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Acta Paulista De Enfermagem | 2012

Síndrome de fragilidade relacionada à incapacidade funcional no idoso

Jack Roberto Silva Fhon; Marina Aleixo Diniz; Kizie Conrado Leonardo; Luciana Kusumota; Vanderlei José Haas; Rosalina Aparecida Partezani Rodrigues

Objectives: To characterize the sociodemographic profile of the elderly, verify the level of fragility according to gender, functional independence and instrumental activities of daily living, and to correlate the dimensions of the Functional Independence Measure and Instrumental Activities of Daily Living with age, education, frailty and morbidities. Methods: A cross-sectional and observational study using a sample of 240 elderly living in Ribeirao Preto, Sao Paulo (Brazil). The collection period was November/2010 and February/2011. The questionnaires used were: sociodemographic, Edmonton Frail Scale, Functional Independence Measure and the Instrumental Activities of Daily Living Scale of Lawton and Brody. For analysis, we used descriptive statistics and the Student’s t-test and Pearson’s correlation. Results: Mean age was 73.5 years (± 8.4), 57.5% were married, 39.1% had some level of fraility. Among the frail elderly, 29.8% had minimal dependence/supervision, and 81.9% had partial dependence for instrumental activities of daily living. Conclusion: There was a greater dependence in activities for the frail elderly, and females had a higher prevalence of frailty.


Acta Paulista De Enfermagem | 2012

Frailty syndrome related to disability in the elderly

Jack Roberto Silva Fhon; Marina Aleixo Diniz; Kizie Conrado Leonardo; Luciana Kusumota; Vanderlei José Haas; Rosalina Aparecida Partezani Rodrigues

Objectives: To characterize the sociodemographic profile of the elderly, verify the level of fragility according to gender, functional independence and instrumental activities of daily living, and to correlate the dimensions of the Functional Independence Measure and Instrumental Activities of Daily Living with age, education, frailty and morbidities. Methods: A cross-sectional and observational study using a sample of 240 elderly living in Ribeirao Preto, Sao Paulo (Brazil). The collection period was November/2010 and February/2011. The questionnaires used were: sociodemographic, Edmonton Frail Scale, Functional Independence Measure and the Instrumental Activities of Daily Living Scale of Lawton and Brody. For analysis, we used descriptive statistics and the Student’s t-test and Pearson’s correlation. Results: Mean age was 73.5 years (± 8.4), 57.5% were married, 39.1% had some level of fraility. Among the frail elderly, 29.8% had minimal dependence/supervision, and 81.9% had partial dependence for instrumental activities of daily living. Conclusion: There was a greater dependence in activities for the frail elderly, and females had a higher prevalence of frailty.


Acta Paulista De Enfermagem | 2012

Sobrecarga de trabalho em cuidadores de idosos fragilizados que vivem no domicílio

Renata Stackfleth; Marina Aleixo Diniz; Jack Roberto Silva Fhon; Thaís Ramos Pereira Vendrúscolo; Suzele Cristina Coelho Fabrício-Whebe; Sueli Marques; Rosalina Aparecida Partezani Rodrigues

