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Baseline measure of activities of daily living (ADL) using Katz index of ADL on participants those who were recruited to a RCT form a tertiary care hospital in Sri Lanka

Authors:

Rohana B Marasinghe ,

University of Sri Jayewardenepura, LK
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Lindamulage C Damayanthi,

University of Sri Jayewardenepura, LK
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Thamara D Amarasekara

Faculty of Medical Sciences Jayewardenepura, LK
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Abstract

F

Objective

Functional status is an important variable in making a discharge plan, especially for elderly patients. Main objective of this study was to assess the limitations in activities of daily living (ADL) among hospitalized elderly patients using Katz index of ADL.

Methods

A sample of 128 elderly (60 years or above) patients, equal number of male and female, admitted to six (06) medical wards of the hospital and stayed at least 48 hours between July and October 2017 were interviewed and observed using the original Katz index of ADL which includes six ADL functions, bathing, dressing, toileting, transferring, continence and feeding. Additional observation was done on patients to rectify the data obtained through the index. Data were analyzed using a computer package to obtain relative grades to assign a letter score ranging from grade A to G, A being the most independent in functioning while G represents total dependency.

Results

Majority, 65 (50.78%), was aged 60-69 years, 51 (39.84%) were 70-79 years. Seventy-seven (60.16%) participants including female (42.19%) and male (17.97%) were not employed. Most prevalent diseases were hypertension 92 (71.88%), and diabetes mellitus 90 (70.31%). Eighty-nine (69.53%) were completely independent (Grade A), 11 (8.59%) were independent (Grade B) except for one of six functions of ADL index, 23 (17.97%) were found to be dependent for at least two functions and, remarkably, only a small number 3 (2.34%) of elderly patients were identified as totally dependent for their ADL.

Conclusion

During the interview and observation, we found that transfer is often associated with mobility. In conclusion, the Katz index of Activities of Daily Living (ADL) was found to be a useful tool to obtain objective and descriptive measures of ADL of elderly patients who were selected for a RCT study.

 

 

How to Cite: Marasinghe, R.B., Damayanthi, L.C. and Amarasekara, T.D., 2021. Baseline measure of activities of daily living (ADL) using Katz index of ADL on participants those who were recruited to a RCT form a tertiary care hospital in Sri Lanka. Journal of the Postgraduate Institute of Medicine, 8(2), pp.E144 1–12. DOI: http://doi.org/10.4038/jpgim.8260
Published on 15 Sep 2021.
Peer Reviewed

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