Lucia Hisako Takase Gonçalves

Idosos residentes em instituições de longa permanência para idosos da região metropolitana de Belém-PA

Descriptive-exploratory study conducted in four long-term institutions for the elderly (ILPI), being two philanthropic and two governmental, in the metropolitan region of Belem city, state of Para, Brazil. OBJECTIVE: To describe social characteristics of low income institutionalized elderly in ILPIs of the metropolitan region of Belem, and also identify the living conditions, health and dependence level, in basic activities of daily living. METHODOLOGY: the study included 165 institutionalized elderly who were limited to describe data obtained by the Elderly Handbook of the Health Ministry / SUS, evaluating independence in activities of daily living, according to Katz Index. RESULTS: The prevalence of 62.5% unmarried elderly residents, without familiy, reinforces the need and usefulness of the ILPI as an alternative geronto-geriatric program for society. For the age group of 80 years and more (49%), among residents, care strategies for elderly focusing on vulnerability and frailty must be reviewed. Physical inactivity within the ILPI (87%) and dependence in activities of daily life (58%) point to the need for increasing daily institutional practices focusing on active ageing. The high prevalence of comorbidities (90%) and polypharmacy (71%) among residents call for specialized care in diseases treatment, control and rehabilitation, maintenance of the possible balance of living and health of those elderly. CONCLUSION: The long-term institution for the elderly, although being of social nature, considering the findings of this study, requires living and health care actions.

Vivências de mulheres cuidadoras de pessoas idosas dependentes: orientação de gênero para o cuidado

Objetivo: Apreender nas lembrancas da mulher cuidadora o sentido e o significado das vivencias de relacao de cuidado na unidade familial com a pessoa idosa dependente em contexto de construcao social da identidade de genero orientado para o cuidado. Metodos: Estudo fundamentado na Historia Oral de Vida com seis mulheres cuidadoras de familias com pessoas idosas dependentes, no interior da Bahia, Brasil. As lembrancas, captadas por entrevista gravada e transcrita, compuseram o corpus de analise. Resultados: O papel social de identidade de genero direciona a mulher na responsabilizacao de seus membros familiares dependentes de cuidado, com sentimentos e valores de obrigacao humana e forte influencia religiosa. Esse cuidado favorece ainda as vivencias intergeracionais no espaco das relacoes familiares com aprendizagens significativas. Conclusao: Urge uma compreensao critica do papel feminino do cuidado, com incentivo a educacao intergeracional e de genero que propiciem novas perspectivas para o cuidado ao idoso dependente.Objective: To understand, in the memories of caregiving women, the meaning of the experiences of caregiving relationships in family units with dependent elderly people in the context of social construction of care oriented gender identity. Methods: This is a study based on the oral history of life of six female caregivers of families with elderly dependent people, in Bahia countryside, Brazil. The memories, captured by recorded and transcribed interview, composed the corpus of analysis. Results: The social role of gender identity directs women to the responsibility of their family members who are dependent on care, with feelings and values of human obligation and strong religious influence. This care also favors intergenerational experiences in the space of family relationships with meaningful learning. Conclusion: A critical understanding of the female role of care is urgently needed, with an incentive for intergenerational and gender education that provides new perspectives for dependent elderly care.

A Importância das Famílias nos Cuidados de Enfermagem: Atitudes dos Enfermeiros em Meio hospitalar

Theoretical framework: Nurses’ attitudes towards families are essential to the quality of nursing care, facilitating the health/ disease transition processes...

Perfil demográfico do envelhecimento nos municípios do estado do Pará, Brasil

OBJECTIVE To investigate socioeconomic and demographic differences regarding population aging in municipalities of the state of Pará, Brazil. METHOD Ecological study with secondary demographic, socioeconomic and health data from the 144 municipalities of the state of Pará, Brazil. Data were treated with segmentation analysis, the Mann-Whitney U test and logistic regression models, with a significance level of p ≤ 0.05. RESULTS Segmentation analysis provided a single variable to describe aging in the municipalities of Pará and originated two clusters, the high and low aging rate ones, with 104 (72.22%) and 40 (27.78%) municipalities in each, respectively. The fitted model revealed an association between aging and per capita income (p = 0.021), vulnerability to poverty (p = 0.003), rich to poor ratio (p = 0.012) and density of people (p = 0.019). CONCLUSION There is heterogeneity in the population aging among the municipalities of Pará, mainly regarding socioeconomic conditions and number of people living in the municipalities.

