COGNITION AND MOOD/BEHAVIOR IN HOME CARE ELDERLY

Rivas, Claudia Maria Ferrony; Bolzan, Natalia Cassol; Santos, Naiana Oliveira dos; Bierhals, Carla Cristiane Becker Kottwitz; Gehlen, Maria Helena; Petter, Emilly Barcelos; Marques, Clandio Timm

doi:10.1590/ce.v28i0.89523

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ORIGINAL ARTICLE • Cogit. Enferm. 28 • 2023 • https://doi.org/10.1590/ce.v28i0.89523 copy

COGNITION AND MOOD/BEHAVIOR IN HOME CARE ELDERLY

Authorship SCIMAGO INSTITUTIONS RANKINGS

HIGHLIGHTS

Sociodemographic characterization of the elderly in Home Care.
Most frequent comorbidities in the elderly in Home Care.
Clinical-functional indicators related to cognition and mood/behavior.

ABSTRACT

Objectives:

to identify the sociodemographic characteristics; and to analyze the association of sociodemographic variables with functional systems related to cognition and mood/behavior of elderly people linked to Home Care.

Method:

cross-sectional, descriptive research, carried out with the participation of 108 elderly people linked to Home Care in the city of Santa Maria - RS - Brazil. We used a questionnaire of sociodemographic data and the Clinical and Functional Vulnerability Index IVCF-20. The association of the variables was analyzed using the chi-square test and independent samples test.

Results:

predominance of elderly females; mean age 78.7 ± 9.3 years; and low education and family income between 1 and 2 minimum wages. The most frequent morbidity was systemic arterial hypertension. No associations were found between the sociodemographic variables and the functional systems regarding cognition and mood/behavior.

Conclusion:

the importance of planning and interventions in the home environment is highlighted.

DESCRIPTORS:
Geriatric Nursing; Aged/Elderly; Cognition; Behavior; Home Care Services

Socio-demographic variables	n=108 (%)
Age (average ± SD) *	78.7 ± 9.3
Gender(n)**
Male	31(28.7)
Female	77(71.3)
Marital Status (n)
Single	5(4.6)
Married/stable union	48(44.4)
Widowed	47(43.5)
Divorced/separated	8(7.5)
Education level (n)
Incomplete elementary	71(65.7)
Elementary school complete	23(21.3)
Middle school incomplete	7(6.5)
High school complete	7(6.5)
Total income per household(n)***
< 1 minimum wage	4(3.9)
1 - 2 minimum wages	56(54.3)
2 - 3 minimum wages	32(31.1)
More than 3 minimum wages	11(10.7)
Comorbidities(n)
Systemic arterial hypertension	69(63.9)
Diabetes Mellitus	41(38)
Arthritis/arthrosis	35(32.4)
Depression	21(19.4)
Dyslipidemia	20(18.5)
Congestive heart failure	12(11.1)
Cancer	10(9.3)
Parkinson’s	6(5.6)
Chronic renal disease	3(2.8)
Other	70(64.8)

Functional System	Indicators of clinical and functional vulnerability	Yes n (%)	No n (%)
Cognition	Has a family member or friend mentioned that you are becoming forgetful?	67(62)	41(38)
	Is this forgetfulness getting worse in recent months?	34(31.5)	73(67.6)
	Is this forgetfulness preventing you from doing any activities of daily life?	16(14.8)	92(85.2)
Mood/behavior	In the past month have you been discouraged, sad, or hopeless?	63(58.3)	45(41.7)
	In the last month have you lost interest or pleasure in activities that were previously enjoyable	39(36.1)	69(63.9)

