Mariana Mapelli de Paiva

Socio-demographic characteristics and quality of life of elderly patients with systemic arterial hypertension who live in rural areas: the importance of nurses' role

OBJETIVO: descrever as caracteristicas sociodemograficas e a qualidade de vida dos idosos com hipertensao arterial sistemica, correlacionar a qualidade de vida com o tempo de diagnostico e com o numero de medicamentos e comparar a qualidade de vida com tipo de medicamento. METODO: trata-se de estudo do tipo inquerito domiciliar, transversal, realizado com 460 idosos da zona rural. Coletaram-se os dados por meio dos instrumentos: World Health Organization Quality of Life-bref e World Health Organization Quality of Life Olders. Realizaram-se analise descritiva, correlacao de Pearson e teste t de Student (p<0,05). RESULTADOS: predominaram: sexo feminino, 60├70 anos, casados, 4├ 8 anos de estudo, renda de um salario-minimo e morar com conjuge. O tempo de diagnostico associou-se a menor qualidade de vida no dominio fisico. Os idosos que utilizavam inibidores da enzima conversora de angiotensina e nao utilizavam bloqueador AT1 apresentaram menor escore no funcionamento dos sentidos. Os que utilizavam bloqueador do canal de calcio apresentaram maior escore na autonomia. CONCLUSAO: sao necessarias acoes para controle da hipertensao arterial sistemica e suas complicacoes, de forma a favorecer a qualidade de vida.OBJECTIVE To describe the socio-demographic characteristics and quality of life of elderly patients with systemic arterial hypertension; to correlate the quality of life with the time of diagnosis and number of medication, as well as to compare the quality of life with the type of medication. METHOD In this cross sectional home survey design, 460 elderly people from rural areas were involved. The data was collected with the use of the following instruments: World Health Organization Quality of Life-bref and World Health Organization Quality of Life Olders. A descriptive analysis, Pearson correlation and t-Student test (p<0.05) were undertaken. RESULTS Predominant patient characteristics were: women between the age of 60 and 70, married, four to eight years of formal education, income of one minimum wage, living with their partners. The time of diagnosis was associated with lower quality of life in the physical domain. Elderly patients who used Inhibitors and Angiotensin Converting Enzyme and who did not use AT1 blocker had lower scores in relation to functioning of the senses. Those who used calcium channel blocker scored higher in relation to autonomy. CONCLUSION there is a need for actions to control systemic arterial hypertension and its associated complications, with the purpose of improving quality of life.

Violência física e psicológica contra idosos: prevalência e fatores associados

OBJECTIVE to verify the prevalence and associated factors to physical and psychological violence against elderlies and trace the sociodemographic and clinical indicators of this population. METHOD household survey conducted in 729 elderlies Uberaba - MG. Data were analyzed by Chi-square test and logistic regression (p < 0,05). RESULTS the prevalence of elderly on violence was 20.9%, and 5.9% to 20.9% for physical and psychological. Among them prevailed women; with 60├80 years; no education; with income, with their partner as the primary aggressor; negative self-perception of health, hospitalization in the last year and presence of multimorbidities. The violence has been associated with have 60├80 years, living with your partner and dependence for instrumental activities of daily living. CONCLUSION reinforces the need for early identification of domestic violence and invest in both the old protective actions and in maintaining functional capacity and social inclusion.

