Dâmarys Kohlbeck de Melo Neu Ribeiro

Prevalence of pre-frailty for the component of gait speed in older adults

Objetivo: investigar la prefragilidad y los factores asociados a esa condicion, considerando medidas de velocidad de la marcha de los ancianos. Metodo: la seleccion de los participantes ocurrio por medio de criterios de inclusion/exclusion y prueba de rastreo cognitivo. La muestra fue calculada con base en la estimativa de la proporcion poblacional y fue constituida por 195 ancianos usuarios de una Unidad Basica de Salud de Curitiba, PR. Los datos fueron recolectados mediante cuestionario sociodemografico/clinico y prueba de velocidad de la marcha. Resultados: la prefragilidad para la velocidad de la marcha posee moderada prevalencia (27,3%) y se asocio al intervalo de edad entre 60 y 69 anos, baja escolaridad, no sentirse solitario, utilizar antihipertensivos, presentar enfermedad cardiovascular y sobrepeso. Conclusion: se considera relevante identificar a los ancianos en la condicion de prefragilidad, ya que de esa manera existe la posibilidad de intervenir inmediata con la finalidad de estacionar el cuadro. Es significativo el deficit de estudios sobre el sindrome de la fragilidad en ancianos brasilenos, principalmente aquellos que se refieren a un componente aislado. Considerando que la enfermeria gerontologica se encuentra en los primeros pasos en lo que se refiere a la tematica, se entiende que la identificacion de la prevalencia debe ser el punto primordial de las investigaciones sobre el tema.

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.

O emprego da medida de independência funcional em idosos

OBJECTIVES To analyze in scientific publications how the Functional Independence Measure (FIM) has been employed to evaluate the elderly. METHODS Integrative review of periodical publications between 2011 and 2015, available online in full-text in Portuguese, English and Spanish. RESULTS 129 articles were found; after the application of the criteria, they resulted in 21. The studies were categorized into two groups: A) follow or compare scores in FIM (cohort studies, case-control, clinical trials), focusing on rehabilitation, evaluation of programs and changes in the functional level after procedures/interventions; and B) measure/associate the functionality of the elderly (cross-sectional studies), focused on evaluation protocols in elderly health and associations to the caregiver burden, hospital stay, balance, satisfaction with life, cognition and clinical/socio-demographic aspects. CONCLUSION The FIM was used in several scenarios of healthcare for the elderly, particularly in rehabilitation and outpatient clinics or health centers.Objetivos : analisar em publicacoes cientificas como a Medida de Independencia Funcional (MIF) tem sido empregada para avaliar idosos. Me todos : revisao integrativa de publicacoes periodicas entre os anos de 2011 e 2015, disponiveis on-line com texto completo, escritas em portugues, ingles ou espanhol. Resultados : encontrou-se 129 artigos, apos aplicacao de criterios resultaram 21. Os estudos foram categorizados em dois grupos: A) acompanhar ou comparar escores na MIF (estudos de coorte, caso controle, ensaios clinicos), centra na reabilitacao, avaliacao de programas e alteracoes no nivel funcional apos procedimentos/intervencoes; e B) mensurar/associar a funcionalidade dos idosos (estudos transversais), foco em protocolos de avaliacao em saude do idoso, associacoes a sobrecarga do cuidador, ao tempo de internacao, ao equilibrio, a satisfacao com a vida, a cognicao, aos aspectos clinicos/sociodemograficos. Conclus ao : empregou-se a MIF em diversos cenarios de atencao a saude do idoso, com destaque para reabilitacao e ambulatorios ou centros de saude. Palavras-chave : Enfermagem geriatrica. Idoso. Saude do idoso. Atividades cotidianas.

Factors associated with decreased hand grip strength in the elderly

Objetivo: Investigar os fatores associados a diminuicao da Forca de Preensao Manual (FPM) em idosos. Metodos: Estudo quantitativo transversal, cuja amostra foi constituida por 203 idosos da atencao primaria a saude. Os dados foram coletados entre janeiro e abril de 2013 mediante questionario sociodemografico/clinico e teste de FPM. Aplicou-se estatistica descritiva e teste qui-quadrado, considerados significativos os valores de p ≤ 0,05. Resultados: 48,8% dos idosos apresentaram FPM diminuida, associada as variaveis sexo (p < 0,001), idade (p < 0,012), estado civil (p < 0,005), escolaridade (p < 0,027), quedas (p < 0,001) e tecnologias assistivas (p < 0,024). Conclusao: Foi elevada a distribuicao da FPM diminuida, isso e preocupante, uma vez que e um fator limitante para as atividades de vida diaria. A associacao significativa entre algumas variaveis reforcam essas restricoes. Investigar os fatores associados a diminuicao da FPM instrumentaliza os enfermeiros para a gestao da fragilidade e ela podera evitar desfechos para a sindrome da fragilidade fisica.Objective: To investigate the factors associated with decreased hand grip strength in the elderly. Methods: A cross-sectional quantitative study was performed with a sample of 203 elderly users of primary health care. Data were collected between January and April 2013 by a socio-demographic/clinical questionnaire and hand grip strength test. Descriptive statistics and chi-square test were applied and values ​​of p ≤ 0.05 were considered to be significant. Results: A total of 48.8% of the elderly had decreased hand grip strength associated with the variables sex (p < 0.001), age (p < 0.012), marital status (p < 0.005), level of education (p < 0.027), falls (p < 0.001) and assistive technologies (p < 0.024). Conclusion: The high percentage of decreased hand grip strength in the elderly is alarming because it is a limiting factor for the activities of daily living. The significant association between some variables reinforces these restrictions. To investigate factors associated with decreased hand grip strength helps nurses in the management of frailty, and it can prevent outcomes for the syndrome of physical frailty.

