Selected Factors Affecting Biopsychosocial Functioning of Neurogeriatric Patients

Abstract

Introduction. At present, in Poland and other European countrieswe are witnessing an increase in the number of elderly people. Of particular importance is the psychophysical evaluation of the patient and defining the deficits in their everyday functioning.Aim. The aim of the study was to analyze selected demographic factors affecting biopsychosocial functioning of neurogeriatric patients.Material and Methods. The research was carried out in the Department of Geriatrics at University Hospital No. 1 in Bydgoszcz on a group of 122 patients aged from 60 to 95 years, hospitalized for diseases of the nervous system. The biopsychosocial assessment was performed with the use of the NOSGER scale (Nurses’ Observation Scale for Geriatric Patients) — the Nursing Care Scale of Geriatric Patients and the Barthel scale.Results. As a result of the analysis, it was found that the average assessment of the functioning of older people in the assessment of the NOSGER scale was 89.89 for 150 maximum points. As a result of the analysis, it was found that respondents aged up to 64 years functioned best in each aspect of the NOSGER scale, whereas respondents aged over 90 years functioned the worst, with the exception of moods and emotions subscales. In the age groups 65–74 and 75–89, functioning was similar in all subscales. The statistical analysis carried out showed that the respondents who were in the second group of fitness had significantly worse functioning in each subscale and the overall NOSGER assessment than those who were in the first fitness group (p<0.05).Conclusions. There were no statistically significant differences found between gender, age, marital status, education, and functional fitness of patients on the Barthel score. There was also no significant effect of gender, age and education on the NOSGER patients assessment. Significant influence of marital status on the assessment in the area of destructive and disruptive behaviors on the NOSGER scale was observed. (JNNN 2018;7(3):118–123)