Objectives: To assess the burden of caregivers of frail elders living at home; to characterize elderly that are considered frail and their caregivers; to assess the degree of dependency of the elderly according to the level of frailty and to correlate it with the burden of work of their caregivers. Methods: A transversal study with a sample of 60 caregivers and frail elderly who lived at home. Data collection was conducted in the home with frail elders and their caregivers. We used the sociodemographic profile of the elderly and the caregiver instruments, the Edmonton Frail Scale, the Functional Independence Measure for the elderly, and the Zarit Burden Interview Scale for the caregivers. Descriptive statistics and the Pearson test were employed for data analysis. Results: The majority of caregivers were female (75%), married (58.3%) and were children of the elderly (45%). Regarding the burden, 31.7% said they rarely felt burdened. However, a correlation was found between frailty and burden: the higher the level of frailty, the greater the caregiver burden. Conclusion: It was found that the majority of caregivers were female and the greater the degree of functional dependence, the greater the degree of frailty, which elevated the level of caregiver burden.Objectives: To assess the burden of caregivers of frail elders living at home; to characterize elderly that are considered frail and their caregivers; to as- sess the degree of dependency of the elderly according to the level of frailty and to correlate it with the burden of work of their caregivers. Methods: A transversal study with a sample of 60 caregivers and frail elderly who lived at home. Data collection was conducted in the home with frail elders and their caregivers. We used the sociodemographic profile of the elderly and the caregiver instruments, the Edmonton Frail Scale, the Functional Independence Measure for the elderly, and the Zarit Burden Interview Scale for the caregivers. Descriptive statistics and the Pearson test were employed for data analysis. Results: The majority of caregivers were female (75%), married (58.3%) and were children of the elderly (45%). Regarding the burden, 31.7% said they rarely felt burdened. However, a correlation was found between frailty and burden: the higher the level of frailty, the greater the caregiver burden. Conclusion: It was found that the majority of caregivers were female and the greater the degree of functional dependence, the greater the degree of frailty, which elevated the level of caregiver burden. Keywords: Caregivers; Frail elderly; Geriatric nursing ReSumo Objetivos: Avaliar a sobrecarga dos cuidadores de idosos fragilizados que residem no domicilio; caracterizar os idosos que sao considerados frageis e seus cuidadores; avaliar o grau de dependencia dos idosos de acordo com o nivel de fragilidade e correlaciona-lo com a sobrecarga de trabalho dos seus cuidadores. Metodos: Estudo transversal com amostra de 60 cuidadores e de idosos frageis, que viviam no domicilio. A coleta de dados realizada no domicilio com idosos frageis e seus cuidadores. Utilizaram-se os instrumentos de perfil sociodemografico do idoso e do cuidador, a Escala de Fragilidade de Edmonton, a Medida da Independencia Funcional para os idosos e a Escala Zarit Burden Interview, para os cuidadores. Para a analise foram empregados a estatistica descritiva e o teste de Pearson. Resultados: A maioria dos cuidadores era do sexo feminino (75%), casados (58,3%) e, 45% eram filhos. Quanto a sobrecarga, 31,7% responderam que raramente se sentiam sobrecarregados. Mas, houve correlacao entre a fragilidade e a sobrecarga, ou seja, quanto maior o nivel de fragilidade, maior a sobrecarga do cuidador. Conclusao: Evidenciou-se a maioria dos cuidadores do sexo feminino e quanto maior o grau de dependencia funcional, maior o grau de fragilidade o que eleva o nivel de sobrecarga do cuidador. Descritores: Cuidadores; Idoso fragilizado; Enfermagem geriatrica ReSumeN Objetivos: Evaluar la sobrecarga de los cuidadores de ancianos fragiles que residen en el domicilio; caracterizar a los ancianos que son considerados fragiles y sus cuidadores; evaluar el grado de dependencia de los ancianos de acuerdo con el nivel de fragilidad y correlacionarlo con la sobrecarga de trabajo de sus cuidadores. Metodos: Estudio transversal realizado con una muestra de 60 cuidadores y de ancianos fragiles, que vivian en el domicilio. La recoleccion de los datos se realizo en el domicilio con ancianos fragiles y sus cuidadores. Se utilizaron los instrumentos de perfil sociodemografico del anciano y del cuidador, la Escala de Fragilidad de Edmonton, la Medida de la Independencia Funcional para los ancianos y la Escala Zarit Burden Interview, para los cuidadores. Para el analisis fueron empleados la estadistica descriptiva y el test de Pearson. Resultados: La mayoria de los cuidadores era del sexo femenino (75%), casados (58,3%) y, 45% eran hijos. En cuanto a la sobrecarga, 31,7% respondieron que raramente se sentian sobrecargados. Sin embargo, hubo correlacion entre la fragilidad y la sobrecarga, o sea, cuanto mayor el nivel de fragilidad, mayor la sobrecarga del cuidador. Conclusion: Se evidencio que la mayoria de los cuidadores era del sexo femenino y cuanto mayor el grado de dependencia funcional, mayor el grado de fragilidad lo cual eleva el nivel de sobrecarga del cuidador. Descriptores: Cuidadores; Anciano fragil; Enfermeria geriatrica