Software for systematization of nursing care in medical units

OBJECTIVE To describe the development of a software prototype to apply the nursing process in clinical units of a general hospital, and assess its usefulness. METHOD Applied methodological research of technological production of a program based on prototyping software engineering developed in three stages: specification, development, and validation. RESULTS Produced under the name of INFOSAE, the system represents a set of stages (history, diagnosis, expected outcomes, and nursing intervention) providing guidance to nurses to direct and guarantee the necessary care to patients, also allowing an assessment of this care. CONCLUSION The INFOSAE software prototype, an easy-to-use computerized technology, obtained a favorable assessment by the user nurses that participated in the whole development process, from the specification to the validation of the system.

Sociodemographic profile and social support of elderly persons in primary care

ABSTRACT Objective: to investigate the sociodemographic profile and social support network of the elderly. Method: quantitative, descriptive study with 130 elderly family health users. A questionnaire was used for the sociodemographic profile and the Minimum Map of Relations of the Elderly. Descriptive statistical analysis and Pearsons Chi-square test, ANOVA 1 criterion, Mann-Whitney or Kruskal-Wallis were presented in tables. Results: the prevalence of the female sex (57.7%), with a mean age of 70.5 years, was higher among married elderly people (47.7%) and with children (95.4%). Regarding schooling, 59.2% had primary education incomplete. The family proved to be the best social support, while social services and health, the worst. Conclusion: the elderly have great family social support and small social support from friends, community and health services. Thus, studies are needed to implement strategies aimed at increasing the social support of the elderly in order to promote healthy aging. Descriptors : Aged; Community Health Nursing; Nursing Care; Comprehensive Health Care; Primary Health Care; Social Support. RESUMO Objetivo : investigar o perfil sociodemografico e a rede de suporte social dos idosos. Metodo : estudo quantitativo, descritivo, com 130 idosos usuarios da saude da familia. Utilizaram-se um questionario para o perfil sociodemografico e o Mapa Minimo de Relacoes do Idoso. Realizaram-se a analise estatistica descritiva e os testes estatisticos Qui-quadrado de Pearson, ANOVA 1 criterio, Mann-Whitney ou Kruskal-Wallis apresentados em tabelas. Resultados : obtiveram-se a prevalencia do sexo feminino (57,7%), com idade media de 70,5 anos, de idosos casados (47,7%) e com filhos (95,4%). Quanto a escolaridade, 59,2% tinham o primario incompleto. A familia revelou ser o melhor suporte social, enquanto os servicos sociais e de saude, os piores. Conclusao : os idosos possuem grande suporte social familiar e pequeno suporte social de amigos, comunidade e servicos de saude. Dessa forma, sao necessarios estudos voltados para a implementacao de estrategias que visem ao aumento do suporte social dos idosos com vistas a promocao do envelhecimento saudavel. Descritores: Idoso; Enfermagem em Saude Comunitaria; Cuidados de Enfermagem; Atencao Integral a Saude do Idoso; Atencao Primaria a Saude; Apoio Social. RESUMEN Objetivo: investigar el perfil sociodemografico y la red de soporte social de los ancianos. Metodo: estudio cuantitativo, descriptivo, con 130 ancianos usuarios de la salud de la familia. Fueron utilizados uno cuestionario para el perfil sociodemografico y el Mapa Minimo de Relaciones del Anciano. Se realizaron la analisis estadistico descriptivo y las pruebas estadisticas Qui-cuadrado de Pearson, ANOVA 1 criterio, Mann-Whitney o Kruskal-Wallis, presentados en tablas. Resultados: se obtuvieron la prevalencia del sexo femenino (57,7%), con edad media de 70,5 anos, de ancianos casados (47,7%) y con hijos (95,4%). En cuanto a la escolaridad, el 59,2% tenia la ensenanza primaria incompleta. La familia se revelo ser el mejor soporte social, como los servicios sociales y de salud, los peores. Conclusion: los ancianos poseen gran soporte social familiar y, pequeno soporte social de amigos, comunidad y servicios de salud. De esta manera, son necesarios estudios dirigidos a la implementacion de estrategias que apunten al aumento del soporte social de las personas mayores con el fin de promover el envejecimiento saludable. Descriptores : Anciano; Enfermeria em Salud Comunitaria; Atencion de Enfermeria; Atencion Integral de Salud; Atencion Primaria de Salud; Apoyo Social.