Qualidade de vida e autoestima de idosos na comunidade

This study sought to investigate the association between the scores for quality of life (QoL) and self-esteem among the elderly in an urban community. A cross-sectional, quantitative and analytical household survey was conducted with 1,691 elderly persons resident in an urban area in a county in Minas Gerais state. The World Health Organization Quality of Life BREF (WHOQOL-BREF), the World Health Organization Quality of Life OLD (WHOQOL-OLD) questionnaires and the Rosenberg Self-Esteem Scale were used in this study. A descriptive statistical analysis and a linear regression model (p < 0.05) were conducted. The results revealed that the social relationships domain (71.19) and the topic of death and dying (74.30) had the highest mean scores among the elderly; while the lowest mean scores were the environment domain (60.39) and the topic of social participation (63.06). The self-esteem scores showed an average of 9.36 ± 4.09. Associations were evident for the lower scores of quality of life in all the WHOQOL-BREF domains and WHOQOL-OLD aspects (except death and dying) with lower levels of self-esteem (p <0.001). The results provide data that contribute to a better understanding of the aspects that influence the QoL of the elderly due to reduced self-esteem, thus providing information for the development of health strategies.This study sought to investigate the association between the scores for quality of life (QoL) and self-esteem among the elderly in an urban community. A cross-sectional, quantitative and analytical household survey was conducted with 1,691 elderly persons resident in an urban area in a county in Minas Gerais state. The World Health Organization Quality of Life BREF (WHOQOL-BREF), the World Health Organization Quality of Life OLD (WHOQOL-OLD) questionnaires and the Rosenberg Self-Esteem Scale were used in this study. A descriptive statistical analysis and a linear regression model (p < 0.05) were conducted. The results revealed that the social relationships domain (71.19) and the topic of death and dying (74.30) had the highest mean scores among the elderly; while the lowest mean scores were the environment domain (60.39) and the topic of social participation (63.06). The self-esteem scores showed an average of 9.36 ± 4.09. Associations were evident for the lower scores of quality of life in all the WHOQOL-BREF domains and WHOQOL-OLD aspects (except death and dying) with lower levels of self-esteem (p <0.001). The results provide data that contribute to a better understanding of the aspects that influence the QoL of the elderly due to reduced self-esteem, thus providing information for the development of health strategies.

Características sociodemográficas y calidad de vida de ancianos con hipertensión arterial sistémica que viven en la zona rural: importancia del papel del enfermero

OBJETIVO: descrever as caracteristicas sociodemograficas e a qualidade de vida dos idosos com hipertensao arterial sistemica, correlacionar a qualidade de vida com o tempo de diagnostico e com o numero de medicamentos e comparar a qualidade de vida com tipo de medicamento. METODO: trata-se de estudo do tipo inquerito domiciliar, transversal, realizado com 460 idosos da zona rural. Coletaram-se os dados por meio dos instrumentos: World Health Organization Quality of Life-bref e World Health Organization Quality of Life Olders. Realizaram-se analise descritiva, correlacao de Pearson e teste t de Student (p<0,05). RESULTADOS: predominaram: sexo feminino, 60├70 anos, casados, 4├ 8 anos de estudo, renda de um salario-minimo e morar com conjuge. O tempo de diagnostico associou-se a menor qualidade de vida no dominio fisico. Os idosos que utilizavam inibidores da enzima conversora de angiotensina e nao utilizavam bloqueador AT1 apresentaram menor escore no funcionamento dos sentidos. Os que utilizavam bloqueador do canal de calcio apresentaram maior escore na autonomia. CONCLUSAO: sao necessarias acoes para controle da hipertensao arterial sistemica e suas complicacoes, de forma a favorecer a qualidade de vida.OBJECTIVE To describe the socio-demographic characteristics and quality of life of elderly patients with systemic arterial hypertension; to correlate the quality of life with the time of diagnosis and number of medication, as well as to compare the quality of life with the type of medication. METHOD In this cross sectional home survey design, 460 elderly people from rural areas were involved. The data was collected with the use of the following instruments: World Health Organization Quality of Life-bref and World Health Organization Quality of Life Olders. A descriptive analysis, Pearson correlation and t-Student test (p<0.05) were undertaken. RESULTS Predominant patient characteristics were: women between the age of 60 and 70, married, four to eight years of formal education, income of one minimum wage, living with their partners. The time of diagnosis was associated with lower quality of life in the physical domain. Elderly patients who used Inhibitors and Angiotensin Converting Enzyme and who did not use AT1 blocker had lower scores in relation to functioning of the senses. Those who used calcium channel blocker scored higher in relation to autonomy. CONCLUSION there is a need for actions to control systemic arterial hypertension and its associated complications, with the purpose of improving quality of life.

Cross-sectional study on the association between frailty and violence against community-dwelling elderly people in Brazil