Revista Latino-americana De Enfermagem | 2013

Reproducibility of the Brazilian version of the Edmonton Frail Scale for elderly living in the community

Suzele Cristina Coelho Fabrício-Wehbe; Idiane Rosset Cruz; Vanderlei José Haas; Marina Aleixo Diniz; Rosana Aparecida Spadoti Dantas; Rosalina Aparecida Partezani Rodrigues

OBJECTIVE to verify the inter and intra-rater reproducibility of the Brazilian adapted version of the Edmonton Frail Scale (EFS) in an elderly group of residents. METHOD in order to test the inter-rater reproducibility, two assessments were independently conducted by two researchers on the same day but at different times, in a sample of 103 elderly. Concerning the intra-rater reproducibility, the instrument was administered to 83 elderly (80.6% of the initial sample) by the same researcher in a time gap of 15 days between the two assessments. RESULTS AND DISCUSSION in relation to the inter-rater test, the Kappa was 0.81 (CI 0.61-1.00) and the Intraclass Correlation Coefficient (ICC) corresponded to 0.87 (CI 0.82-0.91, p<0.001). In relation to the intra-rater test, the Kappa was 0.83 (CI 0.72-0.94) and the ICC 0.87 (CI 0.81-1.00, p<0.001). CONCLUSION the results show that the EFS is reliable and can be used as a tool to improve geriatric nursing care in Brazil.OBJETIVO: verificar a reprodutibilidade inter e intraobservadores da versao adaptada para o Brasil da Edmonton Frail Scale, em um grupo de idosos domiciliados. METODOLOGIA: para testar a reprodutibilidade interobservador, duas avaliacoes foram realizadas de forma independente por dois pesquisadores, no mesmo dia, porem, em horarios diferentes, em uma amostra de 103 idosos. Para a reprodutibilidade intraobservador, o instrumento foi aplicado pelo mesmo pesquisador em um intervalo de tempo de 15 dias, entre as duas medidas, em 83 idosos (80,6% da amostra inicial). RESULTADOS E DISCUSSAO: no teste interobservador, o Kappa foi de 0,81 (IC 0,61-1,00) e o coeficiente de correlacao intraclasse de 0,87 (IC 0,82-0,91, p<0,001). No intraobservador, o Kappa foi de 0,83 (IC 0,72-0,94) e o coeficiente de correlacao de 0,87 (IC 0,81-1,00, p<0,001). CONCLUSAO: os resultados demonstram que a Edmonton Frail Scale e confiavel e podera ser utilizada como ferramenta para melhora da assistencia de enfermagem gerontogeriatrica no Brasil.


Revista Latino-americana De Enfermagem | 2013

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

Darlene Mara dos Santos Tavares; Mariana Mapelli de Paiva; Flavia Aparecida Dias; Marina Aleixo Diniz; Nayara Paula Fernandes Martins

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.


Escola Anna Nery | 2010

Morbidades, capacidade funcional e qualidade de vida de mulheres idosas

Maurícia Brochado Oliveira Soares; Darlene Mara dos Santos Tavares; Flavia Aparecida Dias; Marina Aleixo Diniz; Sônia Geib

