Keika Inouye

Octogenários e cuidadores: perfil sócio-demográfico e correlação da variável qualidade de vida

Este estudo teve como objetivo descrever o perfil de uma amostra de octogenarios e seus respectivos cuidadores e correlacionar a qualidade de vida dos mesmos. Foi realizado um estudo quantitativo-descritivo, com uma amostra nao-probabilistica composta por 25 octogenarios atendidos pelo Programa do Medicamento Excepcional de um municipio do interior paulista, nos meses de outubro e novembro de 2006 e seus respectivos cuidadores. As medidas de qualidade de vida foram obtidas por meio da Escala de Avaliacao da Qualidade de Vida na Doenca de Alzheimer. Os dados coletados foram digitados em um banco de dados no programa Statistical Program for Social Sciences for Windows, para realizacao de analises estatisticas descritivas e correlacional de Spearman. O coeficiente rho encontrado nesta associacao foi positivo e igual a 0,600, com nivel de significância de 0,01, evidenciando a pertinencia de acoes que minimizem as dificuldades enfrentadas pelo cuidador como contribuinte indireto do fomento da qualidade de vida do octogenario.

Perceived quality of life of elderly patients with dementia and family caregivers: evaluation and correlation

This study aimed to evaluate the perceived quality of life of elderly patients with dementia and their respective family caregivers and identify correlations between variables. Participants (n=106) were elderly patients with Alzheimer attended by the Exceptional Medication Program in a city in the interior of Sao Paulo, and their respective caregivers. Measures of quality of life were obtained through the Quality of Life Assessment Scale on Alzheimers disease. Data were entered into a database in the Statistical Program for Social Sciences for descriptive analysis and Spearmans correlation. The total average score for patients and caregivers was 29.32 (sd=+/-6.27, xmin=16, xmax=42) and 38.83 points (sd=+/-5.62, xmin=29, xmax=49). The associated rho coefficient was (+)0.406 (p<0.005). This result indicates moderate correlation between quality of life of caregivers and elderly patients with dementia.

Implicações da doença de Alzheimer na qualidade de vida do cuidador: um estudo comparativo.

This study aimed to compare overall and dimension-specific perceptions of quality of life between a group of caregivers of elderly patients with Alzheimers disease and a group of non-caregivers, matched for sociodemographic variables. Quality of life was measured with the Quality of Life Evaluation Scale in Alzheimers Disease (Caregiver Version). Statistical analyses were performed (descriptive and ordinal logistic regression). Caregivers showed significantly higher odds of negatively evaluating the dimensions of physical health, disposition, mood, memory, you in general, and the capacity to perform leisure activities as compared to non-caregivers. Mean total quality of life score was 38.83 for caregivers and 41.81 for non-caregivers. The data suggest that contact with Alzheimers disease negatively influences the total score and some dimensions of quality of life for family caregivers.

Nível de instrução, status socioeconômico e avaliação de algumas dimensões da qualidade de vida de octogenários

Os objetivos deste trabalho foram: descrever o perfil de uma amostra de octogenarios (n=80), atendidos na rede municipal de saude de uma cidade do interior do Estado de Sao Paulo, Brasil; avaliar a percepcao desses acerca das dimensoes da qualidade de vida (QV) e identificar correlacoes entre o status socioeconomico, nivel de instrucao e QV. Trata-se de estudo exploratorio descritivo, de abordagem qualitativa dos dados. Os resultados revelaram que essa populacao e predominantemente feminina, viuva, analfabeta, sedentaria e pobre que carece de servicos de saude e oportunidades de lazer, admitindo a religiao como o maior apoio. O status socioeconomico nao interferiu na percepcao da QV, contudo, observa-se que ha tendencia de que maiores niveis de instrucao e participacao em atividades fisicas resultem em maior satisfacao.Objetivos: describir el perfil de una muestra de octogenarios (n=80) atendidos en la red municipal desalud de una ciudad del interior del Estado de Sao Paulo, Brasil; evaluar su percepcion sobre las dimensionesde la calidad de vida (CV); e identificar correlaciones entre el status socioeconomico, nivel de instruccion y CV.Se trata de un estudio exploratorio descriptivo de aproximacion cualitativa de los datos. Los resultados revelaronque esta poblacion es predominantemente femenina, viuda, analfabeta, sedentaria y pobre, que le faltanservicios de salud y oportunidades de ocio, admitiendo la religion como el mayor apoyo. El status socioeconomicono interfirio en la percepcion de la CV. Sin embargo, observamos tendencia de que mayores niveles deinstruccion y participacion en actividades fisicas resultan en mayor satisfaccion.DESCRIPTORES: anciano; envejecimiento; salud del anciano; calidad de vida; pobreza

