Navegando por Assunto "Aged"

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Análise da sarcopenia e a sua associação com indicadores clínicos, funcionais e de qualidade de vida em pessoas idosas atendidas no ambulatório do hospital Universitário João de Barros Barreto
(Universidade Federal do Pará, 2024-08-09) MORAES, Janine Brasil de Araújo; NEVES, Laura Maria Tomazi; http://lattes.cnpq.br/4235603520707156; HTTPS://ORCID.ORG/0000-0002-3115-2571; CARNEIRO, Saul Rassy Carneiro; http://lattes.cnpq.br/9162153771863939; https://orcid.org/0000-0002-6825-0239
Introduction: Introduction: Ageing can be accompanied by a progressive decline in muscle mass, strength and function. This resulting health condition is known as sarcopenia, a muscle disease that develops progressively and chronically. Age-related sarcopenia has several factors that accelerate this process and need to be identified and controlled in order to promote a good health prognosis and quality of life for the elderly population. Objective: To assess the association between sarcopenia and functional and quality of life indicators in elderly people treated at the geriatrics outpatient clinic of the João de Barros Barreto University Hospital (HUJBB). Methods: This is an observational, analytical, cross-sectional study carried out at the HUJBB geriatrics outpatient clinic. Sociodemographic and clinical assessments were carried out: sarcopenia assessment (SARC-Calf, handgrip strength assessment, Tetrapolar Electrical Bioimpedance (BIA) and Short Physical Performance Battery (SPPB)), functional indicators assessment (Barthel, quadriceps strength assessment, physical activity level assessment (IPAQ) and presence of falls in 60 days) and quality of life assessment (SF-12). The algorithm of the European Working Group on sarcopenia in the elderly (EWGSOP2) was used. Results: 129 participants were assessed (73% women, p = 0.001), with a mean age of 75.4 years and from the capital (80.6%). 57% were found to be at risk of sarcopenia, with a prevalence of sarcopenia of 27.1%. Handgrip strength (HGS) 18kg/f, skeletal muscle mass 18.3kg; SPPB 9 points; Barthel score 58.8% of independent participants; quadriceps strength 14kg/f; IPAQ 38.8% with a low level of physical activity and SF-12 37.7 points for the physical component and 48.2 points for the mental component. There was an association between appendicular skeletal muscle mass (ASMR) and calf circumference (WC), age, SARC-Calf, FPM and quality of life (physical component) for men (adjusted R2 0.42 and p<0.05), as well as sarcopenia, classified by ASMR, with BIA variables: body resistance, total body water in lean mass, lean mass and basal metabolic rate for men (adjusted R2 0.49 and p<0.05), and for women, intracellular water and total body water in body weight (adjusted R2 0.60 and p<0.05). Conclusion: This study concludes that WC, age, sarcopenia risk screening, HGS and quality of life were associated with MMEA measured by BIA. For the diagnosis of sarcopenia, there were different associations between the BIA markers when adjusted for gender.
Acesso aberto (Open Access)
Análise temporal e distribuição espacial das internações hospitalares por queda de idosos no Brasil, entre 2009 e 2018
(Universidade Federal do Pará, 2020-09-21) CHAGAS, Tiago de Nazaré das Chagas e; FERREIRA, Glenda Roberta Oliveira Naiff; http://lattes.cnpq.br/7459094802051187; https://orcid.org/0000-0002-8206-4950; POLARO, Sandra Helena Isse; http://lattes.cnpq.br/7875594038005793; https://orcid.org/0000-0001-5026-5080
Objective: To analyze the temporal trend and spatial distribution of hospital admissions due to falls in the elderly in Brazil. Method: Cross-sectional population-based study based on data from the Informatics Department of the Unified Health System (DATASUS) and the Hospital Information System of the Unified Health System (SIH / SUS). Therefore, the data were collected in a secondary database. Data were extracted from the SUS Information System - DATASUS, and correspond to information referring to Hospital Admissions Authorizations - AIH, of elderly hospitalized for falls in the period from 2009 to 2018 in Brazil. Data analysis used resources from descriptive and inferential statistics. Terra View® programs were used for spatial analysis and Join point® for trend analysis. Results: Over the ten years studied, the trend of hospitalizations for the elderly as a result of falls has grown significantly by 1.2% per year in Brazil. Among the regions, this behavior was variable, with periods of growth and stationary, with significant hospitalization among all age groups of elderly people above 75 years old, and among women, also observing different patterns between each state. The spatial analysis showed a Moran Global index of 0.39 (p = 0.02) in the period from 2009 to 2013, showing the existence of spatial autocorrelation, with a grouping of three states with low-low pattern, Pará, Amazonas and Amapá. Conclusion: Brazil is heading towards a new population configuration with an increase in the elderly population. The need to improve the structure of health care networks is urgent in all regions of the country in order to provide quick and effective care to the elderly victims of falls.
