The Frequency of Multifactorial Syndromes in Geriatrics of Tuzla Canton Population

Abstract

Introduction:There are four main multifactorial syndromes in geriatrics the so-called “4N”, which specifically occur at elderly patients. Listed syndromes often occur related, and they can be the cause and the result of many other syndromes at geriatric patients.Objective:determine the difference in the assessment of the level of immobility, instability, dependence, urinary incontinence (“4N”) in elderly groups.Materials and methods:The research included total 200 elderly respondents experimental group made of elderly persons (>65 years) living alone. Control group included elderly persons living in a family environment. Universal geriatric questionnaire was made for this research. For fast orientation the redone questionnaire was used for our conditions: examination in clinics for usual elderly problems “Short list for examination”. For the assessment of the mental abilities reduction at elderly we used “Short portable mental status questionnaire” (SPMSQ).Results:In total sample the research included 200 elderly respondents, 45% in experimental group and 55% in control group. The average age (±SD) was 75,4±6,2 years in the experimental group, while in the control group the average age was 74,9±5,6 years. We notice nearly equal distribution of falling risk according to groups (50%, 47%). In total sample there were 62% mobile, 22,5% limited mobility, and 4% immobile. Dependence frequency was more represented at examination group respondents (p=0,002). Dependence chances (OR) were 2,05 times larger (95 %CI=1,12-3,75) in examination group than in control group respondents. Frequency of urinary incontinence problem is significantly represented at all our respondents (42,2% v.s. 35%).Conclusion:Permanent gerontology and geriatrics training is needed both family medicine doctors and other experts in the field of elderly health protection and preventive health measures, pharmacotherapy, palliative care, especially about four main geriatrics syndromes at elderly.

Pengalaman Jatuh dan Kejadian Imobilitas Pada Kelompok Lanjut Usia

“…Imobilitas yang dirasakan dapat menurunkan kualitas hidup dan status kesehatan lansia (Ramic, et al, 2017). Banyak penelitian yang telah mendokumentasikan adanya hubungan yang signifikan antara pengalaman jatuh dengan kejadian imobilitas.…”

“…Selain itu, lansia sering tidak melaporkan pengalaman jatuhnya terutama bila jatuh yang tidak menimbulkan efek fisik seperti cidera kepada anggota keluarga padahal kondisi inilah yang berhubungan dengan tingginya kejadian imobilitas diantara populasi usia lanjut. Selanjutnya penelitian oleh (Ramic, et al, 2017) menyulitkan untuk dilakukan penanganan lebih lanjut. Dalam kondisi tersebut diperlukannya intervensi keperawatan yang sesuai untuk mengurangi masalah yang ada pada lansia.…”

“…Medicaid Services, 2017) bahwa peristiwa mobilitas teridentifikasi sebagai suatu pergerakan yang memberikan kebebasan dan kemandirian bagi seseorang. Eperti yang diketahui bahwa terdapat berbagai kemungkinan jenis aktivitas yang berbeda dilakukan seseorang sampai ke tahap masa tuanya termasuk untuk mempertahankan mobilitas optimal adalah sangat penting untuk kesehatan mental dan fisik semua lansia (Ramic, et al, 2017). Sedangkan bagi lanjut usia, imobilitas sering dipandang sebagai kondisi dimana terjadinya penurunan tingkat aktifitas daripada kondisi aktifitas yang seharusnya (Dewi, 2014).…”

Fatores Determinantes Para a Depressão Em Idosos Residentes Em Instituições De Longa Permanência

“…O corpo humano é composto entre outros, pelo sistema locomotor, que são os ossos, que dão o suporte necessário, as articulações e os discos vertebrais que proporcionam a mobilidade e absorvem todo o impacto gerado pelo movimento, já os sistemas muscular e nervoso, são responsáveis pela movimentação, sustentação do corpo, absorção e envio de informações. Quando é observada qualquer alteração nesses sistemas aparecem comprometimentos de equilíbrio, que resultam em dor, levando a uma amplitude de movimento limitada tanto nas demais articulações como na coluna vertebral, consequentemente causando a fraqueza muscular que pode gerar a incapacidade Ramic et al (2017). traz que a mobilidade tende a diminuir com o passar dos anos.…”