Relationship between cognition and frailty in elderly: A systematic review

Objective The aim of this study was to analyze the relationship between cognition and frailty in the elderly. Methods A systematic review on the currently existing literature concerning the subject was carried out. The search strategy included LILACS, SCOPUS, SciELO, PsycINFO, PubMed and Web of Science databases. Results A total of 19 studies were selected for review, from which 10 (52.6%) were cross-sectional and 9 (47.4%) longitudinal, and the majority Brazilian. All of the studies established a link between cognition and frailty. There was a relationship between components of frailty and the cognitive domains. Risk of Mild Cognitive Impairment (MCI), dementia and mortality were all evidenced in the relationship between frailty and cognitive impairment. Conclusion The theory remains limited, but results show the variables that appear to be linked to cognition and frailty in elderly. This data can help in implementing actions to improve the quality of life among elderly.

Percepções de suporte familiar e qualidade de vida entre idosos segundo a vulnerabilidade Social

The present study examines the relation between perceptions of quality of life and of family support among elderly people according to their level of social vulnerability and other sociodemographic characteristics. Interviews were conducted with six groups of 25 elderly people (N = 150), one group for each level of vulnerability, in a mediumsized municipality in Sao Paulo state, Brazil. The instruments used were: the Family Support Perception Inventory, Quality of Life in Alzheimers disease and the Brazilian Family Economic Classification Checklist. Statistically significant correlations indicate that levels of social vulnerability are directly related to socioeconomic measures, as expected, but also to perceptions of family support (total, consistent-affective, of adaptation and autonomy) and of quality of life.

Percepção de qualidade de vida do idoso com demência e seu cuidador familiar: avaliação e correlação

This study aimed to evaluate the perceived quality of life of elderly patients with dementia and their respective family caregivers and identify correlations between variables. Participants (n=106) were elderly patients with Alzheimer attended by the Exceptional Medication Program in a city in the interior of Sao Paulo, and their respective caregivers. Measures of quality of life were obtained through the Quality of Life Assessment Scale on Alzheimers disease. Data were entered into a database in the Statistical Program for Social Sciences for descriptive analysis and Spearmans correlation. The total average score for patients and caregivers was 29.32 (sd=+/-6.27, xmin=16, xmax=42) and 38.83 points (sd=+/-5.62, xmin=29, xmax=49). The associated rho coefficient was (+)0.406 (p<0.005). This result indicates moderate correlation between quality of life of caregivers and elderly patients with dementia.

Qualidade de vida relacionada à saúde de pacientes renais crônicos em diálise

Objective To assess the quality of life related to the health of chronic renal failure patients on dialysis.Methods Cross-sectional study with 101 chronic renal failure patients who had been under dialysis treatment for three months. The instruments used for research were: Instrument of Characterization of Subjects and the Kidney Disease Quality of Life-Short Form. A descriptive analysis was performed and the standard deviation was found; Cronbach’s alpha was used to assess the reliability of alpha values equal to or greater than 0.60.Results The quality of life was proven to be compromised in the following aspects: “Physical Function (30.20), Work Situation (37.13) and Physical Functioning”. The best perceptions were: “Cognitive Function (89.31), Social Support (88.61) and Sexual Function (84.58)”.Conclusion Quality of life related to the health of chronic renal failure patients on dialysis was more compromised in physical aspects.

