Clóris Regina Blanski Grden

Factors associated with loss of handgrip strength in long-lived elderly

OBJECTIVE To investigate the prevalence of reduced grip strength and associated factors in long-lived elderly, who are users of primary health care. METHOD Cross-sectional quantitative study, data were collected during the period of January to December of 2013, by applying tests and questionnaires. The convenience sampling was comprised of 157 seniors. RESULTS The findings indicate that the reduction in grip strength presents a moderate prevalence (25.5%), predominantly among females (19.1%), in the age group of 80-89 years (18.5%) and in those with lower educational levels (15.9%). The association between reduced grip strength and the variables of age and body mass index showed a statistical significance. CONCLUSION Investigations about the handgrip strength are essential for identifying clinical conditions of Brazilian long-lived elderly, and contribute to the development of plans towards the management of frailty.Objetivo Investigar la prevalencia de la reduccion de la fuerza de agarre manual y los factores asociados en ancianos longevos, usuarios de la atencion basica a la salud. Metodo Estudio cuantitativo transversal, cuyos datos fueron recogidos en el periodo de enero a diciembre de 2013, por medio de pruebas y aplicacion de cuestionarios. La muestra por conveniencia comprendio a 157 ancianos. Resultados Senalan que la reduccion de la fuerza de agarre manual tiene prevalencia moderada (25,5%), con predominio del sexo femenino (19,1%), del rango de edad de 80 a 89 anos (18,5%) y baja escolaridad (15,9%). La asociacion entre la disminucion de la fuerza de agarre manual y las variables de edad e indice de masa corporea mostro significacion estadistica. Conclusion Las investigaciones acerca del componente de la fuerza de agarre manual son fundamentales para la identificacion de las condiciones clinicas de los ancianos longevos brasilenos y contribuyen para la construccion de planes dirigidos a la gestion de la fragilidad.

Fatores contributivos para a independência funcional de idosos longevos

OBJECTIVE To investigate the socioeconomic and clinical factors that contribute to the functional independence of the oldest old of a community. METHOD Cross-sectional quantitative study whose sample consisted of 214 elderly people registered in Basic Health Units. Data were collected through structured interviews and application of the Functional Independence Measure. We used descriptive statistics, and for association of the variables we used the Student t-test, ANOVA and Tukeys test for multiple comparisons. RESULTS The significant variables that contributed to the functional independence were remaining economically active, practicing physical and leisure activities, having a social life, eating fruits, vegetables and meat. The orientation to conduct these practices reduces the demand for care and help needed in everyday activities. CONCLUSION Maintaining independence is primordial to delay disability and presents itself as an excellent field of work for nursing.OBJECTIVE To investigate the socioeconomic and clinical factors that contribute to the functional independence of the oldest old of a community. METHOD Cross-sectional quantitative study whose sample consisted of 214 elderly people registered in Basic Health Units. Data were collected through structured interviews and application of the Functional Independence Measure. We used descriptive statistics, and for association of the variables we used the Student t-test, ANOVA and Tukeys test for multiple comparisons. RESULTS The significant variables that contributed to the functional independence were remaining economically active, practicing physical and leisure activities, having a social life, eating fruits, vegetables and meat. The orientation to conduct these practices reduces the demand for care and help needed in everyday activities. CONCLUSION Maintaining independence is primordial to delay disability and presents itself as an excellent field of work for nursing.

Contributory factors for the functional independence of oldest old

OBJECTIVE To investigate the socioeconomic and clinical factors that contribute to the functional independence of the oldest old of a community. METHOD Cross-sectional quantitative study whose sample consisted of 214 elderly people registered in Basic Health Units. Data were collected through structured interviews and application of the Functional Independence Measure. We used descriptive statistics, and for association of the variables we used the Student t-test, ANOVA and Tukeys test for multiple comparisons. RESULTS The significant variables that contributed to the functional independence were remaining economically active, practicing physical and leisure activities, having a social life, eating fruits, vegetables and meat. The orientation to conduct these practices reduces the demand for care and help needed in everyday activities. CONCLUSION Maintaining independence is primordial to delay disability and presents itself as an excellent field of work for nursing.OBJECTIVE To investigate the socioeconomic and clinical factors that contribute to the functional independence of the oldest old of a community. METHOD Cross-sectional quantitative study whose sample consisted of 214 elderly people registered in Basic Health Units. Data were collected through structured interviews and application of the Functional Independence Measure. We used descriptive statistics, and for association of the variables we used the Student t-test, ANOVA and Tukeys test for multiple comparisons. RESULTS The significant variables that contributed to the functional independence were remaining economically active, practicing physical and leisure activities, having a social life, eating fruits, vegetables and meat. The orientation to conduct these practices reduces the demand for care and help needed in everyday activities. CONCLUSION Maintaining independence is primordial to delay disability and presents itself as an excellent field of work for nursing.

