Deterioro cognitivo en adultos mayores atendidos en el centro de salud “Daniel Álvarez” de Loja
Cognitive deficit, being a multifactorial pathology cannot be managed only with a clinicalpharmacological approach instead public health policies are required that evaluate the elderly patient in an extensive manner, allowing early detection of neurological deficit and related geriatric syndromes wi...
Збережено в:
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| Формат: | bachelorThesis |
| Мова: | spa |
| Опубліковано: |
2022
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| Предмети: | |
| Онлайн доступ: | https://dspace.unl.edu.ec/jspui/handle/123456789/24985 |
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Додати тег | Резюме: | Cognitive deficit, being a multifactorial pathology cannot be managed only with a clinicalpharmacological approach instead public health policies are required that evaluate the elderly patient in an extensive manner, allowing early detection of neurological deficit and related geriatric syndromes with impaired quality of life of the elderly. Therefore, the purpose of the following study was to determine the prevalence of cognitive impairment according to sociodemographic characteristics, determine the most affected domain of cognition, and establish the relationship between the degree of cognitive impairment and the presence of comorbidities in the geriatric population attended at the Daniel Alvarez Health Center during the period January - December 2020. The study had a quantitative, descriptive, observational and prospective cross-sectional approach, with a universe of 210 patients and a sample of 108 elder adults. The Mini Lobo Cognitive Examination (MEC) was applied to the patients who signed the informed consent, and a prevalence of cognitive impairment of 75.92% was obtained, and predominance of mild cognitive impairment in 36.1% of the patients. The population between 75 and 94 years old, female, married, merchants and with primary schooling have greater cognitive impairment, unlike the population between 65 and 74 years old, male, single, retired and with higher education, who mostly showed a normal cognitive function. The most affected domain of cognition is memory, attention, calculation, orientation, etc., therefore, 50% of patients with cognitive impairment show multi-domain amnesic-type affectation. The population with the presence of one or more comorbidities had a higher degree of cognitive impairment, unlike the population that did not suffer from comorbidities. Arterial hypertension is the most prevalent comorbidity within the study population and is related to 11.11% (n=12) of mild cognitive impairment |
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