Multifunctional Independences in Older Adults with a Disability Certificate
DOI:
https://doi.org/10.64478/bxz70764Keywords:
Aged, Functioning, Disability, Rehabilitation, WHODAS 2.0Abstract
Disability in older adults represents a growing challenge for health systems and for accessibility and inclusion policies, requiring tools and procedures that allow for a comprehensive assessment of functional impact. This study explores the overall functioning of older adults holding a National Disability Certificate (CUD) across various rehabilitation centers in the province of Santa Fe, Argentina, using a biopsychosocial approach.
The objective is to characterize the functional and quality-of-life profile of older adults with a CUD in rehabilitation centers in the cities of Rosario and Santa Fe, and to analyze its relationship with sociodemographic variables.
An observational, cross-sectional, quantitative study was conducted in six rehabilitation centers, with a sample of 100 individuals aged 65 and older with neurological diagnoses. The WHODAS 2.0 questionnaire and a sociodemographic survey were administered. Statistical analysis was performed using SPSS 25.0®, employing ANOVA for institutional comparisons.
The results showed a predominance of male participants, with a mean age of 73,5 ± 6,7 years. The most frequent diagnoses were stroke and Parkinson's disease. The average global WHODAS score was 37.8 ± 22.1, indicating mild to moderate disability. Significant differences were observed in disability levels between institutions and genders, with higher prevalence among women. The most affected domains were mobility, household life, and social participation.
In conclusion, although participants exhibit functional limitations, they largely retain cognitive and self-care abilities. The low subjective perception of disability highlights the need to consider adaptive and contextual factors. The observed differences underscore the importance of designing comprehensive rehabilitation programs sensitive to institutional and social contexts.
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