[Self-rating of health status and functional status of elderly people with ischaemic heart disease. Comparative study in 12-year period].
The study aims at presenting the changes in the self-rating of health status, functional ability in performing activities of daily living, and in the pattern of interrelations with the environment, as reported by elderly persons with ischemic heart disease. All these changes and their sociomedical determinants have been evaluated retrospectively and related to gender of the study participants. The study was carried out in 607 elderly respondents who received two questionnaires during the time interval of 12 years. The analysis of the functional ability in performing daily activities in both surveys based on the ADL and IADL scales. It has been observed in the baseline survey that the respondents with ischemic heart disease reported lower mobility, functional activity and scored their health status lower compared to other respondents. Though females with ischemic heart diseases scored higher their functional ability compared to males with the same disease, decrease of their functional ability in the time interval between both surveys was three-fold higher compared to males with the same disease. The results of the second study demonstrated age-related level of self-efficacy in performing activities of daily living (ADL scale) in females with ischemic heart disease; while none of the factors from the baseline survey had influence on their functional independence (with and without ischemic heart disease). Functional ability in males with ischemic heart disease was affected in the second study (besides age), by their attitude denying weariness of life demonstrated in the baseline survey. None of the factors from the baseline survey determined self-efficacy in performing daily activities by the males without ischemic heart disease as it was observed in the second survey.
Tobiasz-Adamczyk
Beata
B
Zakład Socjologii Medycyny Katedry Epidemiologii i Medycyny Zapobiegawczej Collegium Medicum Uniwersytetu Jagiellońskiego w Krakowie. mytobias@cyf-kr.edu.pl
Brzyski
Piotr
P
D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D001294:Attitude to Health; D005260:Female; D006304:Health Status; D006801:Humans; D008297:Male; D017202:Myocardial Ischemia / Q000175:diagnosis*; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires; D013997:Time Factors