Luciana Araújo dos Reis

Qualidade de vida e fatores associados em idosos dependentes em uma cidade do interior do Nordeste

OBJECTIVE: The aim of this study was to determine the influence of sociodemographic factors, health status, functional capacity and family dynamics on the quality of life of dependent elderly individuals living at home in a city in the hinterland of Northeast Brazil. METHODS: This is an analytical study with a cross-sectional design. The sample was composed of 117 dependent elderly individuals, enrolled in the Family Health Units in the district of Jequiezinho in the city of Jequie, located in the hinterland of Bahia state. The data collection instruments used were the Family Apgar, WHOQOL-OLD, Barthels Index as well as socioeconomic and health status data. RESULTS: The chi-square (x2) test showed a statistical difference between compromised quality of life and family dynamics, with the exception of the autonomy domain (p = 0.061) of quality of life. CONCLUSIONS: It is evident that only compromised family dynamics has a negative influence on the quality of life of the functionally dependent elderly, given that the more compromised the family functionality, the worse the quality of life of these individuals.

Efeitos da terapia física descongestiva na cicatrização de úlceras venosas

The objective of this study was to verify the effects of the decongestive physiotherapy (DP) in the healing of venous ulcers. It is an interventionist, and almost experimental, study with the participation of 20 clients who were divided into 2 groups: the control group (n=10) and the intervention group (n=10). Clients from the first group were only treated with conventional dressing and those in the second group were treated with conventional dressing and decongestive physiotherapy (association of techniques: manual lymph drainage, compressive bandaging, elevation of the lower limbs, myolymphokinetic exercises and skin care). Both groups were treated during six months. The clients submitted to DP presented significant reduction of the edema and the pain, besides an improvement in the healing process. Results allowed to verify that the decongestive therapy stimulated the healing process of venous ulcers, improving the quality of life of the subjects.

Assessment of functional capacity in elderly residents of an outlying area in the hinterland of Bahia/Northeast Brazil

OBJECTIVE To assess the functional capacity and to determine the difference between the means of functional capacity (basic and instrumental activities of daily living) and the age groups of elderly residents in an outlying area in the hinterland of Bahia/Northeast of Brazil. METHOD Analytical study with cross-sectional design and a sample of 150 elderly individuals enrolled in four Health Units in the municipality of Jequié, Bahia, Brazil. The instrument consisted of sociodemographic and health data, the Barthel Index and the Lawton scale. RESULTS In all, 78.00% of the elderly were classified as dependent in the basic activities and 65.33% in the instrumental activities of daily living. Using the Kruskal-Wallis test, we found a statistically significant difference between the means of instrumental activities and the age groups (p=0.011). CONCLUSION An elevated number of elderly were classified as dependent in terms of functional capacity and increased age is related to greater impairment in the execution of instrumental activities of daily living.

Influência da dor crônica na capacidade funcional de idosos institucionalizados

The aim of this study was to analyze the influence of pain, in terms of its duration, location and intensity, on the functional capacity of institutionalized elderly. That was a cross-sectional study carried out with a sample of 60 elderly patients. The instrument was composed by sociodemographic and health variables, the numerical pain scale and the Barthel scale. The Chi-square test showed a significant statistical difference between the presence of pain and the following activities: bathing (p=0.015) dressing (p=0.041), toilet use (p=0.001), bed-chair transfer (p=0.032), ambulation (p=0.010) and stairs climbing (p=0.008) and between total Barthel score and the presence of pain, p<0,000. The results of this study show that pain has a negative effect on the functional capacity of the elderly. Descriptors:The aim of this study was to analyze the influence of pain, in terms of its duration, location and intensity, on the functional capacity of institutionalized elderly. That was a cross-sectional study carried out with a sample of 60 elderly patients. The instrument was composed by sociodemographic and health variables, the numerical pain scale and the Barthel scale. The Chi-square test showed a significant statistical difference between the presence of pain and the following activities: bathing (p=0.015) dressing (p=0.041), toilet use (p=0.001), bed-chair transfer (p=0.032), ambulation (p=0.010) and stairs climbing (p=0.008) and between total Barthel score and the presence of pain, p<0,000. The results of this study show that pain has a negative effect on the functional capacity of the elderly.Este estudio tuvo como objetivo analizar la influencia del dolor cuanto a su duracion, localizacion e intensidad en la capacidad funcional de ancianos internados en instituciones. Se trata de un estudio descriptivo con delineacion transversal y una muestra de 60 ancianos. El instrumento se basa en variables sociodemograficas, de salud, escala numerica de dolor e Indice de Barthel. Con la aplicacion del Test Chi-cuadrado se verifico que hay diferencia estadistica significativa entre la presencia de dolor en las actividades: bano (p=0,015) vestirse (p=0,041), traslado para labores de higiene intima (p=0,001), traspaso a cama y silla (p=0,032), locomocion (p=0,010) y subir escaleras (p=0,008) y entre la puntuacion total de Barthel y presencia de dolor, p<0,000. A la vista de los resultados de este estudio se constata que el dolor interfiere de manera negativa en la capacidad funcional de los ancianos.