Acesso aberto (Open Access)
Enfermeiras desafiando a violência no âmbito de atuação da estratégia de saúde da família
(Programa de Pós Graduação em Enfermagem, Universidade Federal de Santa Catarina, 2013-12) POLARO, Sandra Helena Isse; GONÇALVES, Lucia Hisako Takase; ALVAREZ, Angela Maria
This study aimed to describe and analyze how violence affects the working process of nurses in the Family Health Program. It consists of an exploratory-descriptive study developed in a district in the suburb of Belém, Pará, Brazil. Data were collected between August 2009 and February 2010, by means of interviews with 14 nurses, and then submitted to the method of content analysis, generating one of the themes of this study: 'Challenging violence', with derivative sub-topics such as territorial violence, institutional violence and intrafamilial violence. The result showed the impact of the violence phenomenon on the working process of the nurses of the Family Health Program units. This violence induces them to feel fear and professional frustration due to embarrassment and limitation of their roles, although they still challenge the obstacles encountered in their daily work.
Acesso aberto (Open Access)
A experiência da solidão a partir do olhar de pessoas idosas do Programa Grupo de Educação na Terceira Idade
(Universidade Federal do Pará, 2022-03-21) RIBEIRO, Simone Correia; ANJOS, Francisco Valdinei dos Santos; http://lattes.cnpq.br/5035093639365870; RAMOS, João Batista Santiago; http://lattes.cnpq.br/8078757512392983
Based on the elements that contribute to the occurrence of the phenomenon of loneliness in the elderly, this research proposes a reflection on the experience of loneliness from the perspective of elderly people from the Grupo de Educação na Terceira Idade (GETI) Program. The study aims to investigate, based on the various dimensions of loneliness, the social/personal elements that cause the experience of loneliness among elderly people at GETI and, to achieve this objective, we carried out a study with a qualitative approach and the production of data was carried out at from the application of a previously structured interview script, whose questions were directed to the following categories: family life experience, network of social relationships and feeling of loneliness. For the analysis of the data produced, we used the content analysis method, which according to Bardin (2015) refers to a grouping of communication analysis techniques. This analysis technique allows the researcher to observe the different forms of communication that the interviewee emits during the interview. The research was carried out in the municipality of Castanhal, northeast of Pará, with elderly people from GETI, UFPA, Campus de Castanhal. The data were produced between November 2020 and May 2021, totaling 6 (six) subjects interviewed, 1 (one) man and 5 (five) women over 60 years of age. The investigation revealed that, due to the global/current pandemic scenario caused by SARS-CoV-2, the phenomenon of loneliness is more present and has presented itself in its most harmful version in the life of the elderly. Factors such as social distancing, the loss of loved ones and family members, in addition to anxiety, have had harmful impacts on the daily lives of the elderly. It is concluded that the construction of the data highlights the importance and the possibility of reflecting on the dimensions of the loneliness phenomenon in the life of the elderly, as well as on the importance of affective-social relationships in the routine of this public, as a way of providing them with support with the changes required by aging and, consequently, help in experiencing a better quality of life in old age. The importance of the role of public policies that govern the laws of the elderly and guarantee their rights is highlighted. It is important, however, to highlight that society needs to know and value these laws and treat the elderly as active and significant subjects, worthy of enjoying their rights and living in safety. Society, therefore, can provide the advancement of struggles for the rights of the elderly, for the dignity of aging and for compliance with the laws (BETTINELLI; PORTELLA, 2004).
Acesso aberto (Open Access)
Funcionalidade familiar de idosos brasileiros residentes em comunidade
(Universidade Federal do Pará, 2017-07-21) CAMPOS, Ana Cristina Viana; REZENDE, Gabrielli Pinho de; FERREIRA, Efigênia Ferreira e; VARGAS, Andréa Maria Duarte; GONÇALVES, Lucia Hisako Takase
Objective: To evaluate the family functioning of Brazilian elderly people and test how determining factors influence it. Methods: Cross-sectional study with 2,052 elderly people based on data collected in the baseline of the study Aging, gender and quality of life (AGEQOL), with participants answering questionnaires about family dynamics, basic and instrumental activities of daily living (ADL and IADL), cognitive state and sociodemographic characteristics. Multivariate ordinal regression models and multiple correspondence analysis identified factors associated with good family functioning. Results: Most elderly people had good family functioning (76.3%), were married and lived with their spouse (55.5%), had more than six children and grandchildren (85.4% and 76.7%, respectively) and were independent to perform IADL (71.5%). Correspondence analysis resulted in three groups: good, moderate and poor family functioning, and a profile of elderly people with different socioeconomic conditions. Conclusion: It was possible to infer implications for practices and policies of family care with elderly members to meet their specific routine and life and health conditions.
