Determinants of Feeling Hindered by Health Problems in Daily Living at 60 Years and Above

Document type: Journal Articles
Article type: Original article
Peer reviewed: Yes
Author(s): Cecilia Fagerström, Helen Persson, Göran Holst, Ingalill R Hallberg
Title: Determinants of Feeling Hindered by Health Problems in Daily Living at 60 Years and Above
Journal: Scandinavian Journal of Caring Sciences
Year: 2008
Volume: 22
Issue: 3
Pagination: 410-421
ISSN: 0283-9318
Publisher: Blackwell Publishing
City: Oxford
URI/DOI: 10.1111/j.1471-6712.2007.00545.x
ISI number: 000258582100012
Organization: Blekinge Institute of Technology
Department: School of Health Science (Sektionen för hälsa)
School of Health Science S-371 79 Karlskrona
+46 455 38 50 00
Language: English
Abstract: Although the ability to perform activities of daily living (ADL) is frequently used to identify the impact on daily living caused by health problems such as diseases, impaired eyesight or hearing, it is still not well known what makes people feel hindered in daily living with more or less inability to perform ADL. The aim of this study was to investigate feeling hindered by health problems in daily living among people (n = 958, 60-96 years) in relation to ADL capacity, health problems as well as social and financial resources, sense of coherence and life satisfaction. The data are taken from a baseline survey in one of the four included centres (Blekinge) of the longitudinal multicentre cohort study, The Swedish National Study on Aging and Care. The result showed that people felt hindered by their health problems despite no impairment in ADL capacity. Feeling greatly hindered by health problems was associated with factors linked to mobility but also to fatigue, no help when needed, and avoiding being outdoors due to fear of falling. Factors associated with feeling greatly hindered differed depending on whether people were impaired in ADL capacity or not. In people with excellent ADL capacity feeling hindered was associated with picking up things from the floor and rising from a chair and fatigue, whereas avoiding being outdoors, no help when needed and rising from a chair were found to be associated with feeling hindered by health problems among people with impaired ADL capacity. Combining people's ADL capacity with questions about feeling hindered may provide knowledge of determinant factors of feeling hindered in relation to ADL capacity, impaired or not, to identify people in need of rehabilitation or other interventions.
Subject: Nursing & Caring Sciences\General
Keywords: activity of daily living capacity, fatigue, feeling hindered, mobility, older people