Abstract
Abstract Objective: to assess whether the health condition of an elderly person can serve as a mediating factor between the cognitive state and general self-esteem of the institutionalized elderly. Method: a quantitative, cross-sectional correlational study was performed, based on the path analysis technique.The following instruments were used for data collection: the Mini-Mental State Examination, the Tinetti Performance Oriented Mobility Assessment, the Mini Nutritional Evaluation and the Rosenberg Self-Esteem Scale. Results: the sample was composed of 312 elderly patients of both genders (112 men and 200 women), with an average age of 83.39 (+7.09) years. Most of the elderly persons were widowed, with a low educational level, and had been institutionalized in Residential Care Facilities for the Elderly for on average 54.6 (+51.69) months. The mediating factor of health condition renders the link between the cognitive state and self-esteem of the elderly null. However, the analysis of the decomposition of the effects showed a significant indirect effect between the cognitive state and health condition. The total effect of cognitive state on the health condition of the elderly is significant, positive and direct. Conclusion: based on the results of this study we maintain that cognitive changes can affect the nutritional state and physical balance of the institutionalized elderly.
Highlights
Based on the above, the evaluation of the health condition must have an all-encompassing andMany chronic diseases typical of old age are multidimensional approach, including a physical, a threat to autonomy and independence[1]
The present study aims to test whether the health condition of the elderly is a mediating factor in the Functional disability, with consequent loss of association between cognitive state and self-esteem autonomy, represents a window of opportunity in institutionalized elderly persons
It should be noted that the present study found no evidence of the mediation of health status in the association between cognitive state and global self-esteem
Summary
The evaluation of the health condition must have an all-encompassing andMany chronic diseases typical of old age are multidimensional approach, including a physical, a threat to autonomy and independence[1]. The present study aims to test whether the health condition of the elderly is a mediating factor in the Functional disability, with consequent loss of association between cognitive state and self-esteem autonomy, represents a window of opportunity in institutionalized elderly persons. Maintaining functionality plays a protective role in the process of physical, mental and social deterioration[4], ensuring the independence and autonomy required for healthy aging[5]. The objective of this investigation is translated into the following research question: does health status play a mediating role in the association between cognitive state and global self-esteem in the institutionalized elderly?. Deficits in cognitive performance are one of the most frequently mentioned factors in literature, with negative implications for the self-esteem of the elderly[7], especially memory disorders[8]
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