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Home Care for the Elderly: An Integrated Approach to Perception, Quality of Life, and Cognition

Author

Listed:
  • Luis Eduardo Genaro

    (Postgraduate Program in Collective Health in Dentistry, School of Dentistry, São Paulo State University, Araçatuba 16.015-050, SP, Brazil)

  • José Victor Marconato

    (School of Medicine, San Francisco University, Bragança Paulista 12.916-900, SP, Brazil)

  • Elaine Pereira da Silva Tagliaferro

    (Department of Community Dentistry, School of Dentistry, São Paulo State University, Araraquara 14.801-903, SP, Brazil)

  • Felipe Eduardo Pinotti

    (Postgraduate Program in Collective Health in Dentistry, School of Dentistry, São Paulo State University, Araçatuba 16.015-050, SP, Brazil)

  • Aylton Valsecki Júnior

    (Department of Community Dentistry, School of Dentistry, São Paulo State University, Araraquara 14.801-903, SP, Brazil)

  • Tânia Adas Saliba

    (Department of Preventive and Restorative Dentistry, School of Dentistry, São Paulo State University, Araçatuba 16.015-050, SP, Brazil)

  • Fernanda Lopez Rosell

    (Department of Community Dentistry, School of Dentistry, São Paulo State University, Araraquara 14.801-903, SP, Brazil)

Abstract

This study investigated the impact of home care, health status, and cognition. A qualitative and quantitative approach was employed through a cross-sectional study with a sample of 60 elderly individuals in need of home care in the municipality of Itatiba, São Paulo, Brazil. The analysis utilized the Discourse of the Collective Subject (DCS), EQ-5D, EQ VAS, and Mini-Mental State Examination (MMSE). The sample consisted of 40.0% male and 60.0% female individuals. The majority (61.6%) received weekly visits, mainly from community health agents, who were responsible for the majority of the care (45%). Positive considerations were highlighted, with 36.6% emphasizing the contribution to treatment continuity. The EQ VAS assessment indicated a moderately good perception of health. The EQ-5D analysis revealed significant differences between genders in personal care ( p = 0.04). There were significant differences between clinical characteristics and EQ-5D dimensions, such as neoplasia and reduced mobility ( p = 0.04), and arthritis/osteoarthritis/rheumatism and a limitation in common activities ( p = 0.01). The presence of anxiety/depression was significant in cases of neoplasia ( p = 0.006), arthritis/osteoarthritis/rheumatism ( p = 0.01), and stroke ( p = 0.04). The logistic regression analysis showed associations between usual activities and arthritis, osteoarthritis, rheumatism ( p = 0.034), pain/malaise and arthritis, osteoarthritis, rheumatism ( p = 0.038), and anxiety/depression and stroke ( p = 0.028). The average MMSE scores (17.52) suggested a mild cognitive impairment, with no statistical differences between genders. Based on these results, it can be concluded that home care can provide a comprehensive approach and continuous assistance, emphasizing the importance of personalized care based on perceived and clinical differences.

Suggested Citation

  • Luis Eduardo Genaro & José Victor Marconato & Elaine Pereira da Silva Tagliaferro & Felipe Eduardo Pinotti & Aylton Valsecki Júnior & Tânia Adas Saliba & Fernanda Lopez Rosell, 2024. "Home Care for the Elderly: An Integrated Approach to Perception, Quality of Life, and Cognition," IJERPH, MDPI, vol. 21(5), pages 1-14, April.
    • Handle: RePEc:gam:jijerp:v:21:y:2024:i:5:p:539-:d:1382693
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    References listed on IDEAS

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