Predominant factors of institutionalization in the elderly: a comparative study between home nursing and community dwelling

Montes Reula, L. (Universidad de Zaragoza) ; Cañete Lairla, M. (Universidad de Zaragoza) ; Navarro López, J. (Universidad de Zaragoza) ; Pelegrín Valero, C. (Universidad de Zaragoza) ; Galindo Ortiz de Landázuri, J. ; Marijuán Fernández, P. ; Olivera Pueyo, F.J. (Universidad de Zaragoza)

Resumen: Purpose: The purpose of this paper was to detect the most significant factors associated with each living alternative to improve socialization and mental health of the elderly. The measurements included affective evaluation, cognitive assessment, anxiety level, physical functionality, quality of life and social relationships. Individuals in home nursing residences were older and had worse affective status, functionality, cognitive state and quality of life. Social relationships in community people were better than in the institutionalized condition, particularly for less aged people. Design/methodology/approach: Comparative descriptive study realized in 200 people older than 70 years in home nursing placement versus community dwelling conditions. Findings: Multivariate analysis and logistic regression indicated that greater disability and poorer quality of social relationships were the main factors influencing the institutionalization process. Specifically, the Sociotype Questionnaire appeared as an efficient tool concerning the detection of social isolation effects as well as an acceptable integrator of prosocial information about home nursing placement. Originality/value: The Geriatric Sociotype survey has shown usefulness in the evaluation of the social network of elderly people, both from the point of view of assessment and prognosis. In this sense it is considered that one of the main contributions of this study is to have included the qualitative evaluation of social relations, and to observe the differences according to the place of residence.

Idioma: Inglés

DOI: 10.1108/WWOP-08-2020-0043

Año: 2020

Publicado en: Working with Older People 25, 1 (2020), 58-72
ISSN: 1366-3666

Factor impacto SCIMAGO: 0.308 - Gerontology (Q3) - Community and Home Care (Q3)

Tipo y forma: Article (PostPrint)

Área (Departamento): Área Métodos Cuant.Econ.Empres (Dpto. Estruc.Hª Econ.y Eco.Pb.)
Área (Departamento): Area Psiquiatría (Dpto. Medicina, Psiqu. y Derm.)
Área (Departamento): Área Psicolog.Evolut.Educac (Dpto. Psicología y Sociología)