Sociodemographic Factors Affecting Older People's Care Dependency in Their Daily Living Environment According to Care Dependency Scale (CDS)

Grażyna Puto, Izabela Sowińska, Lucyna Ścisło, Elżbieta Walewska, Alicja Kamińska, Marta Muszalik, Grażyna Puto, Izabela Sowińska, Lucyna Ścisło, Elżbieta Walewska, Alicja Kamińska, Marta Muszalik

Abstract

The aim of the research was to determine the influence of sociodemographic factors on older people's care dependency in their living environment according to the Care Dependency Scale (CDS). Methods: The research was conducted in a group of 151 older people staying in their own homes. The methods applied in the research included a sociodemographic questionnaire and scales including the Abbreviated Mental Test Score (AMTS), CDS, Katz Index of Independence in Activities of Daily Living (ADL), Lawton's Instrumental Activities of Daily Living (I-ADL), Mini Nutritional Assessment (MNA), and Geriatric Depression Scale (GDS). Results: Gender had a significant impact on the level of care dependency. The surveyed females obtained the medium or high level of dependency more often than males (22.4% vs. 6.1%), and the low level of dependency was significantly more frequent among men than women (p = 0.006). Moreover, the age of the respondents determined their level of care dependency. The subjects with a medium or high level of care dependency were significantly older (p = 0.001). The subjects with a low level of care dependency were more likely to be married than people with a medium/high level (p < 0.001). The level of education had a significant impact on care dependency. A higher level of education correlated with a medium/high level of dependency (p = 0.003). Conclusions: The survey results confirmed that sociodemographic factors have a significant impact on the level of care dependency. When planning care in the home environment, special attention should be paid to older women, who are more likely to lose their independence than men. These women should be given additional support.

Keywords: care dependency; care dependency scale (CDS); living environment; older people.

Conflict of interest statement

The authors declare no conflict of interest regarding the publication of this article.