Funcionalidade familiar de idosos brasileiros residentes em comunidade

Objetivo: avaliar a funcionalidade familiar de idosos brasileiros; testar a influencia de fatores determinantes. Metodos: estudo transversal com 2.052 idosos, a partir de dados coletados da linha base referente ao estudo “Aging, Gender and Quality of Life (AGEQOL)”, responderam questionarios sobre funcionamento familiar; atividades basicas e instrumentais de vida diaria (AVD e AIVD); estado cognitivo; e caracteristicas sociodemograficas. Modelos multivariados de regressao ordinal e analise de correspondencia multipla identificaram fatores associados a boa funcionalidade familiar. Resultados: a maior parte dos idosos gozava de boa funcionalidade familiar (76,3%), era casada e vivendo com conjuge (55,5%), tinha mais de seis filhos e netos (85,4% e 76,7%, respectivamente) e independente para AIVD (71,5%). Analise de correspondencia resultou em tres grupos: alta, moderada e baixa funcionalidade familiar e perfil de idosos com distintas condicoes socioeconomicas. Conclusao: infere-se dos resultados implicacoes para a pratica e politica de atencao a familia com membros idosos segundo seu funcionamento e distintas condicoes de vida e saude das pessoas idosas.

Perfil de envejecimiento saludable en octogenarios brasileños

Objetivo: identificar o perfil do envelhecimento saudável de idosos brasileiros octogenários. Método: estudo epidemiológico de base populacional, conduzido por meio de entrevista domiciliar em um município brasileiro, num recorte com 335 idosos octogenários. O modelo de árvore de decisão foi utilizado para analisar o perfil de envelhecimento saudável em relação às características socioeconômicas avaliadas na linha base. Todos os testes consideraram o valor p<0,05. Resultados: entre os 335 idosos que participaram deste estudo, a maioria era do sexo feminino (62,1%), idade entre 80 e 84 anos (50,4%), viúvo (53,4%), analfabeto (59,1%), com renda mensal inferior a um salário-mínimo (59,1%); eram aposentados (85,7%), morando com cônjuge (63,8%), sem cuidador (60,3%), com dois ou mais filhos (82,7%) e dois ou mais netos (78,8%). Os resultados indicam três grupos com perfil de envelhecimento mais saudável: idosos com 80-84 anos (55,6%), idosos com 85 anos e mais, casados (64,9%) e idosos com 85 anos e mais, sem companheiro e também sem cuidador (54,2%). Conclusão: o perfil de envelhecimento saudável de octogenários pôde ser explicado pela faixa etária, estado civil e presença de cuidador.ABSTRACT Objective: to identify the healthy aging profile in octogenarians in Brazil. Method: this population-based epidemiological study was conducted using household interviews of 335 octogenarians in a Brazilian municipality. The decision-tree model was used to assess the healthy aging profile in relation to the socioeconomic characteristics evaluated at baseline. All of the tests used a p-value < 0.05. Results: the majority of the 335 participating older adults were women (62.1%), were aged between 80 and 84 years (50.4%), were widowed (53.4%), were illiterate (59.1%), had a monthly income of less than one minimum wage (59.1%), were retired (85.7%), lived with their spouse (63.8%), did not have a caregiver (60.3%), had two or more children (82.7%), and had two or more grandchildren (78.8%). The results indicate three age groups with a healthier aging profile: older adults aged 80 to 84 years (55.6%), older adults aged 85 years and older who are married (64.9%), and older adults aged 85 and older who do not have a partner or a caregiver (54.2%). Conclusion: the healthy aging profile of octogenarians can be explained by age group, marital status, and the presence of a caregiver.

