Ariene Angelini dos Santos

Família e vulnerabilidade social: um estudo com octogenários

Para elaborar politicas publicas para el cuidado de anciano con demencia, es importante verificar factores quevarian con la vulnerabilidad social de esa poblacion. El objetivo de este estudio fue identificar la relacion entreuna medida de vulnerabilidad social (IPVS) y algunos indicadores de apoyo familiar para ancianos, con mas de80 anos, con alteraciones cognitivas (N=49). Todas las recomendaciones eticas fueron observadas. Los datosfueron recolectados en los domicilios de los ancianos. La gran mayoria de los entrevistados vivia con la familia(88%). En la mitad de las familias los ancianos vivian con uno (41%) o dos ancianos (9%). En promedio habiauna persona mas, que no era anciana, viviendo en el contexto familiar de alta vulnerabilidad (M=3,6, DE=1,70)que en el contexto de muy baja vulnerabilidad (M=2,4, DE=1,07), F (2, 43)=3,364, p<0,05. Sin embargo, esnecesario verificar la funcionalidad del apoyo familiar en esos contextos.DESCRIPTORES: anciano de 80 o mas anos; demencia; salud de la familia; apoyo social; vulnerabilidad socialIn order to guide the development of dementia-related public policies for the elderly, it is important to identify factors that vary together with the social vulnerability of this population. This study aimed to identify the relationship between the São Paulo Social Vulnerability Index (IPVS) and various indicators of family support for elderly people over 80 years of age, who presented cognitive alterations (N=49). All ethical guidelines were followed. Data were collected at the homes of the elderly people. A large majority of the respondents lived with family members (88%). In half of the cases, the respondents lived with one (41%) or two (9%) other elderly persons. On average, there was one more non-elderly person living in the high vulnerability family context (M = 3.6, sd = 1.70) than in contexts of very low vulnerability (M = 2.4, sd = 1.07), F(2.43) = 3.364, p < 0.05. However, the functionality of the support provided by these family members needs to be verified, in each of these contexts.

Funcionalidade familiar de idosos com alterações cognitivas: a percepção do cuidador

The objectives of this study were to characterize the caregivers of elderly individuals with cognitive impairment living in different contexts of social vulnerability, and assess the family functionality of the elderly as perceived by the caregivers. Family functionality was evaluated using the Family APGAR instrument, assessed during home interviews with 72 caretakers. All the ethical aspects were observed. Spearmans correlation and the Mann-Whitney test were used, with 5% significance level (p<0.05). Results show that 82% of caregivers reported a good family functionality, 14% reported moderate family dysfunction, and 4% reported high family dysfunction. A statistically significant correlation was found between Family APGAR and the number of people living in the house (p=0.048). Further studies could verify the relationship between family functionality and the caretakers overload in the context of elderly persons with dementia.Este trabalho objetivou caracterizar os cuidadores de idosos com alteracoes cognitivas morando em diferentes contextos de vulnerabilidade social, e avaliar a funcionalidade familiar desses idosos segundo a percepcao dos cuidadores. A funcionalidade familiar foi avaliada utilizando o instrumento APGAR de familia, durante entrevistas domiciliares com 72 cuidadores de idosos. Todos os cuidados eticos foram observados. Foi utilizada a correlacao de Spearman e o teste de Mann-Whitney, com nivel de significância de 5% (p<0,05). Os resultados mostram que 82% dos cuidadores relatam boa funcionalidade familiar; 14%, moderada disfuncao familiar; e 4%, elevada disfuncao familiar. Houve correlacao estatisticamente significante entre o APGAR de Familia e o numero de pessoas que residem na casa (p=0,048). Investigacoes futuras poderiam verificar a relacao entre funcionalidade familiar e sobrecarga do cuidador no contexto de idosos com demencia.