Association between physical frailty and cognitive scores in older adults

Objective: to investigate the association between physical frailty and cognitive scores in older adults at an Open University of the Third Age in Southern Brazil. Methods: descriptive cross-sectional study with convenience sample comprising 100 elderly, conducted from March to June 2013. For cognitive assessment, we applied the Mini Mental State Examination and the Edmonton Frail Scale. Results: there was a predominance of females (93%), with a mean age of 65.6 years. 81% of the participants were classified as non-frail, 16% as apparently vulnerable to frailty, and 3% as mild frailty. There was a significant association between cognitive performance and frailty (p<0.006). Conclusion: the research on the association between physical frailty and cognitive scores in older people promotes the construction of gerontological care plans aimed at managing this syndrome.

Physical frailty prediction model for the oldest old

ABSTRACT Objective: to present a physical frailty prediction model for oldest old users of primary health care, according to clinical variables. Method: cross-sectional study with proportional stratified sample of 243 oldest old subjects. Data were collected through a structured clinical questionnaire, handgrip strength test, walking speed, weight loss, fatigue/exhaustion, and physical activity level. For the analysis of the data, univariate and multivariate analysis by logistic regression were used (p<0.05), which resulted in prediction models. The odds ratios (95% Confidence Interval) of the models were calculated. Each model was evaluated by deviance analysis, likelihood ratios, specificity and sensitivity, considering the most adequate. All ethical and legal precepts were followed. Results: the prediction model elected was composed of metabolic diseases, dyslipidemias and hospitalization in the last 12 months. Conclusion: clinical variables interfere in the development of the physical frailty syndrome in oldest old users of basic health unit. The choice of a physical frailty regression model is the first step in the elaboration of clinical methods to evaluate the oldest old in primary care.

Factors associated with the hospitalization of the elderly: a national study

1 Universidade Estadual de Ponta Grossa, Departamento de Enfermagem e Saúde Pública. Programa de Residência Multiprofissional em Saúde, Hospital Universitário Regional dos Campos Gerais. Ponta Grossa, Paraná, Brasil. 2 Universidade Estadual de Ponta Grossa, Departamento de Odontologia. Ponta Grossa, Paraná, Brasil. 3 Universidade Estadual de Ponta Grossa, Departamento de Odontologia. Programa de Pós-graduação em Ciências da Saúde. Programa de Residência Multiprofissional em Saúde, Hospital Universitário Regional dos Campos Gerais. Ponta Grossa, Paraná, Brasil. 4 Universidade Estadual de Ponta Grossa, Departamento de Enfermagem e Saúde Pública. Programa de Residência Multiprofissional em Saúde do Idoso, Hospital Universitário Regional dos Campos Gerais. Ponta Grossa, Paraná, Brasil.

INTERNAÇÕES POR DOENÇAS CRÔNICAS NÃO TRANSMISSÍVEIS DO SISTEMA CIRCULATÓRIO, SENSÍVEIS À ATENÇÃO PRIMÁRIA À SAÚDE

Objetivo: descrever as internacoes por doencas cronicas nao transmissiveis, sensiveis a Atencao Primaria a Saude, no Estado do Parana, no periodo de 2000 a 2011. Metodo: estudo epidemiologico, do tipo ecologico. Apos analise descritiva dos dados, foram elaborados indicadores de internacoes para descrever os achados da pesquisa. Resultados: os esforcos para implantacao e ampliacao da Atencao Primaria a Saude no Parana, na ultima decada, tem refletido na reducao da proporcao das internacoes por causas sensiveis a atencao primaria e no numero medio de internacoes por doencas cronicas nao transmissiveis. Porem, a razao de internacoes sofreu um crescimento. Conclusao: determinadas causas de internacoes como a hipertensao e diabetes mellitus devem ser olhadas especificamente na Atencao Primaria a Saude, a fim de minimizar ainda mais as internacoes por doencas cerebrovasculares e insuficiencia cardiaca congestiva, que se mantiveram elevadas.Objective : describe hospitalizations for ambulatory care sensitive chronic conditions in the state of Parana, Brazil from 2000 to 2011 Method: epidemiolog...