Resumen The objectives were to compare between the age groups: marital status, education, income, number of morbidities and functional disability scores of a quality of life from elderly women. This is a population-based study, sectional, applied to 1339 elderly women. We used the Older Americans Resources and Services structured instruments, WHOQOL-BREF and WHOQOL-OLD. To the comparison among the categorical variables we used chi-square for the numerical test, ANOVA-F, Tamhane and Bonferronis according to the homogeneity of variances (p <0.05). The comparison among groups showed that the higher age, the lower is the educational level and larger number of functional disability. The highest age group was associated to lower scores of quality of life in the physical domain and operational facets of the senses and social participation. It is necessary to analyze the characteristics of elderly women considering the specificities of different ages.Os objetivos foram comparar entre as faixas etarias: o estado conjugal, a escolaridade, a renda, o numero de morbidades e de incapacidade funcional e os escores de qualidade de vida de mulheres idosas. Trata-se de um estudo de base populacional, transversal, realizado com 1.339 mulheres idosas. Utilizaram-se os instrumentos estruturados Older Americans Resources and Services,WHOQOL-BREF e WHOQOL-OLD. Para a comparacao entre as variaveis categoricas foi utilizado o teste qui-quadrado e, para as numericas, ANOVA-F, Bonferroni e Tamhanes de acordo com a homogeneidade das variâncias (p<0,05). A comparacao entre os grupos evidenciou que, quanto maior a faixa etaria, menor a escolaridade e maior o numero de incapacidade funcional. A maior faixa etaria esteve associada a menores escores de qualidade de vida no dominio fisico e facetas funcionamento dos sentidos e participacao social. E mister analisar as caracteristicas das mulheres idosas tendo em vista as especificidades nas diversas faixas etarias.Resumen El objetivo fue comparar entre los grupos de edad: el estado civil, el educacional, el nivel de ingresos, el número de morbilidades y de discapacidad funcional y la calidad de vida de las mujeres de edad avanzada. Se trata de un estudio de base poblacional, transverso, realizado con 1.339 mujeres mayores. Se utilizaron instrumentos estructurados del Older Americans Resources and Services, WHOQOL-BREF y WHOQOL-OLD. Para comparar las variables categóricas se utilizó chi-cuadrado para la prueba numérica, ANOVA-F, Tamhane de Bonferroni y de acuerdo a la homogeneidad de varianzas (p <0,05). La comparación entre grupos mostró que el nivel de edad mayor y menor nivel educacional aumentó el número de incapacidad funcional. El mayor grupo de edad se asoció con un menor desempeño de la calidad de vida en las facetas físicas y operativas de los sentidos y la participación social. Hay que analizar las características de las mujeres mayores, habida cuenta de la especificidad en diferentes grupos de edad. Palabras clave: Enfermería. Salud de la Mujer. Anciano. Envejecimiento. 1Enfermeira Obstétrica. Mestranda em Atenção à Saúde do Programa de Pós-Graduação stricto sensu em Atenção à Saúde. Curso de Graduação em Enfermagem. Universidade Federal do Triângulo Mineiro (UFTM). UberabaMG. Brasil. Bolsista da CAPES/DS. E-mail: [email protected],2Enfermeira. Doutora em Enfermagem. Professora Associada do Curso de Graduação de Enfermagem. Departamento de Enfermagem e Educação em Saúde Comunitária da UFTM. Coordenadora do Programa de Pós-Graduação stricto sensu em Atenção à Saúde da UFTM. Uberaba-MG. Brasil. E-mail: [email protected],3 Enfermeira. Mestranda em Atenção à Saúde do Programa de Pós-Graduação stricto sensu em Atenção à Saúde. Curso de Graduação em Enfermagem da UFTM. Bolsista da CAPES/DS. UberabaMG. Brasil. E-mail: [email protected].,4Enfermeira. Mestre em Atenção à Saúde. Professora Substituta do Curso de Graduação em Enfermagem. Departamento de Enfermagem e Educação em Saúde Comunitária da UFTM. Uberaba-MG. Brasil. E-mail: [email protected] ,5Terapeuta Ocupacional. Mestre em Ciências da Saúde. Terapeuta Ocupacional da UFTM. UberabaMG. Brasil. E-mail: [email protected]. PESQUISA RESEARCH INVESTIGACIÓN Maurícia Brochado Oliveira Soares1 La morbilidad, la capacidad funcional y calidad de vida de las mujeres mayores Flávia Aparecida Dias3 Morbidity, functional capacity and quality of life of elderly women The objectives were to compare between the age groups: marital status, education, income, number of morbidities and functional disability scores of a quality of life from elderly women. This is a population-based study, sectional, applied to 1339 elderly women. We used the Older Americans Resources and Services structured instruments, WHOQOL-BREF and WHOQOL-OLD. To the comparison among the categorical variables we used chi-square for the numerical test, ANOVA-F, Tamhane and Bonferroni’s according to the homogeneity of variances (p <0.05). The comparison among groups showed that the higher age, the lower is the educational level and larger number of functional disability. The highest age group was associated to lower scores of quality of life in the physical domain and operational facets of the senses and social participation. It is necessary to analyze the characteristics of elderly women considering the specificities of different ages.