Depressive symptoms and motor performance in the elderly: a population based study

BACKGROUND There is a growing incidence of depression in the elderly, and this impairment interferes directly in the reduction of motor skills. OBJECTIVE This study aims to examine the association between depressive symptoms and motor performance in community-dwelling elderly. METHOD This is a cross-sectional study that analyzed data from 316 elders of a home and population-based epidemiological survey. The information used was: socio-demographic characteristics; motor performance tests; physical activity; and Geriatric Depression Scale. The data were analyzed using the Statistical Package for Social Sciences. Mann-Whitney U test, chi-square, Spearman correlation and Poisson regression, with a confidence interval of 95%, were calculated. RESULTS For all motor tests, motor performance was negatively associated with depressive symptoms, regardless of gender, age, literacy and illiteracy, per capita income and physical activity. Elderly people with depressive symptoms have between 58% and 82% more functional limitation, depending on the motor performance test compared to those who were not depressed. CONCLUSIONS There is an inverse relationship between depressive symptoms and motor performance in the elderly.

Pain characterization in institutionalized elderly patients

The aim of the present study was to identify the prevalence and characteristics of pain chronic in relation to qualitative aspects and location in elderly (65 the 104 old) institutionalized in Jequié, Bahia, Brazil. This is a descriptive exploratory study with a transversal design and quantitative approach. The instrument used consisted of: data identification; mini-mental examination; pain-related aspects; and the McGill Pain Questionnaire. Half of the subjects were women, with a pain prevalence of 73.3%, 30% of whom had experienced pain for 1 to 5 years, 25% for more than 5 years, 28.3% did not cite pain duration and 16.6% reported having had pain for less than 1 year. With respect to quantification of pain, the most cited was moderate (25.7%). Many of the elderly were in the age group of 60 to 69 years, most painful complaint lodged mild and moderate, and places most affected were, knees and lumbar spine.

Effects of the decongestive physiotherapy in the healing of venous ulcers

The objective of this study was to verify the effects of the decongestive physiotherapy (DP) in the healing of venous ulcers. It is an interventionist, and almost experimental, study with the participation of 20 clients who were divided into 2 groups: the control group (n=10) and the intervention group (n=10). Clients from the first group were only treated with conventional dressing and those in the second group were treated with conventional dressing and decongestive physiotherapy (association of techniques: manual lymph drainage, compressive bandaging, elevation of the lower limbs, myolymphokinetic exercises and skin care). Both groups were treated during six months. The clients submitted to DP presented significant reduction of the edema and the pain, besides an improvement in the healing process. Results allowed to verify that the decongestive therapy stimulated the healing process of venous ulcers, improving the quality of life of the subjects.

Rastreamento cognitivo de idosos institucionalizados no município de Jequié-BA

The present study has as objective to evaluate the mental state of institutionalized aged in the county of Jequie- BA. The cognitive tracking was done with the utilization of the Mini-exame of mental state - MEEM (Mini-mental State Examination-MMSE). The sample was composed by 60 understood aged in the age level of 60 to 80 years (58,3%) and above (41,7%). 40% of the interviewed ones presented preserved cognitive functions and 60% demonstrated some cognitive alteration which is not suggested as a deficit. The latter, 50% are included in the interval of 26 to 24 points, 33.4% in the interval of 30 to 26 points and 16.6% are distributed in the interval of 23 points or less. In this perspective it is believed that the more subsidies on the process of healthful aging, the more it will be able to work to the dementia prevention as well as to identify precociously signals of this.

