Maria José D'Elboux Diogo

Satisfação global com a vida e determinados domínios entre idosos com amputação de membros inferiores

OBJETIVO: Em idosos com amputacao de membros inferiores, atendidos no ambulatorio de amputados de um hospital universitario do Municipio de Campinas, Sao Paulo, Brasil, identificar relacoes entre a satisfacao global com a vida e a capacidade funcional; avaliar o grau de satisfacao com os dominios saude, capacidade fisica/dependencia, capacidade mental e integracao/envolvimento social; e identificar relacoes entre a satisfacao global com a vida e a satisfacao com os dominios. METODOS: Foram avaliados 40 idosos (30 homens e 10 mulheres), com idade media de 74,5 anos (60 a 79 anos), submetidos a amputacao acima dos maleolos ha no minimo 1 ano e em acompanhamento para reabilitacao entre junho de 1994 e junho de 1999. O instrumento utilizado para a coleta de dados foi composto por: 1) avaliacao da capacidade funcional (indice de Barthel); 2) avaliacao da satisfacao global com a vida (modelo de Cantrill); e 3) avaliacao da satisfacao com os dominios saude, capacidade fisica/dependencia, capacidade mental e integracao/ envolvimento social, em termos individuais e em comparacao com outros idosos. RESULTADOS: Os participantes apresentaram elevado nivel de satisfacao global com a vida (media de 7,1; mediana de 7,5; desvio padrao de 2,73). Nao houve correlacao significativa entre a satisfacao global com a vida e a capacidade funcional. Nao houve diferenca significativa entre o grau de satisfacao individual com os diferentes dominios e a percepcao desses dominios na comparacao com outras pessoas da mesma idade; em ambos os casos, a satisfacao observada foi alta. Houve correlacao significativa apenas entre a satisfacao global com a vida e os dominios saude (individual e comparada) e capacidade fisica (comparada). CONCLUSOES: Os resultados sugerem uma tendencia dos idosos com amputacao a expressarem uma avaliacao positiva sobre seu bem-estar. Esta observacao, aliada a escassez de estudos sobre o assunto, justifica a realizacao de novas pesquisas sobre o bem-estar subjetivo da populacao idosa e permite um novo olhar sobre a reabilitacao dos idosos com amputacao de membros inferiores.

Orientações para idosas que cuidam de idosos no domicílio

Trata-se de um relato de experiencia de um programa de orientacao para idosas cuidadoras de idosos no domicilio, realizado pelo Grupo de Atencao a Saude do Idoso (GRASI), do Hospital de Clinicas da Universidade Estadual de Campinas. Esse programa foi elaborado e desenvolvido para atender uma solicitacao de idosas cuidadoras, e participantes do GRASI. Ao final das atividades, as participantes relataram que o programa possibilitou o melhor enfrentamento das dificuldades, a compreensao das distintas alteracoes presentes na velhice, e o desenvolvimento de procedimentos que facilitam a relacao com o idoso no dia-a-dia.(AU)This is a report of experience about the development of a program designed especially for the orientation of elderly people who care for elderly relatives at home. It was carried out by the coordinators of the Group of Attention for Elderly Peoples Health (GRASI), of the Campinas State Universitys Clinics Hospital. This program was developed based on the needs reported by elderly caregivers who take part in the activities of the GRASI. The participants reported that the program made coping with the difficulties related to caregiving better; that there had been an improvement in the understanding of the changes brought by the aging process; and that it made possible the development of procedures that make easier the daily relationship with the elderly that is being cared for.

Os idosos e as instituições asilares do município de Campinas

This study aimed at characterizing the asylums at the municipality of Campinas regarding their residents, human resources and routines. Authors investigated six private institutions with residents, whose majority were dependent and with quantitatively and qualitatively insufficient human resources. It was possible to verify the capacitation of the health professionals in the areas of geriatrics and gerontology, in particular, as well as of the nursing team that is really important to the improvement of the care provided to the elderly.Este estudo tem como objetivo caracterizar as instituicoes asilares de Campinas quanto aos seus residentes, recursos humanos e rotinas realizadas. Foram investigadas seis instituicoes de carater privado, com residentes, em sua maioria dependentes, e recursos humanos insuficientes qualitativa e quantitativamente. Foi possivel verificar que a capacitacao dos profissionais, na area de geriatria e gerontologia, em particular, da equipe de enfermagem, e imprescindivel para a melhoria da assistencia prestada aos idosos.