Acta Paulista De Enfermagem | 2012

Burden of work in caregivers of frail elders living at home

Renata Stackfleth; Marina Aleixo Diniz; Jack Roberto Silva Fhon; Thaís Ramos Pereira Vendrúscolo; Suzele Cristina Coelho Fabrício-Whebe; Sueli Marques; Rosalina Aparecida Partezani Rodrigues

Objectives: To assess the burden of caregivers of frail elders living at home; to characterize elderly that are considered frail and their caregivers; to assess the degree of dependency of the elderly according to the level of frailty and to correlate it with the burden of work of their caregivers. Methods: A transversal study with a sample of 60 caregivers and frail elderly who lived at home. Data collection was conducted in the home with frail elders and their caregivers. We used the sociodemographic profile of the elderly and the caregiver instruments, the Edmonton Frail Scale, the Functional Independence Measure for the elderly, and the Zarit Burden Interview Scale for the caregivers. Descriptive statistics and the Pearson test were employed for data analysis. Results: The majority of caregivers were female (75%), married (58.3%) and were children of the elderly (45%). Regarding the burden, 31.7% said they rarely felt burdened. However, a correlation was found between frailty and burden: the higher the level of frailty, the greater the caregiver burden. Conclusion: It was found that the majority of caregivers were female and the greater the degree of functional dependence, the greater the degree of frailty, which elevated the level of caregiver burden.Objectives: To assess the burden of caregivers of frail elders living at home; to characterize elderly that are considered frail and their caregivers; to as- sess the degree of dependency of the elderly according to the level of frailty and to correlate it with the burden of work of their caregivers. Methods: A transversal study with a sample of 60 caregivers and frail elderly who lived at home. Data collection was conducted in the home with frail elders and their caregivers. We used the sociodemographic profile of the elderly and the caregiver instruments, the Edmonton Frail Scale, the Functional Independence Measure for the elderly, and the Zarit Burden Interview Scale for the caregivers. Descriptive statistics and the Pearson test were employed for data analysis. Results: The majority of caregivers were female (75%), married (58.3%) and were children of the elderly (45%). Regarding the burden, 31.7% said they rarely felt burdened. However, a correlation was found between frailty and burden: the higher the level of frailty, the greater the caregiver burden. Conclusion: It was found that the majority of caregivers were female and the greater the degree of functional dependence, the greater the degree of frailty, which elevated the level of caregiver burden. Keywords: Caregivers; Frail elderly; Geriatric nursing ReSumo Objetivos: Avaliar a sobrecarga dos cuidadores de idosos fragilizados que residem no domicilio; caracterizar os idosos que sao considerados frageis e seus cuidadores; avaliar o grau de dependencia dos idosos de acordo com o nivel de fragilidade e correlaciona-lo com a sobrecarga de trabalho dos seus cuidadores. Metodos: Estudo transversal com amostra de 60 cuidadores e de idosos frageis, que viviam no domicilio. A coleta de dados realizada no domicilio com idosos frageis e seus cuidadores. Utilizaram-se os instrumentos de perfil sociodemografico do idoso e do cuidador, a Escala de Fragilidade de Edmonton, a Medida da Independencia Funcional para os idosos e a Escala Zarit Burden Interview, para os cuidadores. Para a analise foram empregados a estatistica descritiva e o teste de Pearson. Resultados: A maioria dos cuidadores era do sexo feminino (75%), casados (58,3%) e, 45% eram filhos. Quanto a sobrecarga, 31,7% responderam que raramente se sentiam sobrecarregados. Mas, houve correlacao entre a fragilidade e a sobrecarga, ou seja, quanto maior o nivel de fragilidade, maior a sobrecarga do cuidador. Conclusao: Evidenciou-se a maioria dos cuidadores do sexo feminino e quanto maior o grau de dependencia funcional, maior o grau de fragilidade o que eleva o nivel de sobrecarga do cuidador. Descritores: Cuidadores; Idoso fragilizado; Enfermagem geriatrica ReSumeN Objetivos: Evaluar la sobrecarga de los cuidadores de ancianos fragiles que residen en el domicilio; caracterizar a los ancianos que son considerados fragiles y sus cuidadores; evaluar el grado de dependencia de los ancianos de acuerdo con el nivel de fragilidad y correlacionarlo con la sobrecarga de trabajo de sus cuidadores. Metodos: Estudio transversal realizado con una muestra de 60 cuidadores y de ancianos fragiles, que vivian en el domicilio. La recoleccion de los datos se realizo en el domicilio con ancianos fragiles y sus cuidadores. Se utilizaron los instrumentos de perfil sociodemografico del anciano y del cuidador, la Escala de Fragilidad de Edmonton, la Medida de la Independencia Funcional para los ancianos y la Escala Zarit Burden Interview, para los cuidadores. Para el analisis fueron empleados la estadistica descriptiva y el test de Pearson. Resultados: La mayoria de los cuidadores era del sexo femenino (75%), casados (58,3%) y, 45% eran hijos. En cuanto a la sobrecarga, 31,7% respondieron que raramente se sentian sobrecargados. Sin embargo, hubo correlacion entre la fragilidad y la sobrecarga, o sea, cuanto mayor el nivel de fragilidad, mayor la sobrecarga del cuidador. Conclusion: Se evidencio que la mayoria de los cuidadores era del sexo femenino y cuanto mayor el grado de dependencia funcional, mayor el grado de fragilidad lo cual eleva el nivel de sobrecarga del cuidador. Descriptores: Cuidadores; Anciano fragil; Enfermeria geriatrica