Percepção do suporte familiar em idosos de baixa renda e fatores associados

This study aims to identify the perception of family support among low-income elderly and associated factors. It is crosssectional study with a sample of 235 elderly residents of Jequié, Bahia, Brazil. The instrument consisted of: demographics and health; Mini-Mental State Examination, Barthel Index, and Perceived Family Support Inventory. Statistical analysis was performed with a p<0.05 level of significance, upon completion of the Chi-Square. There was a statistically significant difference between the averages for Consistency-affection domain and presence of consequences variables (p=0.042) and impairment of basic daily living activities (p=0.033); and between Family-adaptation domain averages and illiterate education levels (p=0.012); and between the Autonomy domain and married state variables (p=0.013), completion of treatment (p=0.032), and impairment of basic daily living activities (p=0.011). Thus, it is evident that most seniors tested showed impaired perception of family support. DESCRIPTORS: Elderly health. Daily activities. Socioeconomic factors. Family PERCEPCIÓN DEL APOYO FAMILIAR A ANCIANOS DE BAJOS INGRESOS Y FACTORES ASOCIADOS RESUMEN: Este estudio tiene como objetivo identificar la percepción del apoyo familiar a ancianos de bajos ingresos y los factores asociados. Es un estudio transversal con una muestra de 235 ancianos residentes en Jequié, Bahia, Brasil. El instrumento consiste en: datos demográficos y de salud, Mini Examen del Estado Mental, índice de Barthel y el Inventario de Percepción de Apoyo a la Familia. El análisis estadístico se realizó con un nivel de significación p<0,05, mediante prueba de Chi-cuadrado. Se verifican diferencias estadísticamente significativas entre las medias del dominio Afectividad-Consistencia y las variables de presencia de secuelas (p=0,042) y discapacidad en las actividades de la vida diaria (p=0,033), entre las medias del domino Adaptación-familiar y el nivel de escolarización analfabetos (p=0,012), y entre el dominio Autonomía y las variables estado civil casado (p=0,013), la finalización del tratamiento (p=0,032) y la discapacidad en las actividades básicas de la vida diaria (p=0,011). Por lo tanto, es evidente que la mayoría de los pacientes de edad avanzada mostraron alteración en la percepción del apoyo familiar. DESCRIPTORES: Salud del anciano. Actividades cotidianas. Factores socioeconómicos. Familia. * 3o lugar – Prêmio Maricel Manfredi.This study aims to identify the perception of family support among low-income elderly and associated factors. It is cross-sectional study with a sample of 235 elderly residents of Jequie, Bahia, Brazil. The instrument consisted of: demographics and health; Mini-Mental State Examination, Barthel Index, and Perceived Family Support Inventory. Statistical analysis was performed with a p<0.05 level of significance, upon completion of the Chi-Square. There was a statistically significant difference between the averages for Consistency-affection domain and presence of consequences variables (p=0.042) and impairment of basic daily living activities (p=0.033); and between Family-adaptation domain averages and illiterate education levels (p=0.012); and between the Autonomy domain and married state variables (p=0.013), completion of treatment (p=0.032), and impairment of basic daily living activities (p=0.011). Thus, it is evident that most seniors tested showed impaired perception of family support.This study aims to identify the perception of family support among low-income elderly and associated factors. It is crosssectional study with a sample of 235 elderly residents of Jequie, Bahia, Brazil. The instrument consisted of: demographics and health; Mini-Mental State Examination, Barthel Index, and Perceived Family Support Inventory. Statistical analysis was performed with a p<0.05 level of significance, upon completion of the Chi-Square. There was a statistically significant difference between the averages for Consistency-affection domain and presence of consequences variables (p=0.042) and impairment of basic daily living activities (p=0.033); and between Family-adaptation domain averages and illiterate education levels (p=0.012); and between the Autonomy domain and married state variables (p=0.013), completion of treatment (p=0.032), and impairment of basic daily living activities (p=0.011). Thus, it is evident that most seniors tested showed impaired perception of family support. DESCRIPTORS: Elderly health. Daily activities. Socioeconomic factors. Family PERCEPCION DEL APOYO FAMILIAR A ANCIANOS DE BAJOS INGRESOS Y FACTORES ASOCIADOS RESUMEN: Este estudio tiene como objetivo identificar la percepcion del apoyo familiar a ancianos de bajos ingresos y los factores asociados. Es un estudio transversal con una muestra de 235 ancianos residentes en Jequie, Bahia, Brasil. El instrumento consiste en: datos demograficos y de salud, Mini Examen del Estado Mental, indice de Barthel y el Inventario de Percepcion de Apoyo a la Familia. El analisis estadistico se realizo con un nivel de significacion p<0,05, mediante prueba de Chi-cuadrado. Se verifican diferencias estadisticamente significativas entre las medias del dominio Afectividad-Consistencia y las variables de presencia de secuelas (p=0,042) y discapacidad en las actividades de la vida diaria (p=0,033), entre las medias del domino Adaptacion-familiar y el nivel de escolarizacion analfabetos (p=0,012), y entre el dominio Autonomia y las variables estado civil casado (p=0,013), la finalizacion del tratamiento (p=0,032) y la discapacidad en las actividades basicas de la vida diaria (p=0,011). Por lo tanto, es evidente que la mayoria de los pacientes de edad avanzada mostraron alteracion en la percepcion del apoyo familiar. DESCRIPTORES: Salud del anciano. Actividades cotidianas. Factores socioeconomicos. Familia. * 3o lugar – Premio Maricel Manfredi.

