Browsing by Subject "Functional status"

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    Capacidad funcional y autocuidado de pacientes con insuficiencia cardíaca: una revisión de alcance
    (Universidad de Murcia : servicio de publicaciones, 2026) Santos, José Arthur Guimarães dos; Souza, Juliana Pessoa de; Lima, Danielly Farias Santos de; Mangueira, Suzana de Oliveira; Cabral, João Victor Batista; Sousa, Mailson Marques de; Sin departamento asociado
    Objective: To map the scientific evidence on the relationship between functional capacity and self-care in patients with heart failure.Methods:Scoping review conducted in accordance with the Joanna Briggs Institute and guided by PRISMA-ScR. Seven electronic databases and gray literature were consulted. Primary studies with adults (aged 18 years or older) diagnosed with heart failure, published in any language, were included, with independent and double-blind selection.Results: 18 studies were included. Self-care was predominantly assessed using the Self-Care of Heart Failure Index. Functional capacity was primarily assessed using the New York Heart Association functional classification. The relationship between the two is complex and varied, with positive, negative, or absent correlations.Conclusion:The relationship between functional capacity and self-care in patients with heart failure is heterogeneous. Understanding the relationship between self-care and functional capacity can guide healthcare professionals in the assessment and development of personalized interventions (education, exercise support, motivation) for patients with heart failure
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    Open Access
    Effects of COVID-19 lockdown on nutritional, functional and frailty biomarkers of people living in nursing homes. a prospective study
    (SAGE Publications, 2023-05-15) Oliveira, Adriana C. De Souza; Gómez Martínez, Carmelo; López Mongil, Rosa; Moreno Molina, Jorge; Hernández Morante, Juan José; Echevarría Pérez, Paloma; Gómez Gallego, María; Atención Sociosanitaria
    Abstract Background: Nursing home residences suffered a lockdown from the beginning of the COVID-19 pandemic. The present study prospectively evaluates the frailty, functional, and nutritional statuses of nursing home residents. Methods: Three hundred and one residents from three nursing homes took part in the study. Frailty status was measured using the FRAIL scale. Functional status was evaluated using the Barthel Index. Additionally, Short Physical Performance Batter (SPPB), SARC-F, hand grip strength, and gait speed were also evaluated. Nutritional status was determined using the mini nutritional assessment test (MNA) and several anthropometrical and biochemical markers. Results: Mini Nutritional Assessment test scores decreased in 20% throughout the confinement (p < .001). Barthel index, SPPB and SARC-F scores also decreased, although to a lesser extent, reflecting a decrease in functional capacity. However, both anthropometric parameters, hand grip strength and gait speed, remained stable throughout confinement (p > .050 in all cases). Morning cortisol secretion significantly decreased by 40% from baseline to post-confinement. A significant reduction in daily cortisol variability was observed, which may suggest increased distress. Fifty-six residents died during the period of confinement (81.4% survival rate). Sex, FRAIL and Barthel Index scores were significant predictors of resident survival. Conclusion: After the first COVID-19 blockade, several alterations in residents’ frailty markers were observed, which were small and potentially reversible. However, many of the residents were pre-frail after the lockdown. This fact highlights the need for preventive strategies to reduce the impact of future social and physical stressors on these vulnerable individuals.