Odival Faccenda

Rede de suporte social do idoso atendido por equipes de Saúde da Família

The aging process has specific aspects marked by the class of individuals and social groups as well as cultural, political, socio-economic and sanitary conditions of the collective groups. Social support systems are essential for meeting the specific needs of the elderly. The aim of this paper is to describe the socio-demographic profile and the social support networks of elderly patients served by the Family Health Strategy. Its a cross-sectional study with elderly patients living in Dourados, in the state of Mato Grosso do Sul (Brazil). Data were collected using a socio-demographic questionnaire and a Minimum Relationships Map for the Elderly (MMRI). Of the 503 elderly patients interviewed, 69% were female, 53.1% were illiterate, 58.3% earned less than one minimum salary and 82.9% lived with others. The MMRI showed that the family was the most important provider of care in all the dimensions assessed, but the elderly have their own small social networks. Elderly patients attended by the Family Health teams have low incomes and little formal education, and social support networks that are too small to meet their needs.

Prevalência de transtornos mentais menores em estudantes universitários

Prevalence of minor mental disorders in undergraduate students. The present study had as its main objective to estimate the prevalence of Minor Mental Disorders (TMM) in students enrolled in the courses offered at State University of Mato Grosso do Sul (Computer Science, Law, Arts, and Nursing), and at Federal University of Mato Grosso do Sul (Nursing) to investigate the relationship of MMD with both sociodemographic variables and learning process. This was a transversal study that included all students of all years in each course, enrolled in the first semester of 2002. The sample was composed of 558 students: 396 (71%) females and 161 (29%) males. Two self-report questionnaires (QSG-60 and QDSD) were used for collection of data. A prevalence of 25% of MMT was found among the students and the main disorder was psychosomatic disturbance.

Levantamento da fauna de Triatominae (Hemiptera: Reduviidae) em ambiente domiciliar e infecção natural por Trypanosomatidae no Estado de Mato Grosso do Sul

Between 2000 and 2004, a survey of Triatominae fauna (Hemiptera: Reduviidae) and examination of natural infection caused by Trypanosomatidae in the State of Mato Grosso do Sul, Brazil, was conducted. A total of 13,671 specimens were collected. Through fauna analysis on the insects that were caught, Triatoma sordida was characterized as very abundant, very frequent, constant and dominant. The rates of natural infection with Trypanosoma cruzi were 3.2% for Panstrongylus geniculatus, 0.6% for Rhodnius neglectus and 0.1% for Triatoma sordida. Nevertheless, the State of Mato Grosso do Sul is free from endemic vector transmission.

Aspectos ecológicos de flebotomíneos (Diptera: Psychodidae) em área urbana do município de Ponta Porã, Estado de Mato Grosso do Sul

INTRODUCTION The aim of this study was to carry out an analysis of urban phlebotomine fauna and a survey of infestations (intradomiciliary and peridomiciliary) in Ponta Porã municipality State of Mato Grosso do Sul. METHODS Sand flies were collected with automatic CDC light traps, installed monthly on three consecutive nights, from 18 h to 6h, from September 2005 to September 2007. RESULTS A total of 3,946 phlebotomines, representing eight species, were captured, among which was a large predominance of Lutzomyia longipalpis, presenting high indexes of frequency, constancy, abundance and dominance. Of the total, 82.9% were males and 17.1% females. The monthly average number (136.29 ± 152.01) of males captured being, much larger than that of females. Although the average number of phlebotomines in the intradomicile was much larger than that in the peridomicile, there was no significant statistical difference. A positive correlation was found between the abundance of phlebotomines and the average daily maximum temperature, precipitation and relative atmospheric humidity. CONCLUSIONS The predominance of Lutzomyia longipalpis in Ponta Porã municipality is a reason for concern as regards the possibility of outbreaks of visceral leishmaniasis in the area, because this species is the main Leishmania chagasi vector not only in Mato Grosso do Sul but also nationwide.

