Attitude toward the own aging, functionality and disability

Tuesday, July 12, 2011: 10:30 AM

Bertha Cecilia Salazar, PhD1
Perla Lizeth Hernandez, BS, MNS2
Mirtha Idalia Celestino, RN, BS2
(1)Secretaria de Programas de Doctorado, Nursing College, Universidad Autonoma de Nuevo Leon, Monterrey, Mexico
(2)School of graduates, Nursing College, Universidad Autonoma de Nuevo Leon, Monterrey, Mexico

Learning Objective 1: "The learner will be able to learn about factors influencing attitude toward own aging in a group of Mexican older adults".

Learning Objective 2: "The learner will be able to learn the relationships between attitude toward own aging and functionality,and disability in a group of Mexican older adults".

Purpose: To know influencing factors on attitude toward own aging and its relation to functionality including gait and disability in a group of Mexican older adults.

Methods:  A descriptive correlational design was used. A random sample using the square as conglomerate was drawn. Sample size was estimated with the following criteria: .05 significance level, 90% power, r= .40 effect size resulting in 62 older adults, but considering a design effect (square as conglomerate) and a 10% of not response the sample size was increased to 103. The Mini Mental State Examination was used as a screening test. An attitude toward aging questionnaire, the Late Life Function and Disability Instrument and Tinetti´s Gait Index were applied. The study was approved by the Ethics Committee of the School of Nursing, Universidad Autónoma de Nuevo León, all participants gave oral informed consent. 

Results: Mean age was 70.99 years (SD = 7.96; 60-97), years attended school was 4.50 years (SD = 4.05; 0-17); number of diseases was 2.29 (SD = 1.25; 0-5) and medicines 3.17 (SD = 2.39; 0-10). Sixty four percent (66) were women. Multivariate analysis showed that age, disease and medications affected attitude toward aging (all ps ≤ 0.05). Age and number of disease also affected functionality, temporo-spacial characteristics of gait on Tinetti test, and disability (p < .001). Gender influenced length and cycle of step (ps < .038). A better attitude was significantly correlated to functionality (rs = .42) and to less disability (r = .52). Functionality and gait were significantly correlated (rs = .34); functionality affected disability (p = .001, R2 = 48%).

Conclusion: Those with more age, more diseases and medications showed a less positive attitude.  A positive attitude towards own aging related to functionality and disability, and functionality determines disability of older adults.