BACKGROUND The physical, emotional and cognitive limitations that may be present in the aging process, coupled with family unpreparedness, may lead to greater dependence among the elderly. This favors development of frailty syndrome and greater levels of violence against the elderly. The objective here was to analyze the association between violence against the elderly and frailty; and the geographic distribution of violence against the elderly according to the presence of frailty syndrome. DESIGN AND SETTING Cross-sectional study on 705 community-dwelling elderly people in Uberaba (MG), Brazil. METHODS The Fried frailty phenotype and conflict tactics scale were used. Data were analyzed using descriptive statistics, the chi-square test and a logistic regression model. The intensity of the events and the relationship between clusters of violence and frailty status were assessed by means of kernel estimation. RESULTS The adjusted analysis indicated that pre-frailty and frailty were associated with physical and verbal aggression (odds ratio, OR = 1.51; 95% confidence interval, CI: 1.04-2.19; OR = 2.12; 95% CI: 1.29-3.47), frailty was associated with physical aggression (OR = 2.48; 95% CI: 1.25-4.94) and pre-frailty and frailty were associated with verbal aggression (OR = 1.48; 95% CI: 1.03-2.15; OR = 2.15; 95% CI: 1.31-3.52), respectively. Regardless of frailty status and its relationship with violence, clusters of occurrences were larger in similar regions in the southeastern part of the municipality; but superimposition of overlays relating to aggression showed that for frail individuals the clusters were smaller than for non-frail and pre-frail individuals. CONCLUSIONS The condition of frailty was associated with greater chances of violence against the elderly.

Associação das variáveis socioeconômicas e clínicas com o estado de fragilidade entre idosos hospitalizados

Objectives: to identify the prevalence of frailty among inpatient older adults in a clinical hospital and check the association of the socioeconomic and clinical characteristics with the state of frailty. Method: observational, cross-sectional and analytical study, conducted with 255 hospitalized patients. Materials used: structured instrument for the economical and clinical data and frailty phenotype of Fried. Descriptive and bivariate statistical analysis was carried out and, by means of chi-square tests and ANOVA One-way (p<0.05). Results: the prevalence of frailty corresponded to 26.3%, while pre-frailty represented 53.3%. The highest proportion of frail seniors was identified for 80 years or older (p = 0.004), widowed (p = 0.035) and with the highest average length of stay (p = 0.006). Conclusion: inpatient older adults presented high percentages of frail states associated with socioeconomic variables and hospitalization period. The identification of the health conditions related to pre-frailty and frailty can foster the planning and implementation of the assistance to older adults in this context.Objetivos: identificar a prevalencia de fragilidade entre idosos internados em um Hospital de Clinicas e verificar a associacao das caracteristicas socioeconomicas e clinicas com o estado de fragilidade. Metodo: estudo observacional, analitico e transversal, conduzido com 255 idosos hospitalizados. Utilizaram-se: instrumento estruturado para os dados socioeconomicos e clinicos e fenotipo de fragilidade de Fried. Realizou-se analise estatistica descritiva e bivariada, por meio dos testes quiquadrado e ANOVA One-way (p<0,05). Resultados: a prevalencia de fragilidade correspondeu a 26,3%, enquanto a pre-fragilidade representou 53,3%. Constatou-se maior proporcao de idosos frageis com 80 anos ou mais (p=0,004), viuvos (p=0,035) e com maior media de dias de internacao (p=0,006). Conclusao: idosos internados apresentaram elevados percentuais dos estados de fragilidade associados as variaveis socioeconomicas e tempo de internacao. A identificacao das condicoes de saude relacionadas a pre-fragilidade e fragilidade pode favorecer o planejamento e implementacao da assistencia ao idoso neste contexto.

Asociación de variables socioeconómicas y clínicas con el estado de fragilidad en personas mayores hospitalizadas

Objectives: to identify the prevalence of frailty among inpatient older adults in a clinical hospital and check the association of the socioeconomic and clinical characteristics with the state of frailty. Method: observational, cross-sectional and analytical study, conducted with 255 hospitalized patients. Materials used: structured instrument for the economical and clinical data and frailty phenotype of Fried. Descriptive and bivariate statistical analysis was carried out and, by means of chi-square tests and ANOVA One-way (p<0.05). Results: the prevalence of frailty corresponded to 26.3%, while pre-frailty represented 53.3%. The highest proportion of frail seniors was identified for 80 years or older (p = 0.004), widowed (p = 0.035) and with the highest average length of stay (p = 0.006). Conclusion: inpatient older adults presented high percentages of frail states associated with socioeconomic variables and hospitalization period. The identification of the health conditions related to pre-frailty and frailty can foster the planning and implementation of the assistance to older adults in this context.Objetivos: identificar a prevalencia de fragilidade entre idosos internados em um Hospital de Clinicas e verificar a associacao das caracteristicas socioeconomicas e clinicas com o estado de fragilidade. Metodo: estudo observacional, analitico e transversal, conduzido com 255 idosos hospitalizados. Utilizaram-se: instrumento estruturado para os dados socioeconomicos e clinicos e fenotipo de fragilidade de Fried. Realizou-se analise estatistica descritiva e bivariada, por meio dos testes quiquadrado e ANOVA One-way (p<0,05). Resultados: a prevalencia de fragilidade correspondeu a 26,3%, enquanto a pre-fragilidade representou 53,3%. Constatou-se maior proporcao de idosos frageis com 80 anos ou mais (p=0,004), viuvos (p=0,035) e com maior media de dias de internacao (p=0,006). Conclusao: idosos internados apresentaram elevados percentuais dos estados de fragilidade associados as variaveis socioeconomicas e tempo de internacao. A identificacao das condicoes de saude relacionadas a pre-fragilidade e fragilidade pode favorecer o planejamento e implementacao da assistencia ao idoso neste contexto.

