Factors associated with the institutionalization of the elderly: a case-control study

Abstract

Objective: to identify the factors associated with the institutionalization of the elderly. Method: a case-control, population-based study was performed with 387 elderly people. The study considered cases of elderly people (n=191) living in long-term care facilities, and a control group (n=196) who lived in homes in urban areas of the city. Both groups were identified from the records of the Family Health Strategy and were randomly selected. Institutionalization was considered a dependent variable, and sociodemographics, clinical factors, functional status, and cognitive impairment were considered independent variables. Comparison between groups was analyzed using the Chi-squared and Pearson tests and the logistic regression model was used in adjusted analysis, with measurements of effect expressed as odds ratio with a 95% confidence interval. Variables with p≤0.20 were considered for entry in the multiple model. Results: variables that remained associated with institutionalization in multiple analysis were: not having a partner (OR=9.7), not having children (OR=4.0), presenting cognitive impairment (OR=11.4), and depending on others to perform basic activities of daily living (OR=10.9). Conclusion: cognitive impairment and dependency for basic activities of daily living were more strongly associated with institutionalization. Home care strategies and preventive actions for risk factors should be stimulated to delay the referral of elderly people to Long Term Care Facilities for the Elderly, and to develop strategies that allow the elderly to remain socially active.

Responsabilidade filial: quais as atitudes dos filhos sobre a institucionalização dos pais idosos?

“…2019;40:e20180377 of the aged and their dependence to perform activities of daily living as limiting the care at home. This finding corroborates other national and international studies in which the aged with physical disabilities, dependence to perform basic activities of daily living and presence of chronic diseases were more likely to be institutionalized (17)(18)(19) . In addition to the intensity of care, the home structure was reported by the adult child caregivers as a factor that hinders care, making them consider the institutionalization of their parents, also identified in another study (18) .…”

“…Related to the limitations of daily life, adult child caregivers also reported, as a reason for institutionalization, the occurrence of diseases that impair the cognitive ability of their parents, among which highlighted diseases such as Alzheimer's, Parkinson's and others. This finding is like that found in national and international studies, which identified that the cognitive impairment of the aged is associated with their institutionalization (17,19) .…”

“…The high value for maintaining an aged person in a LSIA was a factor pointed out by the respondents that limited the institutionalization. The same justification was identified in an investigation carried out in a municipality of the State of Rio Grande do Sul/Brazil, where the authors verified that the proportion of aged people with income greater than three minimum wages was higher in the group of institutionalized aged than those living in the household (19) . It is inferred that, in addition to the attitudes of caregiver children, financial limitation is a strong determinant for non-institutionalization, with care centered on the family because there are no other possibilities.…”

Homes for Elderly People: Professionals’ Exposure to Physical Hazards / Institutos de Longa Permanência de Idosos: Exposição dos Profissionais aos Riscos Físicos

“…Nevertheless, the institutionalization of the elderly should be the last alternative care which is worrying, as the Home for Elderly People is occupying a different place from the one that would be due. 7 Comparing the found in relation to the dimensions and the structure of the external space with the one determined by the RDC from the ANVISA No. 283/2005 some inadequacies were identified because, it establishes external access with at least two doors, Being an exclusively of service, with a free span with minimum width of 1.10 m, with simple locking without the use of locks or keys.…”

Instituições de Longa Permanência para Idosos no Brasil: revisão integrativa da literatura

“…Observa-se, na literatura sobre o tema, estudos relacionados aos residentes da ILPIs em sua maioria (Silva, Dias, & Piazza, 2017;Scarabottolo, et al, 2017;Hartmann Junior, & Gomes, 2017;Lini, Portella, & Doring, 2016), concentrando-se em aspectos médicos e clínicos dos idosos e frequentemente com discussões sobre as demandas assistenciais (Roquete, Batista, & Arantes, 2017 delineamento das pesquisas, incluindo-se: 1) Delineamento das publicações; 2) perfil dos participantes dos estudos; 3) instrumentos utilizados para coleta dos dados; 4) área de conhecimento dos autores; e 5) principais temáticas abordadas.…”