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Autopercepción de salud y evaluación integral del paciente anciano en un centro de atención primaria | Atención Primaria
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2015 FI

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© Thomson Reuters, Journal Citation Reports, 2015

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Index Medicus/Medline, Excerpta Medica/EMBASE, IBECS, IME, SCOPUS, Medes, Science Citation Index Expanded.


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    Aten Primaria 1996;17:273-9
    Autopercepción de salud y evaluación integral del paciente anciano en un centro de atención primaria
    Self-perception of health and complete evaluation of the elderly patient at a primary care centre
    J. Bayóa, MC. Fernández-Aramburua, F. Orfilaa, A. Dalfóa, J. Casajuanaa, MA. Vilaa, J. Planaa, AM. Massedaa, S. Vivesa, A. Nebota
    a Área Básica de Salud Gòtic. Unidad Docente de Medicina Familiar y Comunitaria. Barcelona.
    Resum

    Objectives. 1) To make an integrated evaluation of the cognitive status, functional capacity, chronic disorders and social situation of the over-75 age group. 2) To find this group's self-perception of their health.

    Design. A descriptive crossover study.

    Setting. The Gòtic Health District in Barcelona.

    Participants. 316 people were included in the study. They were chosen by simple randomised sampling from the over-75s seen at the centre (n=1,625).

    Measurements and main results. To assess cognitive status, the Pfeiffer Short Portable Mental Status Questionnaire was used; for functional capacity, the Katz Index; and for chronic disorders, the medical records were reviewed. A questionnaire was used to find patients' social situation and assessed social relationships, social resources used and architectonic barriers. Self-perception of health status was evaluated using the Nottingham Health Profile. Prevalence of cognitive deterioration was 29.7%. 39.4% of patients were dependent in one or more basic activities of their daily life. 90.8% had a chronic disorder, the most frequent being AHT, arthrosis, obesity and dyslipemias. 28.3% lived alone and 26.7% used social services.

    Conclusions. We think this kind of assessment is useful in primary care. It would provide an integrated diagnosis (clinical, functional, medical and social) of elderly patients.

    Resum

    Objetivo. 1) Evaluar de forma integrada el estado cognitivo, la capacidad funcional, los trastornos crónicos y la situación social de la población mayor de 75 años. 2) Conocer la autopercepción de salud de este grupo de población.

    Diseño. Estudio descriptivo transversal.

    Emplazamiento. Área Básica de Salud Gòtic. Barcelona.

    Participantes. Se incluyeron en el estudio 316 personas, seleccionadas por muestreo aleatorio simple de la población mayor de 75 años atendida en el centro (n=1.625).

    Mediciones y resultados principales. Para evaluar el estado cognitivo se empleó el cuestionario abreviado sobre el estado mental de Pfeiffer, y para la capacidad funcional el Índice de Katz, los trastornos crónicos se obtuvieron por revisión de las historias clínicas. Se realizó un cuestionario para conocer la situación social de los pacientes que evaluaba relaciones sociales, recursos sociales utilizados y barreras arquitectónicas. La autopercepción de salud se evaluó a partir del Perfil de Salud de Nottingham. La prevalencia de deterioro cognitivo fue de un 29,7%. Un 39,4% de los pacientes era dependiente en una o más actividades básicas de la vida diaria. Un 90,8% de los pacientes presentaba algún trastorno crónico, siendo los más frecuentes: HTA, artrosis, obesidad y dislipemias. El 28,3% de los pacientes vivían solos y utilizaban recursos sociales un 26,7%.

    Conclusiones. Consideramos útil la implantación de este tipo de evaluación en atención primaria. De esta forma se dispone de un diagnóstico integral (clínico, funcional, mental y social), inicial de los pacientes ancianos.