Perfil dos idosos com alterações cognitivas em diferentes contextos de vulnerabilidade social

Abstract Resumen Estudio cuantitativo, descriptivo, transversal. Destinado acaracterizar los ancianos con cambios cognitivos, usuariosde las Unidades de Salud de la Familia (USF), que se encuentranen diferentes contextos de vulnerabilidad social. La poblaciondel estudio fue la gente mayor de 60 anos de USFs registradodel municipio de Sao Carlos. Consistio en la recopilacion dedatos estructurada, utilizando el criterio Brasil y genograma.Los resultados muestran que las personas mayores que vivenen el contexto de muy baja, baja o mediana vulnerabilidad, sonen su mayoria mujeres, viudas, con 80 o mas anos de edad,clase social inserida en la clase B. Los que viven en el contextode alta y muy alta vulnerabilidad son predominantemente desexo femenino, casados, de 80 anos, incluidos en la clasesocial C. Asi, en paises como Brasil, es necesario revisar lasestrategias de atencion que respondan a la nueva edad.Palabras Clave: Enfermeria. Salud del anciano. Programaede Salud Familiar. 1 Enfermeira. Mestranda em Enfermagem pela Universidade Federal de Sao Carlos (UFSCar). Sao Carlos- SP-Brasil. E-mail: arieneang elini@yahoo.com.br,Estudo de natureza quantitativa, descritiva, transversal. Teve como objetivo caracterizar idosos com alteracoes cognitivas, usuarios de Unidades de Saude da Familia (USF), que residem em diferentes contextos de vulnerabilidade social. A populacao estudada foi composta por pessoas com idade a partir de 60 anos, cadastrados em USFs do municipio de Sao Carlos. A coleta de dados consistiu em entrevista estruturada, utilizando-se de Genograma e Criterio Brasil. Os resultados mostram que idosos que vivem em contexto de muito baixa, baixa ou media vulnerabilidade, sao em sua maioria do sexo feminino, viuvos, com 80 anos de idade e mais, inseridos na classe social B. Os que vivem em contexto de alta e muito alta vulnerabilidade sao predominantemente do sexo feminino, casados, com idade de ate 80 anos, inseridos na classe social C. Assim, em paises como o Brasil, torna-se necessaria a reavaliacao das estrategias de cuidado que atendam essa faixa etaria emergente.

Family and social vulnerability: a study with octogenarians

Para elaborar politicas publicas para el cuidado de anciano con demencia, es importante verificar factores quevarian con la vulnerabilidad social de esa poblacion. El objetivo de este estudio fue identificar la relacion entreuna medida de vulnerabilidad social (IPVS) y algunos indicadores de apoyo familiar para ancianos, con mas de80 anos, con alteraciones cognitivas (N=49). Todas las recomendaciones eticas fueron observadas. Los datosfueron recolectados en los domicilios de los ancianos. La gran mayoria de los entrevistados vivia con la familia(88%). En la mitad de las familias los ancianos vivian con uno (41%) o dos ancianos (9%). En promedio habiauna persona mas, que no era anciana, viviendo en el contexto familiar de alta vulnerabilidad (M=3,6, DE=1,70)que en el contexto de muy baja vulnerabilidad (M=2,4, DE=1,07), F (2, 43)=3,364, p<0,05. Sin embargo, esnecesario verificar la funcionalidad del apoyo familiar en esos contextos.DESCRIPTORES: anciano de 80 o mas anos; demencia; salud de la familia; apoyo social; vulnerabilidad socialIn order to guide the development of dementia-related public policies for the elderly, it is important to identify factors that vary together with the social vulnerability of this population. This study aimed to identify the relationship between the São Paulo Social Vulnerability Index (IPVS) and various indicators of family support for elderly people over 80 years of age, who presented cognitive alterations (N=49). All ethical guidelines were followed. Data were collected at the homes of the elderly people. A large majority of the respondents lived with family members (88%). In half of the cases, the respondents lived with one (41%) or two (9%) other elderly persons. On average, there was one more non-elderly person living in the high vulnerability family context (M = 3.6, sd = 1.70) than in contexts of very low vulnerability (M = 2.4, sd = 1.07), F(2.43) = 3.364, p < 0.05. However, the functionality of the support provided by these family members needs to be verified, in each of these contexts.