Acesso aberto (Open Access)
Literacia para a saúde do cuidador informal na pandemia de COVID-19 no contexto amazônico
(Universidade Federal do Pará, 2023-11-10) ARAÚJO, Lucianne do Socorro Nascimento de; SOUSA, Fabianne de Jesus Dias de; http://lattes.cnpq.br/9925044069366557; https://orcid.org/0000-0002-8151-3507
Introduction: It is a priority to include the health literacy of informal caregivers in public health policies, with potential benefits for the health of the caregiver and the care provided to the elderly. This study aimed to evaluate the health literacy of informal caregivers of elderly people cared for in a university hospital during the COVID-19 pandemic. Methods: Cross-sectional, observational, descriptive, correlational and quantitative approach with 37 informal caregivers of elderly people treated at the Geriatrics Service of the Hospital Universitário João de Barros Barreto. The following instruments were used: sociodemographic and European Health Literacy Survey Questionnaire. For data processing and analysis, we used the statistical programs Epi Info version 7.2.5.0 (Centers for Disease Control and Prevention, Atlanta, United States) and GraphPad Prism version 8. Regarding descriptive statistics, the following were performed: absolute and relative frequencies for all variables and, in the case of numerical variables, we calculate the mean, median, standard deviation, minimum and maximum, with their respective 95% Confidence Intervals. In inferential statistics, the non-parametric chi-square tests of adherence were applied for univariate categorical comparison and G test for bivariate categorical comparisons. Considering the numerical comparisons, ANOVA 1 criterion was used since they met the assumptions of normality (assessed by the Bartlett test). An alpha statistical significance level of 5% was considered for all analyzes carried out. Results: Of the 37 informal caregivers, they were women (91.8%) with an average age of 48 years, married (62.1%), with high school education (43.2%), living in the same house with the elderly person being cared for (45, 9%) with good health status (54.0%) self-report that the provision of care to the elderly was not affected (56.7%), they take care of one person (45.9%), their father/mother (64 .8%). As for the elderly people cared for, the majority were women (72.9%) with an average age of 78.2 (±13.2) years. The LS of informal caregivers was 21.7, proving to be inadequate. The domain with the best score was “Health Promotion” (23.6) and “Disease Prevention” (20.1), the worst. Conclusion: The results showed that the health literacy of informal caregivers is inadequate, highlighting the need for educational actions for this population with a view to improving the care provided to elderly people.
Acesso aberto (Open Access)
O protagonismo da prevenção de quedas por idosos na perspectiva de promoção da saúde de Nola Pender
(Universidade Federal do Pará, 2019-07-11) RODRIGUES, Ana Rafaela Souza; POLARO, Sandra Helena Isse; http://lattes.cnpq.br/7875594038005793; https://orcid.org/0000-0001-5026-5080; GONÇALVES, Lucia Hisako Takase; http://lattes.cnpq.br/6191152585879205; https://orcid.org/0000-0001-5172-7814
INTRODUCTION: Falling in the elderly represents a public health problem, since it manifests itself in high prevalence, presents multicausality and is one of the geriatric syndromes. It is important to emphasize the importance of nursing to develop safe practices directed to the factors that influence the health behaviors of the elderly. OBJECTIVES: To apply the Pender Health Promotion Model in the Nursing process to the elderly with risk factors for falls; Evaluate health behavior safety promoters against falls; Explore selfefficacious practices of safe behaviors in the face of the event falls. METHODOLOGY: The study was characterized by a descriptive research with a qualitative approach, such as Research Convergent Care. This study was carried out with 7 elderly residents of the Guamá Belém / PA district who are users of public services. The data were obtained through the application of the nursing process, having for analysis, the sources: (a) Nursing History; (b) The application of the Photovoice technique; (c) International Classification for Nursing Practice CIPE; d) Planning, debates and synthesis of each of the four focal group meetings. RESULTS: Health behaviors according to MPS are summarized in three categories and their subcategories: 1 Characteristics, Individual experience: Risk behavior for falls, Consequence of falls and Learning with falls; 2 Specific Behavior: Influential selfperception for falls, Interpersonal influences that affect the behavior of others, Wishes for changes that will contribute to the prevention of falls; 3 Behavioral Result: Selfefficacious fall prevention and positive action / suggestion assessment. The self efficacious practices exercised during the application of the nursing process resulted in initial changes in behavior regarding life habits such as: paying more attention to where to walk, wandering slowly and looking at the floor, do not be ashamed to ask for help. CONCLUSION: The demonstration of the health behavior of the elderly has influence coming from the experiences of fall. Although being users of public services, no influences from educational programs were perceived. Regarding the observed behavioral changes of selfefficacious practices, some positive life habits were observed, however, socioeconomic and family barriers make it difficult to prevent falls in the elderly, especially in the context studied.