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Gerokomos
versión impresa ISSN 1134-928X
Resumen
LLUESMA-VIDAL, Marta et al. Self-perception of health status as an indicator of the quality of life in patients with cognitive dysfunction based on the residence: home care versus nursing home. Gerokomos [online]. 2021, vol.32, n.1, pp.2-7. Epub 05-Abr-2021. ISSN 1134-928X. https://dx.doi.org/10.4321/s1134-928x2021000100002.
Objective:
analyze the relationship between sociodemographic and clinical variables in patients with cognitive impairment regarding to the place of residence (family home versus institutions), compare their self-perception of health status.
Material and Method:
observational comparative study. The sample was formed by 71 participants; 44 of them were living in their homes and attended to a day center and 27 of them resided in a Social Health Center. Participants were evaluated using the Charlson comorbidity index, Folstein Mini Mental Test (MMSE), verbal fluency test, self-perception of health status using Euro-Qol visual analogue scale and sociodemographic variables included: sex, age, level of studies, marital status and number of children.
Results:
the main results suggest that patients residing in their homes have a worse cognitive state compared to those who lived in Social Health Centers in relation to the MMSE (difference of 3,09 points, p=0,003) and verbal fluency (difference of 3,05 points 5,32, p=0,000). However, their self-perception of health status was higher (difference of 21,22 points, p=0,000).
Conclusions:
patients with cognitive dysfunction who reside in their homes have a better self-perception of their health status compared to those who reside in the Social Health Center. This aspect is of relevance to the improvement of the development of cost-effective strategies that encourage the health of patients with cognitive diseases.
Palabras clave : Quality of life; health; cognitive dysfunction; home care; nursing home.