O papel da enfermeira na reabilitação do idoso

As the elderly people in our country are increasing it becomes more and more frequent the elderlys presence in the services of health and especially of rehabilitation. We bring in this descriptive text the main aspects involved in the elderlys rehabilitation: the referring peculiarities to the rehabilitation in this age group, the functional evaluation as an important indicative of the life quality, the phases of the elderlys rehabilitation and the systematized nursing care through the nurse, inserted in the multidisciplinary team acts with the elderly patient and his family, in an individualized way.As the elderly people in our country are increasing it becomes more and more frequent the elderlys presence in the services of health and especially of rehabilitation. We bring in this descriptive text the main aspects involved in the elderlys rehabilitation: the referring peculiarities to the rehabilitation in this age group, the functional evaluation as an important indicative of the life quality, the phases of the elderlys rehabilitation and the systematized nursing care through the nurse, inserted in the multidisciplinar team acts with the elderly patient and his family, in an individualized way.

Relações entre o bem-estar subjetivo e a funcionalidade em idosos em seguimento ambulatorial

OBJECTIVE: The aim of this study was to investigate the relationship between subjective well-being, functional independence and lower-limb performance (muscle strength, gait velocity and balance) among elderly people undergoing outpatient follow-up, stratified by sex and age groups. METHODS: We evaluated 125 elderly people, aged 60 years and over, who received care at a geriatric outpatient clinic. The instruments used were: 1) Functional Independence Measure (FIM) to evaluate functional dependence; 2) Short Physical Performance Battery (SPPB) to measure physical performance; and 3) Subjective Well-Being (SWB) with questions about health and satisfaction with life. RESULTS: A convenience sample was used, with predominance of females (who had greater functional impairment). The Spearman correlation coefficients for subjective well-being and the performance tests varied from -0.16 to 0.31 for men and -0.09 to 0.29 for women, therefore there were no differences between the sexes. However, the older participants had a higher level of satisfaction than the younger participants. Perceived health was also more satisfactory among the older participants, however comparative perceived health was better among the elderly participants with moderate to good physical performance. CONCLUSION: The results suggest that older individuals have greater satisfaction with life and better perceived health. Moreover, good physical performance was an important variable for better perceived health when compared to other people.

Avaliação da capacidade funcional de idosos com acidente vascular encefálico

ABSTRACT Objective: To evaluate the functional capacity of elders with encephalic vascular accident (EVA) and to examine the association betweensociodemographic variables and functional capacity. Methods: Interviews with 44 elders who had EVA were conducted during their assessmentand treatment in the data collection settings. The instrument contemplated clinical and social-demographic variables. Functiona l IndependenceMeasure (FIM) was used to measure the subjects’ functional capacity. Results: Most subjects were between 60 and 69 years of age. The MIFhad good internal consistency reliability estimate. Subjects had a mean score of 97.0 on FIM. Mann-Whitney test indicated that participants whohad access to health care services had higher FIM scores than individuals without health care access. Pearson’s correlation analysis indicated asignificantly negative correlation coefficient between age and FIM score. Conclusion: Encephalic vascular accident is associated with alterationsin functional capacity of the sample of this study. This finding suggests the need for the use of effective rehabilitation strategies to helpindividuals who have decreased functional capacity due to normal aging and/or sequela to encephalic vascular accident.OBJETIVO: Avaliar a capacidade funcional de idosos com acidente vascular encefalico (AVE) e verificar a relacao, bem como a influencia de variaveis sociodemograficas e de saude na capacidade funcional desses sujeitos. METODOS: Foram realizadas entrevistas com 44 idosos, vitimas de AVE, durante o atendimento nos locais de coleta de dados. O instrumento de coleta de dados contemplou dados sociodemograficos e clinicos. Para avaliar a capacidade funcional dos sujeitos foi aplicado o instrumento de Medida de Independencia Funcional (MIF). RESULTADOS: Houve predominio da faixa etaria entre 60 e 69 anos. A MIF apresentou boa consistencia interna. A pontuacao total MIF dos apresentou media de 97,0. Os pacientes com acesso ao servico de saude apresentaram valores superiores aos dos individuos que nao tinham acesso (Teste de Mann-Whitney). Foi observada correlacao negativa entre a MIF e seus dominios e a idade (Pearson). CONCLUSAO: O AVE causou alteracao na capacidade funcional dos sujeitos da pesquisa, o que aponta para a necessidade de se investir em estrategias de reabilitacao que venham a amenizar as perdas funcionais advindas da propria idade e, principalmente, das sequelas de AVE.

