge of the performance of the aged one in its activities have a major importance in the home care services, because it is the objective of professionals and caregivers during health care. The objective of this study was to evaluate the functional independence evolution of patients included under home care, through the caregiver’s point of view of the Functional Independence Measure (FIM) instrument, at two moments, with one year between them. A follow up study was designed. The data had been gotten in recorded case histories of 22 patients, who contained the evaluation of FIM at the two studied moments (October 2003 and October 2004). The recorded of the patients who presented changes of caregiver between the evaluations, exclusion of the program and death were excluded. Simple descriptive analyses were made and statistical differences were tested using Paired- T Test and Wilcoxon test. The association of the results of the MIF with gender, age and diseases of the patients had been analyzed by means of Paired- T Test and correlation of Pearson. The features of the sample were composed by a feminine majority, with advanced age and multiple associated illnesses. Statistically significant differences were not found between the evaluations by the perception of the caregiver, in the averages of the motor, cognitive and total FIM, of the medium of six dimensions and eighteen categories of the FIM. The maintenance in the expression activity was associated with the feminine sort, while that the social interaction activity and the cognition area correlated with the number of diseases. Maintenance of the functional capacity of the patients in the studied period was observed. The results suggest that the home care attendance was revealed as a capable modality to keep or to delay the functional decline from elderly.
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