Revista Latino-americana De Enfermagem | 2013

Reprodutibilidade da versão brasileira adaptada da Edmonton Frail Scale para idosos residentes na comunidade

Suzele Cristina Coelho Fabrício-Wehbe; Idiane Rosset Cruz; Vanderlei José Haas; Marina Aleixo Diniz; Rosana Aparecida Spadoti Dantas; Rosalina Aparecida Partezani Rodrigues

OBJECTIVE to verify the inter and intra-rater reproducibility of the Brazilian adapted version of the Edmonton Frail Scale (EFS) in an elderly group of residents. METHOD in order to test the inter-rater reproducibility, two assessments were independently conducted by two researchers on the same day but at different times, in a sample of 103 elderly. Concerning the intra-rater reproducibility, the instrument was administered to 83 elderly (80.6% of the initial sample) by the same researcher in a time gap of 15 days between the two assessments. RESULTS AND DISCUSSION in relation to the inter-rater test, the Kappa was 0.81 (CI 0.61-1.00) and the Intraclass Correlation Coefficient (ICC) corresponded to 0.87 (CI 0.82-0.91, p<0.001). In relation to the intra-rater test, the Kappa was 0.83 (CI 0.72-0.94) and the ICC 0.87 (CI 0.81-1.00, p<0.001). CONCLUSION the results show that the EFS is reliable and can be used as a tool to improve geriatric nursing care in Brazil.OBJETIVO: verificar a reprodutibilidade inter e intraobservadores da versao adaptada para o Brasil da Edmonton Frail Scale, em um grupo de idosos domiciliados. METODOLOGIA: para testar a reprodutibilidade interobservador, duas avaliacoes foram realizadas de forma independente por dois pesquisadores, no mesmo dia, porem, em horarios diferentes, em uma amostra de 103 idosos. Para a reprodutibilidade intraobservador, o instrumento foi aplicado pelo mesmo pesquisador em um intervalo de tempo de 15 dias, entre as duas medidas, em 83 idosos (80,6% da amostra inicial). RESULTADOS E DISCUSSAO: no teste interobservador, o Kappa foi de 0,81 (IC 0,61-1,00) e o coeficiente de correlacao intraclasse de 0,87 (IC 0,82-0,91, p<0,001). No intraobservador, o Kappa foi de 0,83 (IC 0,72-0,94) e o coeficiente de correlacao de 0,87 (IC 0,81-1,00, p<0,001). CONCLUSAO: os resultados demonstram que a Edmonton Frail Scale e confiavel e podera ser utilizada como ferramenta para melhora da assistencia de enfermagem gerontogeriatrica no Brasil.