Formação de recursos humanos na área da saúde do idoso

This paper deals with issues related to specialized and informal human resource training programs in the area of elderlys health, based on the National Elderlys Health Policy. It points out the obstacles and recommendations made by the Second World Assembly on Aging.This paper deals with issues related to specialized and informal human resource training programs in the area of elderlys health, based on the National Elderlys Health Policy. It points out the obstacles and recommendations made by the Second World Assembly on Aging.

A dinâmica dependência-autonomia em idosos submetidos à amputação de membros inferiores

O presente trabalho tem como objetivo discutir a dinâmica dependencia-autonomia no idoso com amputacao de membros inferiores, relacionando esta questao com a realizacao das atividades da vida diaria.The objective this study is to examine the dependency-autonomy dynamic in elderly submitted to lower limbs amputation, relating this question to the activity of daily living (ADL).

Implantação do Grupo de Atenção à Saúde do Idoso (GRASI) no Hospital de Clínicas da Universidade Estadual de Campinas (SP): relato de experiência

This study aims at reporting the experience of establishing the Group for Elderly Care (GRASI) in an outpatient clinic at a General University Hospital (Hospital de Clinicas - Universidade Estadual de Campinas), with the goal of elaborating and developing an educative program to elderly and their families. The program approached topics requested by the clients, such as increased risk for falls, changes in memory, sleep and vision, as well as issues considered important by the researchers, such as self-care, emotional aspects, senescence and senility. The experience was evaluated as a significant contribution to elderly daily life as well as a good opportunity for acquiring new knowledge and new friendships.This study aims at reporting the experience of establishing the Group for Elderly Care (GRASI) in an outpatient clinic at a General University Hospital (Hospital de Clínicas--Universidade Estadual de Campinas), with the goal of elaborating and developing an educative program to elderly and their families. The program approached topics requested by the clients, such as increased risk for falls, changes in memory, sleep and vision, as well as issues considered important by the researchers, such as self-care, emotional aspects, senescence and senility. The experience was evaluated as a significant contribution to elderly daily life as well as a good opportunity for acquiring new knowledge and new friendships.

Impacto da hospitalização na independência funcional do idoso em tratamento clínico

The general objective of this study was to evaluate functional independence inpatient of elderly patients in clinical wards of medical services. The study was conducted at the University Hospital in Campinas, SP with 28 geriatric inpatient admitted to the clinical wards. The Functional Independence Measure (FIMTM) instrument was used to assess patients at three moments: hospital admission, hospital discharge, and one month after discharge. Results: There was a decline of total FIMTM scores and their domains, motor and cognitive, during the period of hospitalization. At hospital admission the mean was 109.2±14.0, at hospital discharge the mean score was 97.8 ±19.4 and one month after the discharge the mean was 114.4±14.1, with significant difference (p<0.05) from admission to discharge, as well as from discharge to one month after discharge either in total FIMTM scores or in its domains. The items of self-care, bladder continence, transfer, locomotion and problems resolving decreased during the hospitalization. Conclusion: There was a functional decreased between hospitalized elderly and a recovered after return home.