Influence of chronic pain in the functional capacity of institucionalized elderly

The aim of this study was to analyze the influence of pain, in terms of its duration, location and intensity, on the functional capacity of institutionalized elderly. That was a cross-sectional study carried out with a sample of 60 elderly patients. The instrument was composed by sociodemographic and health variables, the numerical pain scale and the Barthel scale. The Chi-square test showed a significant statistical difference between the presence of pain and the following activities: bathing (p=0.015) dressing (p=0.041), toilet use (p=0.001), bed-chair transfer (p=0.032), ambulation (p=0.010) and stairs climbing (p=0.008) and between total Barthel score and the presence of pain, p<0,000. The results of this study show that pain has a negative effect on the functional capacity of the elderly. Descriptors:The aim of this study was to analyze the influence of pain, in terms of its duration, location and intensity, on the functional capacity of institutionalized elderly. That was a cross-sectional study carried out with a sample of 60 elderly patients. The instrument was composed by sociodemographic and health variables, the numerical pain scale and the Barthel scale. The Chi-square test showed a significant statistical difference between the presence of pain and the following activities: bathing (p=0.015) dressing (p=0.041), toilet use (p=0.001), bed-chair transfer (p=0.032), ambulation (p=0.010) and stairs climbing (p=0.008) and between total Barthel score and the presence of pain, p<0,000. The results of this study show that pain has a negative effect on the functional capacity of the elderly.Este estudio tuvo como objetivo analizar la influencia del dolor cuanto a su duracion, localizacion e intensidad en la capacidad funcional de ancianos internados en instituciones. Se trata de un estudio descriptivo con delineacion transversal y una muestra de 60 ancianos. El instrumento se basa en variables sociodemograficas, de salud, escala numerica de dolor e Indice de Barthel. Con la aplicacion del Test Chi-cuadrado se verifico que hay diferencia estadistica significativa entre la presencia de dolor en las actividades: bano (p=0,015) vestirse (p=0,041), traslado para labores de higiene intima (p=0,001), traspaso a cama y silla (p=0,032), locomocion (p=0,010) y subir escaleras (p=0,008) y entre la puntuacion total de Barthel y presencia de dolor, p<0,000. A la vista de los resultados de este estudio se constata que el dolor interfiere de manera negativa en la capacidad funcional de los ancianos.