[Self perception of health and complete evaluation of the elderly patient at a primary care center].
OBJECTIVE
1) To make an integrated evaluation of the cognitive status, functional capacity, chronic disorders and social situation of the over-75 age group. 2) To find this group's self-perception of their health.


METHODS
A descriptive crossover study.


METHODS
The Gòtic Health District in Barcelona.


METHODS
316 people were included in the study. They were chosen by simple randomised sampling from the over-75s seen at the centre (n = 1,625).


RESULTS
To assess cognitive status, the Pfeiffer Short Portable Mental Status Questionnaire was used; for functional capacity, the Katz Index; and for chronic disorders, the medical records were reviewed. A questionnaire was used to find patients' social situation and assessed social relationships, social resources used and architectonic barriers. Self-perception of health status was evaluated using the Nottingham Health Profile. Prevalence of cognitive deterioration was 29.7%. 39.4% of patients were dependent in one or more basic activities of their daily life. 90.8% had a chronic disorder, the most frequent being AHT, arthrosis, obesity and dyslipemias. 28.3% lived alone and 26.7% used social services.


CONCLUSIONS
We think this kind of assessment is useful in primary care. It would provide an integrated diagnosis (clinical, functional, medical and social) of elderly patients.
Bayó
J
J
Area Básica de Salud Gòtic, Unidad Docente de Medicina Familiar y Comunitaria, Barcelona.
Fernández-Aramburu
M C
MC
Orfila
F
F
Dalfó
A
A
Casajuana
J
J
Vila
M A
MA
Plana
J
J
Masseda
A M
AM
Vives
S
S
Nebot
A
A
D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D002908:Chronic Disease; D003072:Cognition Disorders / Q000175:diagnosis; D005260:Female; D006304:Health Status; D006801:Humans; D008297:Male; D008499:Medical Records; D008609:Mental Status Schedule; D010808:Physical Examination; D011320:Primary Health Care; D011569:Psychiatric Status Rating Scales; D012649:Self Concept; D011795:Surveys and Questionnaires
Autopercepción de salud y evaluación integral del paciente anciano en un centro de atención primaria.