Association of socioeconomic and clinical variables with the state of frailty among older inpatients

Objectives: to identify the prevalence of frailty among inpatient older adults in a clinical hospital and check the association of the socioeconomic and clinical characteristics with the state of frailty. Method: observational, cross-sectional and analytical study, conducted with 255 hospitalized patients. Materials used: structured instrument for the economical and clinical data and frailty phenotype of Fried. Descriptive and bivariate statistical analysis was carried out and, by means of chi-square tests and ANOVA One-way (p<0.05). Results: the prevalence of frailty corresponded to 26.3%, while pre-frailty represented 53.3%. The highest proportion of frail seniors was identified for 80 years or older (p = 0.004), widowed (p = 0.035) and with the highest average length of stay (p = 0.006). Conclusion: inpatient older adults presented high percentages of frail states associated with socioeconomic variables and hospitalization period. The identification of the health conditions related to pre-frailty and frailty can foster the planning and implementation of the assistance to older adults in this context.Objetivos: identificar a prevalencia de fragilidade entre idosos internados em um Hospital de Clinicas e verificar a associacao das caracteristicas socioeconomicas e clinicas com o estado de fragilidade. Metodo: estudo observacional, analitico e transversal, conduzido com 255 idosos hospitalizados. Utilizaram-se: instrumento estruturado para os dados socioeconomicos e clinicos e fenotipo de fragilidade de Fried. Realizou-se analise estatistica descritiva e bivariada, por meio dos testes quiquadrado e ANOVA One-way (p<0,05). Resultados: a prevalencia de fragilidade correspondeu a 26,3%, enquanto a pre-fragilidade representou 53,3%. Constatou-se maior proporcao de idosos frageis com 80 anos ou mais (p=0,004), viuvos (p=0,035) e com maior media de dias de internacao (p=0,006). Conclusao: idosos internados apresentaram elevados percentuais dos estados de fragilidade associados as variaveis socioeconomicas e tempo de internacao. A identificacao das condicoes de saude relacionadas a pre-fragilidade e fragilidade pode favorecer o planejamento e implementacao da assistencia ao idoso neste contexto.

Physical and psychological violence against the elderly: prevalence and associated factors

OBJECTIVE to verify the prevalence and associated factors to physical and psychological violence against elderlies and trace the sociodemographic and clinical indicators of this population. METHOD household survey conducted in 729 elderlies Uberaba - MG. Data were analyzed by Chi-square test and logistic regression (p < 0,05). RESULTS the prevalence of elderly on violence was 20.9%, and 5.9% to 20.9% for physical and psychological. Among them prevailed women; with 60├80 years; no education; with income, with their partner as the primary aggressor; negative self-perception of health, hospitalization in the last year and presence of multimorbidities. The violence has been associated with have 60├80 years, living with your partner and dependence for instrumental activities of daily living. CONCLUSION reinforces the need for early identification of domestic violence and invest in both the old protective actions and in maintaining functional capacity and social inclusion.

La violencia física y psicológica contra las personas mayores: prevalencia y factores asociados

OBJECTIVE to verify the prevalence and associated factors to physical and psychological violence against elderlies and trace the sociodemographic and clinical indicators of this population. METHOD household survey conducted in 729 elderlies Uberaba - MG. Data were analyzed by Chi-square test and logistic regression (p < 0,05). RESULTS the prevalence of elderly on violence was 20.9%, and 5.9% to 20.9% for physical and psychological. Among them prevailed women; with 60├80 years; no education; with income, with their partner as the primary aggressor; negative self-perception of health, hospitalization in the last year and presence of multimorbidities. The violence has been associated with have 60├80 years, living with your partner and dependence for instrumental activities of daily living. CONCLUSION reinforces the need for early identification of domestic violence and invest in both the old protective actions and in maintaining functional capacity and social inclusion.