Avaliação funcional de idosos com déficit cognitivo

OBJECTIVE: To describe the social profile and functional capacity of elderly with cognitive deficit. METHODS: A quantitative, descriptive, transversal study with 503 elderly of 60 years and older with cognitive deficit, living in Dourados, (MS), Brazil, and assisted by the Family Health Strategy (FHS). Data collection was performed by means of home interviews, with a structured questionnaire for sociodemographic variables and health conditions, the Mini Mental State Examination and the Functional Independence Measure. RESULTS: We identified 215 elderly patients with cognitive deficit, of whom 32 (14.9%) presented some level of dependency. There was a greater level of dependence in the male gender and those aged 80 years and more. The dimensions of movement and cognition presented the lowest values. CONCLUSION: The cognitive and functional diagnoses are fundamental for planning actions that favor the promotion and maintenance of functional capacity of the elderly.OBJETIVO: Describir el perfil social y la capacidad funcional de ancianos con deficit cognitivo. METODOS: Estudio de abordaje cuantitativo, descriptivo, transversal, realizado con 503 ancianos de 60 anos y mas con deficit cognitivo, residentes en Dourados, (MS) y asistidos por la Estrategia Salud de la Familia (ESF). La recoleccion de los datos se realio por medio de entrevistas domiciliarias, con un cuestionario estructurado para variables sociodemograficas y condiciones de salud, el Mini examen del Estado Mental y la Medida de Independencia Funcional. RESULTADOS: Fueron identificados 215 ancianos con deficit cognitivo, de los cuales 32 (14,9%) presentaban algun grado de dependencia. Hubo mayor grado de dependencia en el sexo masculino y en el grupo etareo de 80 anos y mas. Las dimensiones locomocion y cognicion presentaron los menores valores. CONCLUSION: Los diagnosticos cognitivos y funcionales son fundamentales para la planificacion de acciones que favorezcan la promocion y manutencion de la capacidad funcional del anciano.

Avaliação do risco nutricional em idosos atendidos por Equipes de Saúde da Família

Alteracoes do estado nutricional contribuem para o aumento da morbi-mortalidade em idosos. O instrumento The Nutrition Screening Initiative (NSI) foi desenvolvido para identificar riscos nutricionais nesse grupo populacional. Este estudo tem por objetivos descrever o perfil sociodemografico e avaliar o risco nutricional de idosos atendidos por equipes da Estrategia Saude da Familia. O estudo e transversal, com amostra de 503 idosos residentes em Dourados (MS). Instrumentos: NSI e questionario estruturado para as variaveis sociodemograficas de saude. Verificou-se o predominio de idosos do sexo feminino, entre 60 a 69 anos, viuvos, analfabetos, de renda per capita de ate um salario minimo, com hipertensao e auto-avaliacao regular de saude. O NSI permitiu identificar 33,2% de idosos com alto risco nutricional, o que se mostrou significativamente associado ao baixo nivel de escolaridade, a baixa renda per capita e as doencas cronicas. Como metodo de rastreio, o NSI mostrou-se util para identificar os determinantes sociais e de saude que contribuem para o risco nutricional.UNLABELLED Changes in the nutritional state contribute to an increase of morbi-mortality among the elderly. The instrument Nutrition Screening Initiative (NSI) was developed in order to identify nutritional risks in this population group. This study aims to describe the socio-demographic profile and evaluate the nutritional risk of the elderly assisted by Family Health Strategy teams. It is a cross-sectional study with a sample of 503 older people living in Dourados (MS). INSTRUMENTS NSI and structured questionnaire for the health socio-demographic variables. There was a prevalence of female people, aged between 60 and 69 years old, widowers, illiterate, with a per capita income up to one minimum salary with hypertension and regular health self-evaluation. The NSI allowed to identify 33.2% of the elderly with high nutritional risk, which was significantly associated to the low level of education, low per capita income and chronic diseases. As a tracking method, the NSI was useful to identify the social and health determinants that contribute to the nutritional risk.

