Síndrome de fragilidad en el adulto mayor y su repercusión en la salud familiar, Parroquia Cunchibamba 2015 - 2016

Abstract

Introduction: Ecuador presents, currently, an accelerated aging process, a phenomenon that causes health problems among older adults, including the fragility that is a relatively new concept in geriatrics. The frailty syndrome is a pre disabled state, a state of vulnerability, or is detected and thus can address the situation to delay adverse events or overlooked and the elderly can cross the thin line separates fragility of disability. Objective: To identify frailty syndrome in the elderly and their impact on family health. Methods: Cross-sectional, descriptive, observational, with mixed approach of a total population of 200 adults over 65 years of sectors served by postgradistas of Family and Community Medicine, parish Cunchibamba, Study 2015/2016 period. Results: The frequency of frailty in the elderly was 163 (81.5%), the age range of 71-90 years predominated with 48.5%, 59.6% were women. It was classified according to the degree of functional impairment, mild weakness in 71 (43.5%), moderate 57 (34.9%), severe 35 (21.4%). Among the sociodemographic characteristics, marital status married 87 (53.4%), the level of instruction illiterate - incomplete primary 102 (62.5%) and employee work status 86 (52.8%) had significant percentages in different degrees of fragility. factors associated with the frail elderly, polypharmacy, hospitalization, depression, cognitive level and comorbidities with statistically significant results were identified. The family impact before the event frail old man, was coded by level of impairment, mild 47 (29.0%), moderate 49 (30.0%) and severe 21 (13.0%). Conclusions: A high level of fragility was identified in the elderly, with moderate impact on family health, mainly affecting the economic area, without underestimating the socio-psychological areas and family functioning.