Survey of Barthel Activities of Daily Living, Cognitive Function and Frailty of elderly who obtained service in Faculty of Medicine Vajira Hospital, Bangkok Metropolitan
Article Sidebar
Main Article Content
Abstract
This descriptive study aimed to explore the ability of Barthel Activities of Daily
Living, Cognitive Function (BADLs), and frailty status of older adults who
obtained service at the Faculty of Medicine Vajira Hospital, Bangkok Metropolitan,
between January 2023 and December 2024. The samples were 367 individuals
who aged 60 years and older, including outpatients and inpatients. Data were
collected using structured interviews comprising four sections (1) a personal
information questionnaire (2) a BADLs assessment form (3) a cognitive function
assessment form and (4) a frailty assessment form were analyzed using
descriptive and one sample t-test.
The results found that the participants were 173 outpatients; the mean age was
73.48 years (standard deviation [SD] = 7.88 years). Of these, 0.6% were
dependent on BADLs, 35.8% had cognitive impairment, and 16.7% were classified
as frail. Among the 194 inpatients, the mean age was 70.14 years (SD = 7.46
years). Of these, 3.6% were dependent on BADLs, 12.4% had cognitive
impairment, and 17.5% were identified as frail. Notably, there were no
statistically significant differences among these outcomes among outpatients
(p value=1.000, .238 and .355 respectively) and inpatients (p value= .231, .893
and .132 respectively) at the 30-day follow-up.
The findings can be utilized as a primary data to reform and develop the geriatric
healthcare service systems, including referral pathways and continuous follow-up
care for both outpatients and inpatients. These efforts aim to prevent hospital
readmissions and remediate functional decline in elderly.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
เนื้อหาและข้อมูลในบทความที่ลงตีพิมพ์ในวชิรสารการพยาบาลถือเป็นข้อคิดเห็นและความรับผิดชอบของผู้เขียนบทความโดยตรง ซึ่งกองบรรณาธิการไม่จำเป็นต้องเห็นด้วย หรือร่วมรับผิดชอบใด ๆ ทั้งสิ้น
บทความ ข้อมูล เนื้อหา รูปภาพ ฯลฯ ที่ได้รับการตีพิมพ์ในวชิรสารการพยาบาล ถือเป็นลิขสิทธิ์ของวชิรสารการพยาบาล หากบุคคลใดหรือหน่วยงานใดต้องการนำทั้งหมดหรือส่วนหนึ่งส่วนใดไปเผยแพร่ต่อหรือเพื่อกระทำการใด ๆ จะต้องได้รับอนุญาตเป็นลายลักอักษรจากวชิรสารการพยาบาลก่อนเท่านั้น
References
World Health Organization. Ageing [Internet]. 2022 [cited 2025 May 12]. Available from: https://www.who.int/ health-topics/ageing#tab=tab_1
Department of Mental Health, Ministry of Public Health. Thailand’s step toward a complete ageing society [Internet]. 2022 [cited 2025 May 12]. Available from: https://www.dmh. go.th/ news-dmh/view.asp?id=30476. (in Thai)
Department of Older Persons, Ministry of Social Development and Human Security. Statistics of older persons 2021 [Internet]. 2022 [cited 2025 May 12]. Available from: https://www.dop.go. th/th/know/side/1/1/1099. (in Thai)
Division of Medical Record and Statistics, Faculty of Medicine Vajira Hospital, Navamindradhiraj University. Statistics of elderly outpatients, Vajira Hospital 2019–2021. 2022. (in Thai)
Somdet Phra Yanasangvara Geriatric Institute, Department of Medical Services, Ministry of Public Health. Quality geriatric clinic standards and implementation manual [Internet]. 2022 [cited 2025 May 12]. Available from: http://agingthai.dms.go.th/agingthai/manual-guideline/manual-guideline-table/. (in Thai)
Panuthai S. Health service system for the elderly. In: Panuthai S, editor. Geriatric nursing. 2nd ed. Chiang Mai: Smartcoating and Service; 2018. p. 31–43. (in Thai)
Boongird C. Comprehensive Geriatric Assessment (CGA): How to change the system of primary care. PCFM. 2009;1(2):32–6. (in Thai)
Veronese N, Custodero C, Demurtas J, Smith L, Barbagallo M, Maggi S, et al. Comprehensive geriatric assessment in older people: an umbrella review of health outcomes. Age Ageing. 2022;51 (5):afac104. doi: 10.1093/ageing/afac104
Lin KP, Chen JH, Lu FP, Wen CJ, Chan DD. The impact of early comprehensive geriatric screening on the readmission rate in an acute geriatric ward: a quasi-experimental study. BMC Geriatr. 2019;19(1):285. doi: 10.1186/s12877-019-1312-y
Allen CM, Blazer DG, McVey LJ, Saltz C, Feussner JR, Cohen HJ. A randomized controlled clinical trial of a geriatric consultation team: compliance with recommendations. J Am Geriatr Soc. 1986;34(4):255–61.
Sato (Osaki) K, Huq K, Kazawa K, Kawai M, Moriyama M. Evaluate a comprehensive geriatric assessment service framework targeting frail older people who had high risk of requiring long-term care services in Japan: a community-based pilot study. BMC Geriatr. 2024;24(645): 1–11. doi: 10.1186/s12877-024-05200-0
Kurathong S. Urban medicine. Vajira Med J. 2016;59(1):1–4. (in Thai)
Eliopoulos C. Gerontological Nursing. 5th ed. Philadelphia: Lippincott; 2001.
Yamane T. Statistics: an introductory analysis. 3rd ed. New York: Harper and Row; 1973.
Areeau S, Youngcharoen P. Six-item cognitive impairment test Thai version: psychometric properties. Rama Nurs J. 2020;26:188–202. (in Thai)
Fried LP, Tangen CM, Walston J, Newman AB, Hirsch C, Gottdiener J, et al. Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci. 2001;56(3):M146–56. https://doi.org/ 10.1093/gerona/56.3.m146.
Paisan T, Srinah S, Butrach S, Uncharoen S, Kongla M. Factors associated with activities of daily living among elderly in chronic disease clinic, Kho Yai Tambon Health Promoting Hospital, Ku Kaew District, Udon Thani Province. J Health Syst Res. 2024;17(2):55–67. (in Thai)
Imarb C. Prevalence and factors associated with cognitive impairment among elderly in Wat Pleng District, Ratchaburi Province. J Public Health. 2024;28(5):782–91. (in Thai)