References

    1. Paranowski T. Psychologiczne starzenie się człowieka. In: Grodzicki T., Kocemba J., Skalska A., editors. Geriatria z Elementami Gerontologii Ogólnej: Podręcznik dla Lekarzy i Studentów. Wydawnictwo Via Medica; Gdańsk, Poland: 2006. pp. 31–36.
    1. Tobiasz-Adamczyk B. Społeczne aspekty starzenia się i starości. In: Grodzicki T., Kocemba J., Skalska A., editors. Geriatria z Elementami Gerontologii Ogólnej: Podręcznik dla Lekarzy i Studentów. Wydawnictwo Via Medica; Gdańsk, Poland: 2006. pp. 37–41.
    1. Muszalik M., Kędzierska-Kornatowska K., Sury M., Kornatowski T. Ocena funkcjonalna pacjentów w starszym wieku w odniesieniu do jakości życia w świetle kwestionariusza Oceny Funkcjonalnej Przewlekle Chorych. Probl. Hig. Epidemiol. 2009;90:569–576.
    1. Mokkink L.B., Terwee C.B., Patrick D.L., Alonso J., Stratford P.W., Knol D.L., Bouter L.M., de Vet H.C. The COSMIN checklist for assessing the met1hodological quality of studies on measurement properties of health status measurement instruments: An international Delphi study. Qual. Life Res. 2010;19:539–549. doi: 10.1007/s11136-010-9606-8.
    1. Muszalik M., Wojciechowska A., Zielińska-Więczkowska H., Kędziora-Kornatowska K. Potrzeby osób starszych na przykładzie zastosowania kwestionariusza Care Dependency Scale (CDS) u pacjentów z zaburzeniami psychicznymi. Psychogeriatria Pol. 2012;9:27–36.
    1. Dijkstra A., Muszalik M., Kędziora-Kornatowska K., Kornatowski T. Care Dependency Scale—Psychometric testing of the Polish version. Scand J. Caring. Sci. 2010;24:62–66. doi: 10.1111/j.1471-6712.2010.00797.x.
    1. Doroszkiewicz H., Sierakowska M. Factors associated with risk of care dependency in disabled geriatric patients [M1] Scand J. Caring. Sci. 2020 doi: 10.1111/scs.12827.
    1. Doroszkiewicz H., Sierakowska M., Muszalik M. Utility of the Care Dependency Scale in predicting care needs and health risks of elderly patients admitted to a geriatric unit: A cross-sectional study of 200 consecutive patients. Clin. Interv. Aging. 2018;8:887–894. doi: 10.2147/CIA.S159511.
    1. Dijkstra A., Buist G., Dassen T. Operationalization of the concept of ’nursing care dependency’ for use in long-term care facilities. Aust. N. Z. J. Ment. Health Nurs. 1998;7:142–151.
    1. Dijkstra A., Buist G., Moorer P., Dassen T. A reliability and utility study of the care dependency scale. Scand J. Caring. Sci. 2000;14:155–161. doi: 10.1111/j.1471-6712.2000.tb00578.x.
    1. Nursiswati N., Halfens R.J.G., Lohrmann C. Psychometric properties of the Care Dependency Scale in stroke survivors in Indonesian hospitals. Int. J. Nurs. Sci. 2020;7:330–336. doi: 10.1016/j.ijnss.2020.06.011.
    1. Dijkstra A., Kazimier H., Halfens R.J. Using the care dependency scale for identifying patients at risk for pressure ulcer. J. Adv. Nurs. 2015;71:2529–2539. doi: 10.1111/jan.12713.
    1. Juárez-Vela R., Durante Á., Pellicer-García B., Cardoso-Muñoz A., Criado-Gutiérrez J.M., Antón-Solanas I., Gea-Caballero V. Care Dependency in Patients with Heart Failure: A Cross-Sectional Study in Spain. Int. J. Environ. Res. Public Health. 2020;17:7042. doi: 10.3390/ijerph17197042.
    1. Lohrmann C., Dijkstra A., Dassen T. The care dependency scale: An assessment instrument for elderly patients in German hospitals. Geriatr. Nurs. 2003;24:40–43. doi: 10.1067/mgn.2003.8.
    1. Katza S., Ford A.B., Moskowitz R.W., Jackson B.A., Jaffe M.W. Studies of illness in aged: The index of ADL: A standardized measure of biological and psychosocial function. JAMA. 1963;185:914–919. doi: 10.1001/jama.1963.03060120024016.
    1. Lawton M.P., Brody E.M. Assessment of older people: Self-maintaining and instrumental activities of daily living. Gerontologist. 1969;9:179–186. doi: 10.1093/geront/9.3_Part_1.179.
    1. Vellas B., Villars H., Abelan G., Soto M.E., Rolland Y., Guigoz Y., Morley J.E., Chumlea W., Salva A., Rubenstein L.Z., et al. Overview of the MNA—Its history and challenges. J. Nutr. Health Aging. 2006;10:456–463.
    1. Yesavage J.A., Brink T.L., Rose T.L., Lum O., Huang V., Adey M., Leirer V.O. Development and validation of a geriatric depression screening scale: A preliminary report. J. Psychiatr. Res. 1982;17:37–49. doi: 10.1016/0022-3956(82)90033-4.
    1. Muszalik M., Marzec A., Zielińska-Więczkowska H., Kędziora-Kornatowska K. The selected aspects of geriatric patients’ functioning evaluation. Med. Biol. Sci. 2012;26:97–101. doi: 10.2478/v10251-012-0077-8.
    1. Główny Urząd Statystyczny . Sytuacja Osób Starszych w Polsce w 2018 r. GUS; Warszawa, Poland: Urząd Statystyczny w Białymstoku; Białystok, Poland: 2020.
    1. Muszalik M., Dijkstra A., Kędziora-Kornatowska K., Zielińska-Więczkowska H., Kornatowski T. Independence of elderly patients with arterial hypertension in fulfilling their needs, in the aspect of functional assessment and quality of life. Arch. Gerontol. Geriatr. 2011;52:e204–e209. doi: 10.1016/j.archger.2010.11.011.
    1. Shahar S., Vanoh D., Ludin A.F.M., Singh D.K.A., Hamid T.A. Factors associated with poor socioeconomic status among Malaysian older adults: An analysis according to urban and rural settings. BMC Public Health. 2019;19(Suppl. 4):549. doi: 10.1186/s12889-019-6866-2.
    1. Steptoe A., Zaninotto P. Lower socioeconomic status and the acceleration of aging: An outcome-wide analysis. Proc. Natl. Acad. Sci. USA. 2020;117:14911–14917. doi: 10.1073/pnas.1915741117.
    1. Dueñas M., Ramirez C., Arana R., Failde I. Gender differences and determinants of health related quality of life in coronary patients: A follow-up study. BMC Cardiovasc. Disord. 2011;11:24. doi: 10.1186/1471-2261-11-24.
    1. Haor B., Pielaszewska B., Ślusarz R., Rybka M. Wybrane aspekty sprawności seniorów w złożonych czynnościach dnia codziennego a praktyka pielęgniarska w podstawowej opiece zdrowotnej. In: Haor B., Kochman D., editors. Holistyczny Wymiar Opieki nad Człowiekiem w Naukach o Zdrowiu. Wyższa Szkoła Humanistyczno-Ekonomiczna we Włocławku—Zeszyty Naukowe WSHE; Włocławek, Poland: 2013. pp. 145–156.

Source: PubMed

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