Titre : | Assessment of functional disability among patients attending a geriatric psychiatry clinic (2021) |
Auteurs : | DEY P ; SHARMA C ; KHATUA S |
Type de document : | Article |
Dans : | NPG : NEUROLOGIE, PSYCHIATRIE, GERIATRIE (125, 2021) |
Article en page(s) : | 344-350 |
Descripteurs |
[SANTEPSY] COMORBIDITE [SANTEPSY] DEPENDANCE [SANTEPSY] EVALUATION [SANTEPSY] FACTEUR DE RISQUE [SANTEPSY] PATHOLOGIE PSYCHIATRIQUE [SANTEPSY] PERSONNE AGEE [SANTEPSY] PREVALENCE [SANTEPSY] PSYCHOGERIATRIE [SANTEPSY] VIE QUOTIDIENNE |
Résumé : | Background Aging is associated with physical impairment and functional disability, mainly assessed in terms of activities of daily living (ADL). Assessment using this tool is one of the best ways to evaluate the health status of the elderly. Earlier studies have considered different variables such as those linked to functional disabilities, but psychiatric morbidity has been very little explored in the existing literature. Aims and objectives To estimate the prevalence of functional disability in terms of restriction in the activities of daily living (ADL) and the factors associated with it among elderly subjects attending a geriatric psychiatry clinic. Materials and methods Hospital-based cross sectional study. One hundred and fifty patients over sixty years old attending a geriatric psychiatry clinic in a tertiary care specialty hospital in eastern India were enrolled in the study after their informed consent, using a purposive sampling method. After clinical diagnosis, the activities of daily living were assessed using Barthel's 10-item index, and patients were graded accordingly. The data was analyzed on SPSS version 25.0. Results On the basis of Barthel's 10-item Index score, 72% of the subjects exhibited dependency, among whom 4% were totally dependent. Patients aged over 66 years and those with dementia, psychosis or other psychiatric diseases exhibited significantly higher levels of impairment. Impairments were mostly in the self-care domain. Conclusion The high prevalence of functional disability among elderly subjects with psychiatric morbidity in this study suggests the need for a comprehensive geriatric assessment for these patients, in particular for autonomy, to improve their functional status and promote speedy recovery. [résumé d'auteur] |
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