Evaluation of the ability of elderly residents in nursing homes in Lattakia to perform activities of daily living (ADL)
الملخص
Introduction: Activities of daily living (ADL) are an important basic self-care skill for the general population, as well as for nursing home residents. Due to the physical changes associated with aging and comorbidities, nursing home residents may experience functional decline over time. The ability to perform ADL declines in most older adults due to changes in the functions of various organ systems. Dependence in ADL is associated with decreased quality of life and increased healthcare costs.
Objective: To assess the ability of older adults residing in nursing homes in Lattakia to perform ADL.
Research Materials and Methods: A descriptive study was conducted after determining the appropriate sample size for the study, which was 30 elderly residents. The residents were randomly selected from elderly residents of nursing homes in Lattakia (Dar Al Raha, Dar Al Ber and Social Services, and Dar Al Mowasat Al Islamiya) during June and July 2024. Data were collected using two tools: a demographic data form designed by the researcher based on a review of relevant references, and the Barthel Index (BI) to measure activities of daily living. The data were transcribed and then analyzed using the Statistical Package for the Social Sciences (SPSS).
Results: The results showed that the largest percentage of the sample (63.3%) was dependent on others, while approximately a quarter of the sample (23.3%) was severely dependent on others. None of the sample members were fully independent according to the Barthel Index.
Recommendations: It is recommended to conduct training programs for elderly residents of nursing homes to enhance their performance of daily living activities, and to conduct a study to evaluate the impact of motor rehabilitation programs on the elderly's ability to perform activities of daily living.
References
2. Ranganathan VK, Siemionow V, Sahgal V, Yue GH. (2001). Ef¬fects of aging on hand function. Journal of the American Geriatrics Society, 49(11):1478–84. doi: 10.1046/j.1532- 5415.2001.4911240.x
3. Liu WL, Unick JU, Galik EG, Resnick B. (2015). Barthel index of activities of daily living. Item response theory analysis of ratings for long-term care residents. Nursing Research 64:88_99 DOI 10.1097/nnr.0000000000000072.
4. Reid, N., Eakin, E., Henwood, T., Keogh, J. W., Senior, H. E., Gardiner, P. A., . . . Healy, G. N. (2013). Objectively measured activity patterns among adults in residential aged care. Int J Environ Res Public Health, 10(12), 6783-6798. doi: 10.3390/ijerph10126783
5. A. Klimczuk, Activities of Daily Living, [in:] C. Shehan (ed.), The Wiley-Blackwell Encyclopedia of Family Studies, Wiley-Blackwell, Hoboken, New Jersey 2016, pp. 22–25. http://doi.org /10.1002/9781119085621.wbefs143
6. Motamed-Jahromi, M.; Kaveh, M.H. (2021). Effective interventions on improving elderly’s independence in activity of daily living: A systematic review and logic model. Front. Public Health, 8, 516151. [CrossRef]
7. United Nations. World population prospects: The 2015 revision. United Nations Econ. Soc. Aff. 2015, 33, 1–66.
8. Bowling, C.B.; Fonarow, G.C.; Patel, K.; Zhang, Y.; Feller, M.A.; Sui, X.; Blair, S.N.; Alagiakrishnan, K.; Aban, I.B.; Love, T.E. (2012). Impairment of activities of daily living and incident heart failure in community-dwelling older adults. Eur. J. Heart Fail. 14, 581–587. [CrossRef]
9. Lampersberger, L.M.; Schuttengruber, G.; Lohrmann, C.; Grossschadl, F. (2024). “The supreme discipline of Nursing”—A qualitative content analysis of nurses’ opinions on caring for people eighty years of age and older. Heliyon, 10, e26877. [CrossRef]
[PubMed]
10. Millán-Calenti, J. C., Tubío, J., Pita-Fernández, S., González-Abraldes, I., Lorenzo, T., Fernández-Arruty, T., & Maseda, A. (2010). Prevalence of functional disability in activities of daily living (ADL), instrumental activities of daily living (IADL) and associated factors, as predictors of morbidity and mortality. Archives of Gerontology and Geriatrics, 50 (3), 306–310.
11. Ramos, L. R., Simoes, E. J., & Albert, M. S. (2001). Dependence in activities of daily living and cognitive impairment strongly predicted mortality in older urban residents in Brazil: A 2‐year follow‐up. Journal of the American Geriatrics Society, 49 (9), 1168–1175.
12. Gaugler, J. E., Duval, S., Anderson, K. A., & Kane, R. L. (2007). Predicting nursing home admission in the US: A meta-analysis. BMC Geriatrics, 7 (1), 13–26.
13. Arling, G., & Williams, A. R. (2003). Cognitive impairment and resource use of nursing home residents a structural equation model. Medical Care, 41 (7), 802–812.
14. Bürge, E., Berchtold, A., & von Gunten, A. (2011). Gender-related ADL performance of old people recently admitted to a Swiss nursing home. Swiss Medical Weekly, 141, w13183.
15. Mohammadifard M, Raji P, Hadian MR, Mahmoodian M, Baghestani AR, Esmaeilian H. (2016). The Effects of Hand Exercise Program on Activities of Daily Living of People Older Than 60 Years. Journal of Modern Rehabilitation. 10(4):193-198. https:// doi.org/10.18869/nirp.jmr.10.4.193
16. World Health Organization (2019). Definition of quality of life online at: http //www.who.int/ news -room /facts -sheet /details /aging and health
17. Tagharrobi Z, Sharifi K, Sooky Z. (2011). [Psychometric evaluation of Shah version of modified Barthel index in elderly people residing in Kashan Golabchi nursing home (Persian)]. Feyz Journals of Kashan University of Medical Sciences. 15(3):213-224.
18. Oveisgharan S1, Shirani S, Ghorbani A, Soltanzade A, Baghaei A, Hosseini S, et al. (2006). Barthel index in a middle-east country: Translation, validity and reliability. Cerebrovascular Diseases. 22(5-6):350–4. doi: 10.1159/000094850
19. Cui, Y., & Choi, M. (2024). Assessment of the Daily Living Activities of Older People (2004-2023): A Bibliometric and Visual Analysis. Healthcare, 12(12), 1180. https://doi.org/10.3390/healthcare12121180
20. Kumaran S, P. M. A, Raja A, et al. (March 15, 2025) Assessment of Activities of Daily Living and Quality of Life Among the Elderly in the Rural Area of Tiruvallur District, Tamil Nadu, India: A Cross-Sectional Study. Cureus 17(3): e80600. DOI 10.7759/cureus.80600
21. Eid AMR, Ahmed HI, Hassan MM: (2024). Activities of daily living and its effect on quality of life among older adults. Egypt J Health Care. 15:650-9