Factors associated with the functional capacity of older adults with leprosy

Rev Bras Enferm. 2017 Jul-Aug;70(4):711-718. doi: 10.1590/0034-7167-2017-0091.
[Article in English, Portuguese]

Abstract

Objective:: to investigate the association between socio-demographic and clinical factors and the functional capacity of older adults with leprosy.

Method:: cross-sectional analytical study conducted in Fortaleza, Ceará, Brazil, with 77 older adult patients with leprosy in a referral service, through interview, medical records and application of the Katz Index and the Lawton and Brody Scale.

Results:: the mean age was 68.23 years, with prevalence of men, in stable union/married, with mean monthly family income of 2.04 minimum wages, positive bacillary index, clinical dimorphic form and grade zero disability. In the Lawton and Brody scale, independence (58.5%) was predominant and associated to the variables "living arrangement" and "educational attainment". Total independence (87.0%) was predominant in the Katz Index and statistically associated to the variable monthly family income.

Conclusion:: most of the participants were classified as independent in the instruments used. Furthermore, the instruments pointed to a greater number of associations with socio-demographic and clinical factors not related to leprosy.

Objetivo:: investigar a associação de fatores sociodemográficos e clínicos à capacidade funcional de idosos com hanseníase.

Método:: estudo transversal, analítico realizado em Fortaleza, Ceará, com 77 idosos com hanseníase acompanhados em serviço de referência, através de entrevista, consulta ao prontuário e aplicação do Índice de Katz e Escala de Lawton e Brody.

Resultados:: a média de idade foi de 68,23 anos, com prevalência de sexo masculino, união estável/casado, renda familiar mensal média de 2,04 salários mínimos, índice baciloscópico positivo, forma clínica dimorfa e Grau de Incapacidade Física zero. Na escala de Lawton e Brody prevaleceu a independência (58,5%) com associação às variáveis "com quem reside" e "escolaridade". Destacou-se a independência total (87,0%) no índice de Katz, associando-se estatisticamente a variável renda familiar mensal.

Conclusão:: a maioria dos participantes mostrou-se independente nos instrumentos utilizados. Ademais, os instrumentos apontaram mais associações a fatores sociodemográficos e clínicos não relacionados com a hanseníase.

MeSH terms

  • Activities of Daily Living*
  • Aged
  • Aged, 80 and over
  • Brazil
  • Comorbidity
  • Cross-Sectional Studies
  • Female
  • Humans
  • Leprosy / complications*
  • Leprosy / rehabilitation
  • Male
  • Middle Aged
  • Socioeconomic Factors
  • Surveys and Questionnaires