Functionality of elderly people with cognitive impairments in different contexts of social vulnerability

Objectives: To evaluate the functionality of older people with cognitive impairments, living in different contexts of social vulnerability and correlate with the variables of age and gender. Methods: Cross-sectional, descriptive study that included the evaluation performed in 88 patients, using the Katz Index and the Pfeffer Functional Activities Questionnaire . The Mann-Whitney and Spearman correlation, with significance level of 5% (p <“0.05) were used. Results: There was no influence of gender on the results of evaluating the functionality of the elderly. It was found that the older the elderly were, the more dependent they were, both for instrumental and basic activities. It was found that most elderly living in poor environments were dependent for activities outside the home. Conclusion: These data reinforce the importance of evaluating the functional capacity of the elderly, especially those with cognitive impairment, advanced age and living in contexts of poverty.

Funcionalidade de idosos com alterações cognitivas em diferentes contextos de vulnerabilidade social

Objectives: To evaluate the functionality of older people with cognitive impairments, living in different contexts of social vulnerability and correlate with the variables of age and gender. Methods: Cross-sectional, descriptive study that included the evaluation performed in 88 patients, using the Katz Index and the Pfeffer Functional Activities Questionnaire . The Mann-Whitney and Spearman correlation, with significance level of 5% (p <“0.05) were used. Results: There was no influence of gender on the results of evaluating the functionality of the elderly. It was found that the older the elderly were, the more dependent they were, both for instrumental and basic activities. It was found that most elderly living in poor environments were dependent for activities outside the home. Conclusion: These data reinforce the importance of evaluating the functional capacity of the elderly, especially those with cognitive impairment, advanced age and living in contexts of poverty.

The relationship between depressive symptoms and family functioning in institutionalized elderly

The present study aimed to investigate the relationship between family functioning and depressive symptoms among institutionalized elderly. This is a descrip...The present study aimed to investigate the relationship between family functioning and depressive symptoms among institutionalized elderly. This is a descriptive, cross-sectional study of quantitative character. A total of 107 institutionalized elderly were assessed using a sociodemographic questionnaire, the Geriatric Depression Scale (to track depressive symptoms) and the Family APGAR (to assess family functioning). The correlation coefficient of Pearsons, the chi-square test and the crude and adjusted logistic regression were used in the data analysis with a significance level of 5 %. The institutionalized elderly with depressive symptoms were predominantly women and in the age group of 80 years and older. Regarding family functioning, most elderly had high family dysfunctioning (57 %). Family dysfunctioning was higher among the elderly with depressive symptoms. There was a significant correlation between family functioning and depressive symptoms. The conclusion is that institutionalized elderly with dysfunctional families are more likely to have depressive symptoms.

Family functionality regarding the elderly with cognitive impairments: the caretaker's perception

The objectives of this study were to characterize the caregivers of elderly individuals with cognitive impairment living in different contexts of social vulnerability, and assess the family functionality of the elderly as perceived by the caregivers. Family functionality was evaluated using the Family APGAR instrument, assessed during home interviews with 72 caretakers. All the ethical aspects were observed. Spearmans correlation and the Mann-Whitney test were used, with 5% significance level (p<0.05). Results show that 82% of caregivers reported a good family functionality, 14% reported moderate family dysfunction, and 4% reported high family dysfunction. A statistically significant correlation was found between Family APGAR and the number of people living in the house (p=0.048). Further studies could verify the relationship between family functionality and the caretakers overload in the context of elderly persons with dementia.Este trabalho objetivou caracterizar os cuidadores de idosos com alteracoes cognitivas morando em diferentes contextos de vulnerabilidade social, e avaliar a funcionalidade familiar desses idosos segundo a percepcao dos cuidadores. A funcionalidade familiar foi avaliada utilizando o instrumento APGAR de familia, durante entrevistas domiciliares com 72 cuidadores de idosos. Todos os cuidados eticos foram observados. Foi utilizada a correlacao de Spearman e o teste de Mann-Whitney, com nivel de significância de 5% (p<0,05). Os resultados mostram que 82% dos cuidadores relatam boa funcionalidade familiar; 14%, moderada disfuncao familiar; e 4%, elevada disfuncao familiar. Houve correlacao estatisticamente significante entre o APGAR de Familia e o numero de pessoas que residem na casa (p=0,048). Investigacoes futuras poderiam verificar a relacao entre funcionalidade familiar e sobrecarga do cuidador no contexto de idosos com demencia.

