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ORIGINAL ARTICLE
Prevalence of characteristics associated with sarcopenia in elders: a cross-sectional study
Revista Brasileira de Enfermagem. 2023;76(2):e20220209
03-27-2023
Resumo
ORIGINAL ARTICLEPrevalence of characteristics associated with sarcopenia in elders: a cross-sectional study
Revista Brasileira de Enfermagem. 2023;76(2):e20220209
03-27-2023DOI 10.1590/0034-7167-2022-0209
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Objectives:
to identify the prevalence and characteristics associated with sarcopenia in elders in Primary Health Care Units.
Methods:
cross-sectional study with 384 elders. To evaluate sarcopenia, we measured: strength and muscle mass, and physical performance. The elderly were classified as having: probable sarcopenia; sarcopenia; or severe sarcopenia. The chi-squared test and the multinomial logistic regression method were used.
Results:
the prevalence of probable sarcopenia was 25.52%; of sarcopenia, 11.98%; and of severe sarcopenia, 9.90%. Probable sarcopenia is 1.75 times more prevalent in men; osteoporosis is 2.16 times more prevalent in people with severe sarcopenia; polypharmacy is 1.57 times more likely in individuals with probable sarcopenia; and calf circumference below 31 cm is 2.24 times more likely in patients with sarcopenia and 2.19 times more likely in patients with severe sarcopenia.
Conclusions:
the highest prevalence was of probable sarcopenia, and the characteristics associated with sarcopenia were sex, osteoporosis, polypharmacy, overweight, obesity, and calf circumference.
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ORIGINAL ARTICLE
Sexuality and its effects on older adults’ depressive symptoms and quality of life
Revista Brasileira de Enfermagem. 2023;76(1):e20210645
02-06-2023
Resumo
ORIGINAL ARTICLESexuality and its effects on older adults’ depressive symptoms and quality of life
Revista Brasileira de Enfermagem. 2023;76(1):e20210645
02-06-2023DOI 10.1590/0034-7167-2021-0645
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Objectives:
to analyze the effects of sexuality on depressive symptoms and quality of life in older adults.
Methods:
a cross-sectional and analytical study, developed with 596 older adults, who completed four instruments for data collection. Data were analyzed using the Kruskal-Wallis test and Structural Equation Modeling, with a 95% Confidence Interval.
Results:
among the sexuality dimensions, only physical and social adversities exerted statistically significant effects on depressive symptoms (SC=-0.095; p=0.003), but with low magnitude. Moreover, all sexuality dimensions had statistically significant effects on quality of life, being of low magnitude for sexual act (SC=0.171; p=0.010) and for physical and social adversities (SC=0.228; p<0.001), and moderate magnitude for affective relationships (SC=0.474; p<0.001).
Conclusions:
effects of different magnitudes were observed between sexuality dimensions on participants’ depressive symptoms and quality of life.
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ORIGINAL ARTICLE
Self-care deficit among older men in the COVID-19 pandemic: implications for nursing
Revista Brasileira de Enfermagem. 2022;75(Suppl 4):e20210933
10-21-2022
Resumo
ORIGINAL ARTICLESelf-care deficit among older men in the COVID-19 pandemic: implications for nursing
Revista Brasileira de Enfermagem. 2022;75(Suppl 4):e20210933
10-21-2022DOI 10.1590/0034-7167-2021-0933
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Objectives:
to analyze self-care deficit among older men in the COVID-19 pandemic in Brazil and to discuss the implications for nursing practice.
Methods:
web survey, multicentric, qualitative. A total of 120 older men participated, applying a form from April to June 2020 and April to August 2021. Reflective Thematic Analysis, interpreted by Orem’s Self-Care Deficit Theory, was used.
Results:
temporally, the self-care of older men was manifested in the self-care requirements - affective bonds, self-care for development - meditation and self-care with health deviations - remote consultations. Fully, partially compensatory, educational/support systems mobilized self-care.
Final Considerations:
as care managers, nurses can strengthen the support network for older men by activating professionals from the multidisciplinary team, family members, caregivers and the community to promote self-care and correct health deviations in times of crisis.
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ORIGINAL ARTICLE
Sexual function positively correlated with older adults’ sexuality and quality of life
Revista Brasileira de Enfermagem. 2022;75(Suppl 4):e20210939
08-08-2022
Resumo
ORIGINAL ARTICLESexual function positively correlated with older adults’ sexuality and quality of life
Revista Brasileira de Enfermagem. 2022;75(Suppl 4):e20210939
08-08-2022DOI 10.1590/0034-7167-2021-0939
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Objectives:
to analyze sexual function and its correlation with sexuality and quality of life in male older adults.