Perfil do envelhecimento saudável de idosos brasileiros octogenários

Objetivo: identificar o perfil do envelhecimento saudável de idosos brasileiros octogenários. Método: estudo epidemiológico de base populacional, conduzido por meio de entrevista domiciliar em um município brasileiro, num recorte com 335 idosos octogenários. O modelo de árvore de decisão foi utilizado para analisar o perfil de envelhecimento saudável em relação às características socioeconômicas avaliadas na linha base. Todos os testes consideraram o valor p<0,05. Resultados: entre os 335 idosos que participaram deste estudo, a maioria era do sexo feminino (62,1%), idade entre 80 e 84 anos (50,4%), viúvo (53,4%), analfabeto (59,1%), com renda mensal inferior a um salário-mínimo (59,1%); eram aposentados (85,7%), morando com cônjuge (63,8%), sem cuidador (60,3%), com dois ou mais filhos (82,7%) e dois ou mais netos (78,8%). Os resultados indicam três grupos com perfil de envelhecimento mais saudável: idosos com 80-84 anos (55,6%), idosos com 85 anos e mais, casados (64,9%) e idosos com 85 anos e mais, sem companheiro e também sem cuidador (54,2%). Conclusão: o perfil de envelhecimento saudável de octogenários pôde ser explicado pela faixa etária, estado civil e presença de cuidador.ABSTRACT Objective: to identify the healthy aging profile in octogenarians in Brazil. Method: this population-based epidemiological study was conducted using household interviews of 335 octogenarians in a Brazilian municipality. The decision-tree model was used to assess the healthy aging profile in relation to the socioeconomic characteristics evaluated at baseline. All of the tests used a p-value < 0.05. Results: the majority of the 335 participating older adults were women (62.1%), were aged between 80 and 84 years (50.4%), were widowed (53.4%), were illiterate (59.1%), had a monthly income of less than one minimum wage (59.1%), were retired (85.7%), lived with their spouse (63.8%), did not have a caregiver (60.3%), had two or more children (82.7%), and had two or more grandchildren (78.8%). The results indicate three age groups with a healthier aging profile: older adults aged 80 to 84 years (55.6%), older adults aged 85 years and older who are married (64.9%), and older adults aged 85 and older who do not have a partner or a caregiver (54.2%). Conclusion: the healthy aging profile of octogenarians can be explained by age group, marital status, and the presence of a caregiver.

Healthy aging profile in octogenarians in Brazil

Objetivo: identificar o perfil do envelhecimento saudável de idosos brasileiros octogenários. Método: estudo epidemiológico de base populacional, conduzido por meio de entrevista domiciliar em um município brasileiro, num recorte com 335 idosos octogenários. O modelo de árvore de decisão foi utilizado para analisar o perfil de envelhecimento saudável em relação às características socioeconômicas avaliadas na linha base. Todos os testes consideraram o valor p<0,05. Resultados: entre os 335 idosos que participaram deste estudo, a maioria era do sexo feminino (62,1%), idade entre 80 e 84 anos (50,4%), viúvo (53,4%), analfabeto (59,1%), com renda mensal inferior a um salário-mínimo (59,1%); eram aposentados (85,7%), morando com cônjuge (63,8%), sem cuidador (60,3%), com dois ou mais filhos (82,7%) e dois ou mais netos (78,8%). Os resultados indicam três grupos com perfil de envelhecimento mais saudável: idosos com 80-84 anos (55,6%), idosos com 85 anos e mais, casados (64,9%) e idosos com 85 anos e mais, sem companheiro e também sem cuidador (54,2%). Conclusão: o perfil de envelhecimento saudável de octogenários pôde ser explicado pela faixa etária, estado civil e presença de cuidador.ABSTRACT Objective: to identify the healthy aging profile in octogenarians in Brazil. Method: this population-based epidemiological study was conducted using household interviews of 335 octogenarians in a Brazilian municipality. The decision-tree model was used to assess the healthy aging profile in relation to the socioeconomic characteristics evaluated at baseline. All of the tests used a p-value < 0.05. Results: the majority of the 335 participating older adults were women (62.1%), were aged between 80 and 84 years (50.4%), were widowed (53.4%), were illiterate (59.1%), had a monthly income of less than one minimum wage (59.1%), were retired (85.7%), lived with their spouse (63.8%), did not have a caregiver (60.3%), had two or more children (82.7%), and had two or more grandchildren (78.8%). The results indicate three age groups with a healthier aging profile: older adults aged 80 to 84 years (55.6%), older adults aged 85 years and older who are married (64.9%), and older adults aged 85 and older who do not have a partner or a caregiver (54.2%). Conclusion: the healthy aging profile of octogenarians can be explained by age group, marital status, and the presence of a caregiver.