Factores asociados con la fuerza de prensión manual disminuida en ancianos

Objetivo: Investigar os fatores associados a diminuicao da Forca de Preensao Manual (FPM) em idosos. Metodos: Estudo quantitativo transversal, cuja amostra foi constituida por 203 idosos da atencao primaria a saude. Os dados foram coletados entre janeiro e abril de 2013 mediante questionario sociodemografico/clinico e teste de FPM. Aplicou-se estatistica descritiva e teste qui-quadrado, considerados significativos os valores de p ≤ 0,05. Resultados: 48,8% dos idosos apresentaram FPM diminuida, associada as variaveis sexo (p < 0,001), idade (p < 0,012), estado civil (p < 0,005), escolaridade (p < 0,027), quedas (p < 0,001) e tecnologias assistivas (p < 0,024). Conclusao: Foi elevada a distribuicao da FPM diminuida, isso e preocupante, uma vez que e um fator limitante para as atividades de vida diaria. A associacao significativa entre algumas variaveis reforcam essas restricoes. Investigar os fatores associados a diminuicao da FPM instrumentaliza os enfermeiros para a gestao da fragilidade e ela podera evitar desfechos para a sindrome da fragilidade fisica.Objective: To investigate the factors associated with decreased hand grip strength in the elderly. Methods: A cross-sectional quantitative study was performed with a sample of 203 elderly users of primary health care. Data were collected between January and April 2013 by a socio-demographic/clinical questionnaire and hand grip strength test. Descriptive statistics and chi-square test were applied and values ​​of p ≤ 0.05 were considered to be significant. Results: A total of 48.8% of the elderly had decreased hand grip strength associated with the variables sex (p < 0.001), age (p < 0.012), marital status (p < 0.005), level of education (p < 0.027), falls (p < 0.001) and assistive technologies (p < 0.024). Conclusion: The high percentage of decreased hand grip strength in the elderly is alarming because it is a limiting factor for the activities of daily living. The significant association between some variables reinforces these restrictions. To investigate factors associated with decreased hand grip strength helps nurses in the management of frailty, and it can prevent outcomes for the syndrome of physical frailty.

Fatores associados à força de preensão manual diminuída em idosos

Objetivo: Investigar os fatores associados a diminuicao da Forca de Preensao Manual (FPM) em idosos. Metodos: Estudo quantitativo transversal, cuja amostra foi constituida por 203 idosos da atencao primaria a saude. Os dados foram coletados entre janeiro e abril de 2013 mediante questionario sociodemografico/clinico e teste de FPM. Aplicou-se estatistica descritiva e teste qui-quadrado, considerados significativos os valores de p ≤ 0,05. Resultados: 48,8% dos idosos apresentaram FPM diminuida, associada as variaveis sexo (p < 0,001), idade (p < 0,012), estado civil (p < 0,005), escolaridade (p < 0,027), quedas (p < 0,001) e tecnologias assistivas (p < 0,024). Conclusao: Foi elevada a distribuicao da FPM diminuida, isso e preocupante, uma vez que e um fator limitante para as atividades de vida diaria. A associacao significativa entre algumas variaveis reforcam essas restricoes. Investigar os fatores associados a diminuicao da FPM instrumentaliza os enfermeiros para a gestao da fragilidade e ela podera evitar desfechos para a sindrome da fragilidade fisica.Objective: To investigate the factors associated with decreased hand grip strength in the elderly. Methods: A cross-sectional quantitative study was performed with a sample of 203 elderly users of primary health care. Data were collected between January and April 2013 by a socio-demographic/clinical questionnaire and hand grip strength test. Descriptive statistics and chi-square test were applied and values ​​of p ≤ 0.05 were considered to be significant. Results: A total of 48.8% of the elderly had decreased hand grip strength associated with the variables sex (p < 0.001), age (p < 0.012), marital status (p < 0.005), level of education (p < 0.027), falls (p < 0.001) and assistive technologies (p < 0.024). Conclusion: The high percentage of decreased hand grip strength in the elderly is alarming because it is a limiting factor for the activities of daily living. The significant association between some variables reinforces these restrictions. To investigate factors associated with decreased hand grip strength helps nurses in the management of frailty, and it can prevent outcomes for the syndrome of physical frailty.

Factores contributivos para la independencia funcional de ancianos 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.

Velocidade da marcha e escore cognitivo em idosos usuários da atenção primária

OBJECTIVE to investigate the association between gait speed and the cognitive score of elderly patients enrolled in a Basic Health Unit. METHOD a quantitative cross-sectional study with 203 elderly, a sample calculated based on the estimated population proportion. Data were collected using a sociodemographic and clinical questionnaire, gait speed test (GS) and the Mini Mental State Examination (MMSE). RESULTS the illiterate patients had a mean MMSE=19.33(±3.7) and GS = 0.76m/s (±0.3); those with low/medium education had a MMSE = 25.43(±2.8) and GS = 0.92m/s (±0.2); and the elderly with higher education had a MMSE = 27.33(±2.9) and GS=1.12m/s (±0.3).There was a weak correlation (R2=00354) between gait speed and cognitive score, with statistical significance (Prob>F = 0.0072) and a positive linear trend. CONCLUSION the better cognitive score the higher the gait speed; the illiterate elderly were those with lower gait speed, thereby indicating a poorer physical performance.