抄録
Objective To assess the impact of socio-demographic and co-morbidity factors, and quantified depressive symptoms on disability in inpatients.
Method Observational cross-sectional study including a number of 80 elderly (16 males, 64 females; mean age 72.48 years; standard deviation 9.95 years) admitted in the Geriatrics Division between May-July, 2012. We used the: Functional Independence Measure (FIM), Geriatric Depression Scale (GDS) and an array of socio-demographic and poli-pathology parameters, respectively. Statistical analysis included Somers’D for ordinal variables, linear bivariate correlations, general linear model analysis, ANOVA and Kruskal-Wallis, tests.
Results FIM scores were negatively correlated with age (R=-0.301; 95%c.i.-0.439--0.163 p=0.007); GDS score had a negative impact on FIM (R=-0.322; 95%c.i.-0.324-0.052 p=0.004). A general linear model, including other variables (education, living conditions, provenance, gender, matrimonial state) as factors, found living conditions (p=0.027) and the combination of matrimonial state and gender (p=0.004) to significantly influencing the FIM score. ANOVA showed significant differences in FIM scores stratified by the number of chronic diseases (p=0.035).
Discussion and conclusions Our study objectifies the negative impact of depression on functional status; interestingly, education had no influence on FIM scores; living conditions and combination of matrimonial state and gender had an important related impact: patients with living spouses showed significant better functional scores than divorced/ widowers; the number of chronic diseases also affected FIM scores: lower in patients with significant poli-pathology. These findings must be considered when designing geriatric rehabilitation programs within home skilled cares.