Texto & Contexto Enfermagem | 2013

Fatores de risco para doenças cardiovasculares em idosos de um município do interior de Minas Gerais

Marina Aleixo Diniz; Darlene Mara dos Santos Tavares

Este estudio tuvo como objetivo describir las caracteristicas sociodemograficas de los adultos mayores en una ciudad pequena, identificar la prevalencia de factores de riesgo cardiovascular y compararlos entre el sexo y edad. Fue un estudio de prevalencia, transversal, que consta de 134 adultos mayores. La recoleccion de datos se llevo a cabo entre abril y junio/2009 a traves de entrevistas y de prospeccion de los datos antropometricos. Para el analisis se utilizaron frecuencias simples y la prueba de chi-cuadrado (p<0,05). Entre los adultos mayores el 50% tenian 60-70 anos, el 57,5% eran mujeres, y el 58,2% estaban casados. Los factores de riesgo mas prevalentes fueron: la circunferencia abdominal aumentada (77,6%), hipertension (67,2%) y sedentarismo (59,7%). El sedentarismo (p=0,012) y el aumento de circunferencia abdominal (p<0,001) presentaron una mayor proporcion entre las mujeres ancianas.This study had the aim to describe the sociodemographic characteristics of aged individuals in a small city, to identify the prevalence of cardiovascular risk factors and to compare them between genders and age ranges. It consisted of a prevalence study with 134 aged individuals. Data were collected between April and June of 2009 by means of interviews and anthropometric data survey. Simple frequencies and the chi-square test (p<0.05) were used for analysis. Among the aged individuals, 50% were between 60 and 70 years, 57.5% were female, 58.2% were married. The most prevalent risk factors were: increased abdominal circumference (77.6%), hypertension (67.2%) and sedentary lifestyle (59.7%). Sedentary lifestyle (p=0.012) and increased abdominal circumference (p<0.001) presented a higher proportion among older women. DESCRIPTORS: Cardiovascular diseases. Risk factors. Aged. Nursing.


Texto & Contexto Enfermagem | 2013

Risk factors for cardiovascular diseases in aged individuals in a city in the state of Minas Gerais

Marina Aleixo Diniz; Darlene Mara dos Santos Tavares

Este estudio tuvo como objetivo describir las caracteristicas sociodemograficas de los adultos mayores en una ciudad pequena, identificar la prevalencia de factores de riesgo cardiovascular y compararlos entre el sexo y edad. Fue un estudio de prevalencia, transversal, que consta de 134 adultos mayores. La recoleccion de datos se llevo a cabo entre abril y junio/2009 a traves de entrevistas y de prospeccion de los datos antropometricos. Para el analisis se utilizaron frecuencias simples y la prueba de chi-cuadrado (p<0,05). Entre los adultos mayores el 50% tenian 60-70 anos, el 57,5% eran mujeres, y el 58,2% estaban casados. Los factores de riesgo mas prevalentes fueron: la circunferencia abdominal aumentada (77,6%), hipertension (67,2%) y sedentarismo (59,7%). El sedentarismo (p=0,012) y el aumento de circunferencia abdominal (p<0,001) presentaron una mayor proporcion entre las mujeres ancianas.This study had the aim to describe the sociodemographic characteristics of aged individuals in a small city, to identify the prevalence of cardiovascular risk factors and to compare them between genders and age ranges. It consisted of a prevalence study with 134 aged individuals. Data were collected between April and June of 2009 by means of interviews and anthropometric data survey. Simple frequencies and the chi-square test (p<0.05) were used for analysis. Among the aged individuals, 50% were between 60 and 70 years, 57.5% were female, 58.2% were married. The most prevalent risk factors were: increased abdominal circumference (77.6%), hypertension (67.2%) and sedentary lifestyle (59.7%). Sedentary lifestyle (p=0.012) and increased abdominal circumference (p<0.001) presented a higher proportion among older women. DESCRIPTORS: Cardiovascular diseases. Risk factors. Aged. Nursing.

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Idiane Rosset Cruz

Universidade Federal do Rio Grande do Sul

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