Sintomas depressivos em idosos: análise dos itens da Escala de Depressão Geriátrica

OBJETIVOS: Verificar a estrutura fatorial da Escala de Depressao Geriatrica de 15 itens em uma amostra de idosos assistidos pela Estrategia Saude da Familia, descrever o perfil social e analisar as respostas aos itens da Escala de Depressao Geriatrica. METODOS: Estudo de delineamento transversal com 503 idosos assistidos pela Estrategia Saude da Familia, em Dourados, MS. Para analisar as respostas da EDG 15, utilizou-se o teste de Qui-quadrado de Mantel-Haenzsel (p <0,05). A analise fatorial, a consistencia interna e a generalidade dos resultados para a populacao foram realizadas. RESULTADOS: Dos 503 idosos pesquisados 69,0% eram mulheres, 53,1% nao letrados, 53,7% tinham 70 anos ou mais e 34,4% apresentavam depressao. A analise fatorial identificou quatro fatores (apatia, desesperanca, desmotivacao e isolamento). A estrutura da EDG 15 nao se mostrou apropriada para a generalizacao de resultados. CONCLUSAO: Dentre os idosos com depressao, predominaram a apatia e o isolamento. Cabe as equipes de saude promover atividades fisicas, recreativas e culturais para minimizar esse quadro. Novas pesquisas serao necessarias, sobretudo para analise da estrutura fatorial.Objectives: To verify the factor structure of the Geriatric Depression Scale of 15 items (GDS 15) in a sample of elderly people assisted by the Family Health Strategy, to describe their social profile, and to analyze the responses to items on the Scale. Methods: A cross-sectional study interviewing 503 elderly assisted by the Family Health Strategy, in Dourados, MS (Brazil). To analyze the responses of the GDS 15, we used the Mantel-Haenzsel chi-square test (p <0.05) was used. A factor analysis, internal consistency and generalization of the results for the population was performed. Results: Of the 503 elderly interviwed, 69.0% were women, 53.1% were illiterate, 53.7% were 70 years or older, and 34.4% presented depression. Factor analysis identified four factors (apathy, hopelessness, lack of motivation, and isolation). The structure of the GDS 15 did not prove appropriate for the generalizability of results. Conclusion: Among elderly patients with depression, apathy and isolation predominated. Health care teams must promote physical, recreational and cultural activities to minimize this situation. Further research is needed, especially to analyze the factorial structure.

Utilização do serviço de saúde mental em uma universidade pública

Abstract: With the purpose of affording promotion and intervention proposalson mental health care of undergraduate students of the State University ofSouth Mato Grosso (UEMS), the main objective of this study is to verify theindex of the service utilization and to characterize the attendants’ clients bydemographic and clinical variables. The study includes all the patients files ofthe Psychological Counseling Center of UEMS from May 2000 to July 2001.Which is retrospective and exploratory study. The profile of the clientsattended in the mental health service shows that 9.5% of the undergraduatestudents between 19 and 20 years old (88%), in which most are women(83%), look for psychological help because of psychological difficulties (44.7%)and generalized anxiety (38.3%). These results shows that the existence of aMental Health Service Center at a university could, besides identifing andtreating psychological and psychiatric disturbs, be used to create a betterplan on the attendance of their students’ necessities.

