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Chronic Diseases and Associated Factors among Older Adults in Loja, Ecuador

Author

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  • Patricia Bonilla-Sierra

    (Departamento de Ciencias de la Salud, Universidad Técnica Particular de Loja, Loja 110107, Ecuador)

  • Ana-Magdalena Vargas-Martínez

    (Nursing Department, Faculty of Nursing, Physiotherapy and Podiatry, University of Seville, 41009 Seville, Spain)

  • Viviana Davalos-Batallas

    (Departamento de Ciencias de la Salud, Universidad Técnica Particular de Loja, Loja 110107, Ecuador)

  • Fatima Leon-Larios

    (Nursing Department, Faculty of Nursing, Physiotherapy and Podiatry, University of Seville, 41009 Seville, Spain)

  • Maria-de-las-Mercedes Lomas-Campos

    (Nursing Department, Faculty of Nursing, Physiotherapy and Podiatry, University of Seville, 41009 Seville, Spain)

Abstract

(1) Background: This study aimed to explore the symptoms, functional status, and depression in patients with chronic diseases in Loja, Ecuador. (2) Methods: A cross-sectional study was carried out with patients over 60 years old having at least one chronic disease and cared for in healthcare centers of the Health Ministry of Ecuador or living in associated geriatric centers. (3) Results: The sample comprised 283 patients with a mean age of 76.56 (SD 7.76) years. The most prevalent chronic diseases were chronic obstructive pulmonary disease, followed by arterial hypertension and diabetes. Patients with a joint disease had the worst scores for the majority of the symptoms assessed with the Edmonton Scale. Cancer, dementia, and arterial hypertension contributed the most to the dependence levels assessed with the Barthel Index. Dementia contributed the most to the poor performance status evaluated with the Karnofsky Performance Status. Cancer and diabetes contributed the most to depression. Patients with a higher number of chronic diseases reported worse functional status. (4) Conclusions: Targeted interventions to address symptoms, functional status, and depression in patients with chronic diseases are needed.

Suggested Citation

  • Patricia Bonilla-Sierra & Ana-Magdalena Vargas-Martínez & Viviana Davalos-Batallas & Fatima Leon-Larios & Maria-de-las-Mercedes Lomas-Campos, 2020. "Chronic Diseases and Associated Factors among Older Adults in Loja, Ecuador," IJERPH, MDPI, vol. 17(11), pages 1-15, June.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:11:p:4009-:d:367508
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    References listed on IDEAS

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    1. Wenjun Cao & Chongzheng Guo & Weiwei Ping & Zhijun Tan & Ying Guo & Jianzhong Zheng, 2016. "A Community-Based Study of Quality of Life and Depression among Older Adults," IJERPH, MDPI, vol. 13(7), pages 1-10, July.
    2. Mingwang Fang & Jinfeng Chen & Ling Guo & Xiao Ma, 2019. "Gender Differences in Geriatric Depressive Symptoms in Rural China: The Role of Physical Housing Environments and Living Arrangements," IJERPH, MDPI, vol. 16(5), pages 1-13, March.
    3. Azam Tariq & Tian Beihai & Sajjad Ali & Nadeem Abbas & Aasir Ilyas, 2019. "Mediating Effect of Cognitive Social Capital on the Relationship Between Physical Disability and Depression in Elderly People of Rural Pakistan," IJERPH, MDPI, vol. 16(21), pages 1-11, October.
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    Cited by:

    1. Tamara Rodríguez Quintana & Viviana Dávalos-Batallas & Ana-Magdalena Vargas-Martínez & Lucelly López & Patricia Bonilla-Sierra & María-de-las-Mercedes Lomas-Campos & Fatima Leon-Larios, 2021. "Implementation and Knowledge of the Clinical Practice Guide for Palliative Care in the Ecuadorian Primary Care Level," IJERPH, MDPI, vol. 18(21), pages 1-14, November.

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