Kamilla Sthefany Andrade de Oliveira

Estimulação em idosos institucionalizados: efeitos da prática de atividades cognitivas

Objective: To evaluate cognitive aspects in institutionalized elderly people before and after realization of cognitive stimulation activities. Method: It is a semi-experimental and quantitative study. It was performed in a Long Term Care Institutions for the Elderly (ILPI) located in Natal, Rio Grande do Norte with the elderly who reached the minimum score in the survey instrument Mini Mental State Examination. They were only 26% of the residents. Results: After stimulation activities it was observed that the elderly were able to maintain or to increase the score for the various aspects evaluated. It was confirmed by statistical analysis using the Wilcoxon test a significant difference between the groups before and after, given by p-value = 0.027. Conclusion: It was identified that the realization of cognitive stimulation activities get responses that contribute to the increase of the Mini Mental State Examination score. Descriptors: Elderly; Institutionalization; Cognition. 1 Enfermeiro. Mestrando em Enfermagem pela Universidade Federal do Rio Grande do Norte. 2 Enfermeira. Doutora em Ciências da Saúde. Professora Adjunta do Departamento de Saúde Coletiva da Universidade Federal do Rio Grande do Norte. 3 Psicóloga. Mestranda pelo Programa de Pós-Graduação em Psicologia da Universidade Federal do Rio Grande do Norte. 4 Enfermeira. Mestre em Saúde Coletiva pela Universidade Federal do Rio Grande do Norte. 5 Nutricionista pela Universidade Federal do Rio Grande do Norte. ISSN 2175-5361. DOI: 10.9789/2175-5361.2017.v9i3.753-759 Neto AVL; Nunes VMA; Oliveira KSA; et al. Estimulação em idosos institucionalizados... J. res.: fundam. care. online 2017. jul./set. 9(3): 753-759 754 RESUMO Objetivo: Avaliar aspectos cognitivos em idosos institucionalizados antes e após a realização de atividades de estimulação cognitiva. Métodos: Trata-se de estudo quase-experimental, contemplando uma abordagem quantitativa. Foi realizado em uma instituição de longa permanência na cidade do Natal/RN com os idosos que atingiram o ponto de corte no instrumento de pesquisa Mini Exame do Estado Mental, que somam apenas 26% do total de residentes. Resultados: Após as atividades de estimulação percebeu-se que os idosos conseguiram manter ou aumentar a pontuação dos diversos aspectos avaliados. Foi comprovado pela análise estatística, utilizando o teste de Wilcoxon, que há diferença significativa entre os grupos antes e depois, dado pelo p-valor = 0,027. Conclusão: Identificou-se que com a realização de atividades de estimulação cognitiva foram obtidas respostas que contribuíram para o aumento do escore do Mini Exame do estado mental. Descritores: Idoso; Institucionalização; Cognição.

Multidimensional Assessment Of Institutionalized Elderly: The Reality Of A Brazilian Institution

Background: The population aging in Brazil is characterized by the accumulation of progressive disabilities in their functional activities and daily life. To consider the elderlies in his/her multiple dimensions turns out to be a critical issue to improvetheir assistance to an institu-tionalized level, improving their health and quality of life. To perform a mini-overall evaluation of institutionalized elderly person to trace their profile in relation to the socio-demographic, functional capacity, nutritional status and cognition. Methods: Descriptive study, with a cross-sectional design and quan-titative approach performed in a long - stay institution for the elderly in Natal, RN. The research was approved by the Research Ethics Com-mittee of the Federal University of Rio Grande do Norte, under opinion number 164/2011.Results: 63.3% of the elderly were female, with ages varying from 61 to 103 years. 60.0% were single; 56.7% were literate. 66.7% had no children and 55% lived with their families before the institutio-nalization. As for the institutionalization time, 63.3% resided in the institution for four years. As what concerns the aspects of health, 73.3% of the elderly presented hearing difficulties, 90% make use of medicines predominantly to diabetes and hypertension. There is clear evidence that the institutionalization has been harmful to the elderly as with regards basic activities of daily living, nutritional status and cognitive aspects. Conclusion: The progressive disability in functional activities of daily life interferes directly in the quality of life, increasing dependency and minimizing the autonomy of these individuals. It is necessary to effec-tive implementation of public policies directed to the institutionalized elderly from the perspective of effective actions for improved attention and assistance.