Eleazar Marinho de Freitas Lucena

Estado cognitivo dos usuários com AVE na atenção primária à saúde em João Pessoa - PB

O Acidente Vascular Encefalico (AVE) apresenta alta prevalencia em todo o mundo, desencadeando incapacidades neurologicas em adultos. O deficit cognitivo e uma das sequelas mais importantes, sendo dificil o seu reconhecimento, podendo interferir no processo de reabilitacao e acarretar impactos na qualidade de vida dos usuarios acometidos. Objetivo: Estimar a prevalencia de deficit cognitivo em usuarios com AVE na Atencao Primaria a Saude (APS), bem como descrever as caracteristicas sociodemograficas, clinicas e dimensoes cognitivas afetadas. Metodo: Estudo de corte transversal desenvolvido no Municipio de Joao Pessoa-PB com 140 individuos adscritos no Programa Saude da Familia que foram acometidos por AVE nos ultimos cinco anos. Resultados: Mais da metade dos individuos analisados apresenta quadro sugestivo de comprometimento cognitivo (54,9%), nas seguintes dimensoes: memoria de evocacao (70%), atencao e calculo (60%) e ler e executar (60%); alem disso, a maioria era de idosos (73,1%);no que se refere as caracteristicas clinicas do AVE declaram que nos ultimos cinco anos tiveram apenas um episodio (64,2%) desencadeado nos ultimos 13 meses ou mais (76,1%). A metade dos participantes nao soube informar o tipo de AVE (50,7%). Conclusao: As dimensoes cognitivas afetadas pelo AVE precisam de maiores investigacoes, afim de fornecer mais subsidios para melhorar a assistencia prestada no âmbito da APS.Received on November 4, 2011. Accepted on January 26, 2012. ABSTRACT Cerebrovascular Accident orStroke (CVA) has a high prevalence worldwide causing neurological disability in adults. Cognitive deficit is one of the most important consequences, since its recognition is difficult and thus may interfere with the rehabilitation process and lead to impacts on the life quality of affected people. Objective: The goal was to estimate the prevalence of cognitive impairment in stroke among those with Primary Health Care (PHC), as well as to describe the clinical and sociodemographic characteristics, and the cognitive dimensions affected. Method: This was a cross-sectional study carried out in the city of João Pessoa PB with 140 people enrolled in the Family Health Program that had been affected by stroke within the previous five years. Results: Over half of the people studied had manifestations suggesting cognitive impairment (54.9%) in the following dimensions: memory recall (70%), attention and calculation (60%), and read and apply (60%). In addition, the majority was elderly (73.1%) and, regarding the clinical characteristics of stroke, had declared that in the previous five years had had only one episode (64.2%) triggered in the last 13 months or more (76.1%). Also, half of the participants (50.7%) were unable to tell us the type of stroke they had suffered. Conclusion: The cognitive dimensions affected by stroke require further investigation in order to provide more funding to improve the assistance provided under the PHC.

Perfil sociodemográfico e de saúde de idosos do município de João Pessoa – PB - doi: 10.5020/18061230.2012.p86

Objective: To explore the sociodemographic profile and physical health of elderly enrolled in Family Health Units (USF) in the city of Joao Pessoa – PB, Brazil, and the factors associated with self-reported diagnoses in this population. Methods: The sample consisted of 401 elderly aged 60 years or more enrolled in USF, selected through a random drawing of families’ medical charts. A semi-structured questionnaire was applied to collect data. Prevalence rates and their related IC 95% were calculated for sample characterization and chi-square test was used to verify heterogeneity among the proportions. Results: In the assessed population, 67.6% (n=271) were female, 53.6% (n=215) were aged 60-69 and 54.9% (n=220) were married. Regarding health conditions, 50.4% (n=202) self-perceived their health as fine and 52.1% (n=209) displayed some degree of dependence to perform instrumental activities of daily living (IADL). Significant association was found (p>0.005) between the number of self-reported diagnoses and gender, self-rated health, amount of medicine ingestion per day and instrumental activities of daily living. Conclusions: The profile of population reveals predominance of women, aged 60-69 years, married, living with a maximum of five people, the children being the ones with the strongest linkage to the elderly, with just over half of the sample not knowing how to read and write, and total household income in the interval of two and three minimum wages. The elderly also showed independence to perform activities of daily living and light or moderate degree of dependence to perform at least one of the instrumental activities of daily living.