Quality of life of elderly with alzheimer's disease: a comparative study between the patient's and the caregiver's report

This paper aimed to compare the reports of patients and caregivers about how they perceive quality of life (QoL) in general and each of its dimensions in elderly with Alzheimers Disease (AD). The participants were elderly diagnosed with AD (n=53) attended by the Exceptional Medication Program in a city in the interior of Sao Paulo; and their respective family caregivers. The QoL measures were obtained through the Quality of Life Assessment Scale on Alzheimers Disease. The results showed statistically significant differences in the memory (p<0.05) and you in general (p<0.005) dimensions. Regarding the final score, the average in the patients version was 29.32 points (sd=6.27), against 28.33 points (sd=5.58) in the family version, p>0.100. Although the relative and patient reports were not identical, the results pointed to a high level of consistency among information.

Alzheimer's disease influence on the perception of quality of life from the elderly people

This study aims to compare the general perception and each dimension of the quality of life (QoL) of an elderly group with Alzheimers Disease (AD) (n=53) to those of a similar group regarding the socio-demographic variables (n=53). The QoL measures were obtained through an Assessment Scale of the Quality of life in Alzheimers Disease, and the data were typed into a database in the program Statistical Program for Social Sciences for the execution of the statistical analysis (descriptive, Students ttest, Mann-Whitney and Chi-Square). Results showed that all dimensions of QoL measured by the instrument were statistically inferior in the group of elderly with AD. Regarding the total scores of QoL, the mean was 40.18 points for elderly without AD and 29.32 for elderly with AD, t(104) = 9.449, p<0.001. These results indicate that older people with AD present inferior levels of QoL, which suggests that AD has a negative influence in their perception of quality of life.This study aims to compare the general perception and each dimension of the quality of life (QoL) of an elderly group with Alzheimers Disease (AD) (n = 53) to those of a similar group regarding the socio-demographic variables (n = 53). The QoL measures were obtained through an Assessment Scale of the Quality of life in Alzheimers Disease, and the data were typed into a database in the program Statistical Program for Social Sciences for the execution of the statistical analysis (descriptive, Students t-test, Mann-Whitney and Chi-Square). Results showed that all dimensions of QoL measured by the instrument were statistically inferior in the group of elderly with AD. Regarding the total scores of QoL, the mean was 40.18 points for elderly without AD and 29.32 for elderly with AD, t(104) = 9.449, p < 0.001. These results indicate that older people with AD present inferior levels of QoL, which suggests that AD has a negative influence in their perception of quality of life.Este estudo tem por objetivo comparar a percepcao geral e de cada dimensao de qualidade de vida (QV) de um grupo de idosos com Doenca de Alzheimer (DA) (n=53) com as de um grupo semelhante quanto as variaveis sociodemograficas (n=53). As medidas de QV foram obtidas por meio da Escala de Avaliacao da Qualidade de Vida na Doenca de Alzheimer, e os dados foram digitados em um banco de dados no programa Statistical Program for Social Sciences, para a realizacao de analises estatisticas (descritivas, teste-t de Student, Mann-Whitney e Qui-Quadrado). Os resultados revelaram que todas as dimensoes de QV medidas pelo instrumento eram estatisticamente inferiores no grupo de idosos com DA. Quanto aos escores totais de QV, a media obtida foi de 40,18 pontos para idosos sem DA e de 29,32 para idosos com DA, t(104) = 9,449, p<0,001. Estes resultados apontam que idosos com DA apresentam medidas de QV inferiores, sugerindo que a DA influencia negativamente na sua percepcao da qualidade de vida.