LAS HOSPITALIZACIÓNES POR ENFERMEDADES CRÓNICAS NO TRANSMISIBLES DEL SISTEMA CIRCULATORIO, SENSIBLES A LA ATENCIÓN PRIMARIA A LA SALUD

Objetivo: descrever as internacoes por doencas cronicas nao transmissiveis, sensiveis a Atencao Primaria a Saude, no Estado do Parana, no periodo de 2000 a 2011. Metodo: estudo epidemiologico, do tipo ecologico. Apos analise descritiva dos dados, foram elaborados indicadores de internacoes para descrever os achados da pesquisa. Resultados: os esforcos para implantacao e ampliacao da Atencao Primaria a Saude no Parana, na ultima decada, tem refletido na reducao da proporcao das internacoes por causas sensiveis a atencao primaria e no numero medio de internacoes por doencas cronicas nao transmissiveis. Porem, a razao de internacoes sofreu um crescimento. Conclusao: determinadas causas de internacoes como a hipertensao e diabetes mellitus devem ser olhadas especificamente na Atencao Primaria a Saude, a fim de minimizar ainda mais as internacoes por doencas cerebrovasculares e insuficiencia cardiaca congestiva, que se mantiveram elevadas.Objective : describe hospitalizations for ambulatory care sensitive chronic conditions in the state of Parana, Brazil from 2000 to 2011 Method: epidemiolog...

HOSPITALIZATIONS FOR AMBULATORY CARE SENSITIVE NONCOMMUNICABLE DISEASES OF THE CIRCULATORY SYSTEM

Objetivo: descrever as internacoes por doencas cronicas nao transmissiveis, sensiveis a Atencao Primaria a Saude, no Estado do Parana, no periodo de 2000 a 2011. Metodo: estudo epidemiologico, do tipo ecologico. Apos analise descritiva dos dados, foram elaborados indicadores de internacoes para descrever os achados da pesquisa. Resultados: os esforcos para implantacao e ampliacao da Atencao Primaria a Saude no Parana, na ultima decada, tem refletido na reducao da proporcao das internacoes por causas sensiveis a atencao primaria e no numero medio de internacoes por doencas cronicas nao transmissiveis. Porem, a razao de internacoes sofreu um crescimento. Conclusao: determinadas causas de internacoes como a hipertensao e diabetes mellitus devem ser olhadas especificamente na Atencao Primaria a Saude, a fim de minimizar ainda mais as internacoes por doencas cerebrovasculares e insuficiencia cardiaca congestiva, que se mantiveram elevadas.Objective : describe hospitalizations for ambulatory care sensitive chronic conditions in the state of Parana, Brazil from 2000 to 2011 Method: epidemiolog...

Associação da síndrome da fragilidade física às características sociodemográficas de idosos longevos da comunidade

ABSTRACT Objective: investigating the association between frailty syndrome and sociodemographic characteristics in long-lived individuals of a community. Method: a cross-sectional study with a proportional stratified sample consisting of 243 long-lived individuals. A structured instrument, scales and tests that comprise evaluating frailty were applied for data collection. Univariate and multivariate analyzes were performed by logistic regression (p<0.05) by Statistica 10(r) software and Odds Ratio (95% Confidence Interval) were calculated for the predictive models. Results: of the 243 long-lived individuals evaluated, 36 (14.8%) were frail, 55 (63.8%) were pre-frail and 52 (21.4%) were not frail. A predominance of females (n=161; 66.3%), widows/widowers (n=158; 65%), who lived with family members (n=144; 59.3%) and in a self-reported satisfactory financial situation (n=108; 44.5%) was observed. A significant association was found between the demographic variable of age (p=0.043) and frailty syndrome. The best predictor model for the syndrome included the variables: gender, age and household companion. Conclusion: the variable of age contributed most to the fragilization process of long-lived individuals residing in the community. It is essential that gerontological nursing care contemplates early detection of this syndrome, considering age as being indicative of care needs.Objective: investigating the association between frailty syndrome and sociodemographic characteristics in long-lived individuals of a community. Method: a cross-sectional study with a proportional stratified sample consisting of 243 long-lived individuals. A structured instrument, scales and tests that comprise evaluating frailty were applied for data collection. Univariate and multivariate analyzes were performed by logistic regression (p<0.05) by Statistica 10(r) software and Odds Ratio (95% Confidence Interval) were calculated for the predictive models. Results: of the 243 long-lived individuals evaluated, 36 (14.8%) were frail, 55 (63.8%) were pre-frail and 52 (21.4%) were not frail. A predominance of females (n=161; 66.3%), widows/widowers (n=158; 65%), who lived with family members (n=144; 59.3%) and in a self-reported satisfactory financial situation (n=108; 44.5%) was observed. A significant association was found between the demographic variable of age (p=0.043) and frailty syndrome. The best predictor model for the syndrome included the variables: gender, age and household companion. Conclusion: the variable of age contributed most to the fragilization process of long-lived individuals residing in the community. It is essential that gerontological nursing care contemplates early detection of this syndrome, considering age as being indicative of care needs.