Prevalence and Spectrum of Functional disability among sample of outpatient attendants to geriatric clinic in Baghdad Teaching Hospital

Posted on by Muthanna Medical Journal

Research article

Volume 11, Issue 1,  2024.  Page 1-20    10.52113/1/1/2024-1-20

Authors
Ziena T. Al-Taay *, Lamyaa A. Hasan, Hasan R. Khalaf 1

*Correspondence author: zena06345@gmail.com
1 Family Medicine Branch, Department of Health in Baghdad Rusafa, Iraqi Ministry of Health, Baghdad, Iraq..
Received 20 October 2023; revised 3 February 2024; accepted 11 March 2024, available online 7 March 2024.
Copyright © 2024 Al-Taay. This is article distributed under the terms of the Creative Commons Attribution License http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited

Abstract

Functional disability represents the commonest cause of the decline in health status above 60 years old. Among the elderly population, the clinician needs to assess functional capacity to get an improvement in health status and nursing care for a better quality of life. Assesses the prevalence and spectrum of functional disability among the elderly. A total sample of 400 patients from the attended geriatric outpatient clinic at Baghdad Teaching Hospital /Medical City Center of both genders aged ≥ 60 years. Data collected by using a questionnaire consists of socio-demographic factors and chronic diseases, six items of the Katz index for basic activities of daily living (BADL), and eight items of the Lawton index for instrumental activities of daily living (IADL) for functional capacity assessment. The total prevalence of functional disability in the elderly sample for basic activities of daily living and instrumental activities of daily living was 4.5% and 10.8% respectively. Incontinence represents the highest percentage of dependency among basic activities of daily living followed by bathing, while food preparation, shopping, and responsibility for own medications are among instrumental activities of daily living in an elderly sample. There was a positive significant association between functional disability with age, gender, and marital status variables in association with basic activities of daily living performance, while a positive significant association was found between functional disability with age, gender, educational level, and occupation variables in association with instrumental activities of daily living performance. The level of independence for both basic activities of daily living and instrumental activities of daily living was relatively high. Dependency was significantly associated with advanced age, female gender, marital status, educational level, and occupation of the participants.

Keywords: Functional disability, Geriatric, Independency, Katz, Lawton scale

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Ziena T. Al-Taay, Lamyaa A. Hasan, Hasan R. Khalaf. Prevalence and spectrum of functional disability among sample of outpatient attendants to geriatric clinic in Baghdad Teaching Hospital. Muthanna Medical Journal. 2024; 11(1):1-20.