Functional System-Cognition Indicators of clinical-functional vulnerability
Variables n=108	Has a family member or friend mentioned that you are getting forgetful? p			Is this forgetfulness preventing you from doing any activities of daily life? p		p	Is this forgetfulness preventing you from doing any activities of daily life?
	Yes n(%)	No n(%)		Yes n(%)	No n(%)		Yes n(%)	No n(%)
Gender
Male (n=31)	19 (61)	12 (38.7)	0.919*	7 (22.6)	24 (77.4)	0.210*	5 (16.1)	26 (83.9)	0.807*
Female (n=77)	48 (62.3)	29 (37.7)	0.919*	27 (35.1)	50 (64.9)	0.210*	11 (14.3)	66 (85.7)	0.807*
Age
60 to74 (n=38)	22 (57.9)	16 (42.1)	0.689*	12 (31.6)	26 (68.4)	0.800*	7 (18.4)	31 (81.6)	0.154*
75 to 84 (n=36)	22 (61.1)	14 (38.9)		10 (27.8)	26 (72.2)		2 (5.6)	34 (94.4)
Same or more than 85 (n=34)	23 (67.6)	11 (32.4)		12 (35.3)	22 (64.7)		7 (20.6)	27 (79.4)
Education
Elementary incomplete	43 (60.3)	28 (39.4)	0.578*	24 (33.8)	47 (66.2)	0.600*	14 (19.7)	57 (80.3)	0.206*
Elementary complete (n=23)	16 (69.6)	7 (30.4)		6 (26.1)	17 (73.9)		1 (4.3)	22 (95.7)
High School incomplete (n=7)	5 (71.4)	2 (28.6)		3 (42.9)	4 (57.1)		1 (14.3)	6 (85.7)
High school complete (n=7)	3 (42.9)	4 (57.1)		1 (14.3)	6 (85.7)		0 (0.0)	7 (100)
Use of 5 or more medications ≠ every day
Yes (n=57)	36 (63.2)	21 (36.8)		20 (35.1)	37 (64.9)		10 (17.5)	47 (82.5)
No (n=51)	31 (60.8)	20(39.2)	0.800*	14 (27.5)	37 (72.5)	0.390*	6 (11.8)	45 (88.2)	0.399*

Functional-Humor/Behavioral System Indicators of clinical-functional vulnerability
Variables n=108	In the last month have you been discouraged, sad or hopeless?		p	In the last month have you lost interest in previously pleasurable activities?		p
	Yes n(%)	No n(%)		Yes n(%)	No n(%)
Gender^†
Male (n=31)	16(51.6)	15(48.4)	0.369*	13(41.9)	18(58.1)	0.424*
Female (n=77)	47(61)	30(39)	0.369*	26(33.8)	51(66.2)	0.424*
Age^†
60 to 74 (n=38)	26(68.4)	12(31.6)	0.259*	17(44.7)	21(55.3)	0.314*
75 to 84 (n=36)	18(50)	18(50)		10(27.8)	26(72.2)
Same or more than 85 (n=34)	19(55.9)	15(44.1)		12(35.3)	22(64.7)
Marital Status^†
Single (n=5)	2 (40)	3(60)	0.423*	2 (40)	3(60)	0.097*
Married/stable union (n=48)	32(66.7)	16(33.3)		23(47.9)	25(52.1)
Widowed (n=47)	25(53.2)	22(46.8)		13(27.7)	34(72.3)
Divorced/separated (n=8)	4(50)	4(50)		1(12.5)	7(87.5)

How many comorbidities in total (n=108)	Average ± SD				Average ± SD
Yes (n=63)	3.19 ±1.857		0.054**	Yes(n=39)	3.26±1.173	0.189**
No (n=45)	2.62			No(n=69)	2.78

Universidade Federal do Paraná Av. Prefeito Lothário Meissner, 632, Cep: 80210-170, Brasil - Paraná / Curitiba, Tel: +55 (41) 3361-3755 - Curitiba - PR - Brazil
E-mail: cogitare@ufpr.br

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[1] Corresponding author: Claudia Maria Ferrony Rivas Universidade Franciscana Rua dos Lírios, 463. Bairro Patronato, CEP :97020-760 Santa Maria/RS E-mail:claudiamfrivas@gmail.com