Funcionalidad familiar y factores asociados al síndrome de fragilidad en el adulto mayor de la Comunidad del Cebollar, Cuenca 2015

Abstract

Introduction: the physiological process of aging, combined with biological, genetic, habits, lifestyle, chronic diseases, and psychosocial factors, leads to the development of a fragile older adult, so it is important to study the related factors. Objective: To determine the family functionality and factors associated with frailty syndrome in the elderly in the community of Cebollar, Cuenca 2015. Material and methods: a cross-sectional quantitative study was carried out on 205 elderly Cebollar adults. A data collection instrument was used to know sociodemographic characteristics. Family function was evaluated using the FFSIL test and the fragility syndrome using the Fried criteria. The variables were represented as absolute frequencies and percentage. Chi square test, relative risk (RR) and 95% confidence intervals were used to determine the association between variables. Results: the prevalence of fragility syndrome in the elderly was 55%. The following factors were significantly associated with frailty: age> 80 years (RR=2.67, 95%CI: 2.05-3.46, p<0.001); Widowhood (RR=1.51, 95%CI:1.21-1.90, p=0.001); Polypharmacy (RR=2.23, 95%CI:1.82-2.73, p<0.001); Hospitalization (RR= 2.04, 95%CI:1.76-2.37, p<0.001); Comorbidity (RR=1.93, 95%CI:1.63-2.28, p<0.001); And social dysfunction (RR= 3.70, 95%CI:1.77-7.74, p<0.001) and family dysfunction (RR=1.59, 95%CI:1.28-1.98, p<0.001). Conclusions: A high prevalence of prefragility and fragility was obtained in the elderly population; which had association with age over 80 years, widowhood, polypharmacy, hospitalization in the last 12 months, comorbidity, depression, social risk and family dysfunction