• Atencion primaria · Jun 2024

    [Improving quality of life in older adults with the decline syndrome: The role of occupational therapy in primary care].

    • Gemma Riera Arias, Judith Serra Corcoll, Marina Casadevall Arnaus, Josep Vidal-Alaball, Anna Ramírez-Morros, and Glòria Arnau Solé.
    • Equipo de Atención Primaria Sant Hipòlit de Voltregà, Gerència d'Atenció Primària i a la Comunitat de Catalunya Central, Institut Català de la Salut, Cataluña, España.
    • Aten Primaria. 2024 Jun 1; 56 (6): 102879102879.

    ObjectiveTo evaluate the effect of an occupational therapy intervention in users recently diagnosed with the decline syndrome, who have experienced a decrease in the Barthel and/or Lawton index in the last month and susceptible to improvement based on medical opinion.DesignNon-controlled, quasi-experimental longitudinal study. A pre-post intervention.LocationSant Hipòlit de Voltregà health centre. Osona, Barcelona.ParticipantsPatients referred by the centre's primary care nursing, social work or medical staff with a recent diagnosis of decline syndrome who may benefit from the intervention of an occupational therapy professional.InterventionFollowing the initial assessment visit, four training sessions were conducted to improve functional independence, mobility and adaptation of the home environment, providing training to primary caregivers.Main MeasurementsPatient autonomy was assessed using the Barthel and Lawton scales, quality of life using the EuroQol questionnaire (EQ-5D) and home suitability using the home suitability assessment questionnaire.ResultsImprovements were observed in autonomy in activities of daily living (p=0.003), mobility (p=0.001) and housing adaptation (p<0.001). The level of anxiety/depression was reduced (p=0.028), and the mean health status score increased markedly (p<0.001).ConclusionsThis study highlights the improvement in the quality of life and autonomy in the basic activities of daily living for individuals receiving occupational therapy, emphasizing the need for home adaptation and family support.Copyright © 2024 The Author(s). Publicado por Elsevier España S.L.U. All rights reserved.

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