Depressive symptoms in the elderly: analysis of the items of the Geriatric Depression Scale

OBJETIVOS: Verificar a estrutura fatorial da Escala de Depressao Geriatrica de 15 itens em uma amostra de idosos assistidos pela Estrategia Saude da Familia, descrever o perfil social e analisar as respostas aos itens da Escala de Depressao Geriatrica. METODOS: Estudo de delineamento transversal com 503 idosos assistidos pela Estrategia Saude da Familia, em Dourados, MS. Para analisar as respostas da EDG 15, utilizou-se o teste de Qui-quadrado de Mantel-Haenzsel (p <0,05). A analise fatorial, a consistencia interna e a generalidade dos resultados para a populacao foram realizadas. RESULTADOS: Dos 503 idosos pesquisados 69,0% eram mulheres, 53,1% nao letrados, 53,7% tinham 70 anos ou mais e 34,4% apresentavam depressao. A analise fatorial identificou quatro fatores (apatia, desesperanca, desmotivacao e isolamento). A estrutura da EDG 15 nao se mostrou apropriada para a generalizacao de resultados. CONCLUSAO: Dentre os idosos com depressao, predominaram a apatia e o isolamento. Cabe as equipes de saude promover atividades fisicas, recreativas e culturais para minimizar esse quadro. Novas pesquisas serao necessarias, sobretudo para analise da estrutura fatorial.Objectives: To verify the factor structure of the Geriatric Depression Scale of 15 items (GDS 15) in a sample of elderly people assisted by the Family Health Strategy, to describe their social profile, and to analyze the responses to items on the Scale. Methods: A cross-sectional study interviewing 503 elderly assisted by the Family Health Strategy, in Dourados, MS (Brazil). To analyze the responses of the GDS 15, we used the Mantel-Haenzsel chi-square test (p <0.05) was used. A factor analysis, internal consistency and generalization of the results for the population was performed. Results: Of the 503 elderly interviwed, 69.0% were women, 53.1% were illiterate, 53.7% were 70 years or older, and 34.4% presented depression. Factor analysis identified four factors (apathy, hopelessness, lack of motivation, and isolation). The structure of the GDS 15 did not prove appropriate for the generalizability of results. Conclusion: Among elderly patients with depression, apathy and isolation predominated. Health care teams must promote physical, recreational and cultural activities to minimize this situation. Further research is needed, especially to analyze the factorial structure.

Functional assessment of elderly with cognitive deficit

OBJECTIVE: To describe the social profile and functional capacity of elderly with cognitive deficit. METHODS: A quantitative, descriptive, transversal study with 503 elderly of 60 years and older with cognitive deficit, living in Dourados, (MS), Brazil, and assisted by the Family Health Strategy (FHS). Data collection was performed by means of home interviews, with a structured questionnaire for sociodemographic variables and health conditions, the Mini Mental State Examination and the Functional Independence Measure. RESULTS: We identified 215 elderly patients with cognitive deficit, of whom 32 (14.9%) presented some level of dependency. There was a greater level of dependence in the male gender and those aged 80 years and more. The dimensions of movement and cognition presented the lowest values. CONCLUSION: The cognitive and functional diagnoses are fundamental for planning actions that favor the promotion and maintenance of functional capacity of the elderly.OBJETIVO: Describir el perfil social y la capacidad funcional de ancianos con deficit cognitivo. METODOS: Estudio de abordaje cuantitativo, descriptivo, transversal, realizado con 503 ancianos de 60 anos y mas con deficit cognitivo, residentes en Dourados, (MS) y asistidos por la Estrategia Salud de la Familia (ESF). La recoleccion de los datos se realio por medio de entrevistas domiciliarias, con un cuestionario estructurado para variables sociodemograficas y condiciones de salud, el Mini examen del Estado Mental y la Medida de Independencia Funcional. RESULTADOS: Fueron identificados 215 ancianos con deficit cognitivo, de los cuales 32 (14,9%) presentaban algun grado de dependencia. Hubo mayor grado de dependencia en el sexo masculino y en el grupo etareo de 80 anos y mas. Las dimensiones locomocion y cognicion presentaron los menores valores. CONCLUSION: Los diagnosticos cognitivos y funcionales son fundamentales para la planificacion de acciones que favorezcan la promocion y manutencion de la capacidad funcional del anciano.