Sleep complaints among Brazilian senior citizens from municipalities with different Human Development Indices

Objetivo: comparar la ocurrencia de quejas de sueno en mayores residentes en la comunidad de dos municipios con diferentes Indices de Desarrollo Humano (IDH): Campinas (IDH=0,852) y Parnaiba (IDH=0,674). Metodo: estudio descriptivo parte integrante del proyecto multicentrico Fragilidad en Mayores Brasilenos (FIBRA). Fueron evaluados 988 de edad, utilizandose cuestionario sociodemografico, cuestiones sobre quejas de sueno (Perfil de Salud de Nottingham); cuestiones sobre suenos (Minnesota Leisure Activity Questionnaire). Los testes Jue-cuadrado y Mann Whitney fueron utilizados en el analisis de datos, con nivel de significancia del 5% (p<0,05). Resultados: los mayores de Parnaiba presentaron mayores porcentajes de quejas de sueno se comparados a los mayores de Campinas. Hubo asociacion significativa entre municipio y: numero de quejas de sueno, sueno no restaurador, despertar precoz, dificultad en mantener y en iniciar el sueno. Conclusion: los enfermeros deben intervenir en la promocion de la salud con acciones que minimicen o precavan esos problemas relativos al sueno.PURPOSE To compare the occurrence of sleep complaints among senior citizens resident in the local communities of two municipalities with differing Human Development Indices (HDIs): Campinas, State of São Paulo (IDH = 0.852) and Parnaíba, State of Piauí (IDH = 0.674). METHOD Descriptive study as part of the multicentric project going by the name of Frailty among Brazilian Senior Citizens (Fragilidade em Idosos Brasileiros--FIBRA). A total of 988 senior citizens were analysed, making use of a social and demographic questionnaire about sleep problems (Nottingham Health Profile); questions about naps (Minnesota Leisure Activity Questionnaire). The Chi-Square and Mann-Whitney tests were used in the analysis of the data, at a significance level of 5% (p<0.05). RESULTS The chronologically advantaged individuals in Parnaíba showed a higher incidence of sleep complaints when compared to the senior citizens of Campinas. There was a significant association between municipality and the following variables: number of sleep complaints, non-restoring sleep, precocious awakening, difficulty in falling and staying asleep. CONCLUSION The nursing staff must intervene in favour of the promotion of health with actions that either reduce or prevent these sleep-related problems.

Relação entre sintomas depressivos e a funcionalidade familiar de idosos institucionalizados

The present study aimed to investigate the relationship between family functioning and depressive symptoms among institutionalized elderly. This is a descrip...The present study aimed to investigate the relationship between family functioning and depressive symptoms among institutionalized elderly. This is a descriptive, cross-sectional study of quantitative character. A total of 107 institutionalized elderly were assessed using a sociodemographic questionnaire, the Geriatric Depression Scale (to track depressive symptoms) and the Family APGAR (to assess family functioning). The correlation coefficient of Pearsons, the chi-square test and the crude and adjusted logistic regression were used in the data analysis with a significance level of 5 %. The institutionalized elderly with depressive symptoms were predominantly women and in the age group of 80 years and older. Regarding family functioning, most elderly had high family dysfunctioning (57 %). Family dysfunctioning was higher among the elderly with depressive symptoms. There was a significant correlation between family functioning and depressive symptoms. The conclusion is that institutionalized elderly with dysfunctional families are more likely to have depressive symptoms.