Methods:
a cross-sectional study, developed with 231 male older adults. Participants completed four instruments to obtain biosociodemographic data, sexual function, sexuality and quality of life. Analyzes were performed using the Mann-Whitney test and Spearman Correlation.
Results:
sexual function was positively correlated with sexuality in a moderate magnitude and with quality of life in a low magnitude. Male older adults without sexual dysfunction experienced their sexuality better and had a better quality of life. Finally, partner overall satisfaction was the facet of sexual function that had the highest positive correlation with sexuality, while self-confidence had the highest positive correlation with quality of life.
Conclusions:
we suggest that sexual function should be addressed more frequently in Primary Health Care services, as we found statistically significant correlations with sexuality and quality of life components.
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ORIGINAL ARTICLE
Predictors of frailty in older people users of Primary Health Care
Revista Brasileira de Enfermagem. 2022;75(Suppl 4):e20201292
03-07-2022
Resumo
ORIGINAL ARTICLEPredictors of frailty in older people users of Primary Health Care
Revista Brasileira de Enfermagem. 2022;75(Suppl 4):e20201292
03-07-2022DOI 10.1590/0034-7167-2020-1292
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Objective:
to identify the prevalence and predictors of frailty in older people in Primary Health Care.
Method:
this is a descriptive and correlational study, carried out in a convenience sample of 136 older people in the community. Data were collected through a sociodemographic and clinical questionnaire and frailty phenotype. Student’s t test or U-Mann-Whitney test, chi-square and binary logistic regression were used for data analysis.
Results:
the prevalence of frailty was 26.5% (n=36). Frail individuals had older age (p=0.011), worse self-rated health (p=0.001) and lower physical capacity (p<0.001). In the multivariable regression, it was observed that frail individuals had older age (Odds Ratio=1.111; 95% confidence interval=1.026-1.203) and worse physical capacity (Odds Ratio=0.673; 95% confidence interval=0.508-0.893).
Conclusions:
the prevalence of frailty in older people in Primary Health Care was considerable. Advanced age and worse physical capacity were the most relevant predictors of frailty in the elderly.
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ORIGINAL ARTICLE
Relationship between family functionality and the quality of life of the elderly
Revista Brasileira de Enfermagem. 2022;75(2):e20210106
09-29-2022
Resumo
ORIGINAL ARTICLERelationship between family functionality and the quality of life of the elderly
Revista Brasileira de Enfermagem. 2022;75(2):e20210106
09-29-2022DOI 10.1590/0034-7167-2021-0106
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Objective:
To analyze the correlation between family functionality and the quality of life of the elderly.
Method:
Sectional and correlational study conducted with 692 Brazilian elderly between July and October 2020. The elderly filled three instruments: biosociodemographic, family APGAR and WHOQOL-Old. The tests Kruskal-Wallis, Pearson correlation, and linear regression analyzed the data. The study considered a 95% confidence interval (p < 0.05) for all analyses.
Results:
The elderly with mild and severe family dysfunction presented worse quality of life when compared to the elderly with a functional family. All facets of quality of life correlated positively with family functionality.
Conclusion:
Family functionality is positively correlated with the quality of life of the elderly, therefore requiring the inclusion of the family in health care plans to identify potential family stressors early and plan interventions to solve the problems raised.
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ORIGINAL ARTICLE
Effects of sexuality on frailty and quality of life in the elderly: a cross-sectional study
Revista Brasileira de Enfermagem. 2022;75(1):e20210049
09-29-2022
Resumo
ORIGINAL ARTICLEEffects of sexuality on frailty and quality of life in the elderly: a cross-sectional study
Revista Brasileira de Enfermagem. 2022;75(1):e20210049
09-29-2022DOI 10.1590/0034-7167-2021-0049
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Objectives:
to analyze the effects of sexuality on frailty and quality of life in the elderly.
Methods:
a sectional study conducted with 662 elderly people between July and October 2020. Four self-administered instruments were used to collect bio-sociodemographic variables, sexuality, frailty and quality of life. Correlation analysis and structural equation modeling were performed.
Results:
among the dimensions that assess sexuality, sexual intercourse had a weak, positive effect on quality of life (SC: 0.134, 95%CI: 0.153 - 0.254, p = 0.027), while affective relationships had a strong, positive effect (SC: 0.556, 95%CI: 0.442 - 0.670, p < 0.001). Frailty was only significantly related to a weak to moderate negative effect with sexual intercourse (SC: -0.216, 95%CI: -0.385 - -0.047, p = 0.012).
Conclusions:
two dimensions of sexuality, Sexual intercourse and Affective relationships, were found to have an effect on the quality of life and frailty of the elderly people investigated.