A Nursing Care Intervention Model for Elderly People to Ascertain General Profles of Functionality and Self Care Needs

• Main Author: Margarida, Goes
• Publication Date: 2020
• Other Authors: Manuel, Lopes, Henrique, Oliveira, Fonseca, César, Marôco, João
• Format: Article
• Language: por
• Source: Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
• Download full: http://hdl.handle.net/10174/27480; https://doi.org/Goes, M., Lopes, M.J., Oliveira, H. et al. A Nursing Care Intervention Model for Elderly People to Ascertain General Profiles of Functionality and Self Care Needs. Sci Rep 10, 1770 (2020). https://doi.org/10.1038/s41598-020-58596-1; https://doi.org/10.1038/s41598-020-58596-1
• topic: Nursing Care; Functionality

Abstract A core set of International Classification of Functioning, Disability and Health codes was used to ascertain general profiles of functionality as a function of biological and sociodemographic characteristics and to develop structured nursing interventions in accordance with self care deficits identified by studying self care behavior for elderly people living in both extensively and sparsely populated rural areas. Data were collected by health professionals in the participants’ houses. An exploratory factor analysis enabled reduced data dimensions, and factorial validity was assessed by a confirmatory factor analysis. An ordinal regression model was built to identify general profiles of functionality as a function of age. A bar graph was used as a measurement tool for nursing care needs as a function of self care behavior and functional profile level. No functional problems were expected among people under the age of 74 years, while mild functionality problems were expected among people older than 74 years. Regarding nursing care needs, the results of the constructed model suggested that the functional concept “Support and Relationships” is associated with higher levels of functional problems and thus a greater need for self care interventions and that people aged 85 years and older always show therapeutic self care deficits.