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ORIGINAL ARTICLE
Morbidity and factors associated with frailty in post-COVID-19 elderly patients attended at a reference center
Revista Brasileira de Enfermagem. 2024;77(Suppl 1):e20230454
01-10-2024
Resumo
ORIGINAL ARTICLEMorbidity and factors associated with frailty in post-COVID-19 elderly patients attended at a reference center
Revista Brasileira de Enfermagem. 2024;77(Suppl 1):e20230454
01-10-2024DOI 10.1590/0034-7167-2023-0454
Visualizações0Ver maisABSTRACT
Objective:
To assess the morbidity profile and identify factors associated with frailty syndrome in post-COVID-19 elderly patients treated at the only Reference Center for Elderly Health Care in northern Minas Gerais.
Methods:
This is a case series study, utilizing the Clinical-Functional Vulnerability Index-20 (CFVI-20) and Comprehensive Geriatric Assessment (CGA) to characterize and evaluate the health condition of the group. To define the variables associated with frailty, a multivariate analysis was conducted.
Results:
The study included 204 elderly individuals, with a predominance of females (63.7%). The variables associated with frailty were cognitive impairment (OR: 2.95; 95% CI: 1.12-7.80; p=0.029), the presence of five or more comorbidities (OR: 11.55; 95% CI: 2.22-60.01; p=0.004), and impairment in instrumental activities of daily living (OR: 41.97; 95% CI: 5.47-321.93; p<0.001).
Conclusions:
The results of this study highlight the need for a well-established and prepared coordination of integrated care to meet the demands of the post-COVID-19 elderly population.
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ARTIGO ORIGINAL
Factors associated with urinary tract infection in a Nursing Home
Revista Brasileira de Enfermagem. 2021;74(suppl 2):e20200813
07-05-2021
Resumo
ARTIGO ORIGINALFactors associated with urinary tract infection in a Nursing Home
Revista Brasileira de Enfermagem. 2021;74(suppl 2):e20200813
07-05-2021DOI 10.1590/0034-7167-2020-0813
Visualizações0ABSTRACT
Objective:
to analyze the factors associated with urinary tract infection occurrence in institutionalized elderly.
Methods:
this is a cross-sectional, analytical, quantitative study with 116 elderly people from a Nursing Home. Urinary tract infection diagnosis was carried out through urine culture and clinical assessment. Demographic data and associated factors were obtained from medical records. Statistical analysis included bivariate analysis and logistic regression models.
Results:
the factors associated with urinary tract infection (p<0.05) were being female; wheelchair user; diaper use; diuretic use; urinary and bowel incontinence; type 1 diabetes; benign prostatic hyperplasia; dehydration.
Conclusion:
this study revealed that it is important to consider non-modifiable factors such as sex and clinical comorbidities; however, dehydration, a modifiable factor, increased the chances of developing urinary tract infections by 40 times among institutionalized elderly and demands greater attention from the health team.
Palavras-chave: AgedDescriptors:Health Services for the AgedNursing HomesRisk FactorsUrinary Tract InfectionsVer mais -
ARTIGO ORIGINAL
Quality of life and falls in elderly people: a mixed methods study
Revista Brasileira de Enfermagem. 2021;74(suppl 2):e20200400
05-21-2021
Resumo
ARTIGO ORIGINALQuality of life and falls in elderly people: a mixed methods study
Revista Brasileira de Enfermagem. 2021;74(suppl 2):e20200400
05-21-2021DOI 10.1590/0034-7167-2020-0400
Visualizações0ABSTRACT
Objective:
to assess elderly people’s quality of life, understanding the social representations of falls.
Methods:
a convergent mixed methods research carried out at homes, with a sample of 134 elderly people. A structured questionnaire was used, covering sociodemographic variables and factors that indicated frailty and risk of falling. For quality of life assessment, Medical Outcomes Study Short-Form 36 and Theory of Social Representations, Abric’s structural approach were used, with data treated by dictionary of equivalent terms, processed in Evoc 2000, converging analytically according to Neuman.
Results:
quality of life impairment was identified in terms of physical, emotional and functional capacity. The elements of the possible central nucleus were fall, fear, and bruised-broken-bone.
Final considerations:
quality of life impairment can contribute to increase the number of falls, which has been shown to be an event present in elderly people’s lives through evocations. Understanding elderly people’s individual demands allows planning actions.
Palavras-chave: Accident PreventionAccidental FallsCommunity Health NursingHealth Services for the AgedQuality of LifeVer mais -
ARTIGO ORIGINAL
Factors associated with quality of life of older adults with chronic pain
Revista Brasileira de Enfermagem. 2021;74(suppl 2):e20200554
05-21-2021
Resumo
ARTIGO ORIGINALFactors associated with quality of life of older adults with chronic pain
Revista Brasileira de Enfermagem. 2021;74(suppl 2):e20200554
05-21-2021DOI 10.1590/0034-7167-2020-0554
Visualizações0Ver maisABSTRACT
Objective:
To analyze the factors associated with quality of life of the older adults with chronic pain.
Method:
Cross-sectional study conducted with 239 older adults in outpatient care in the state of Goiás, Brazil. The World Health Organization Quality of Life–Old (WHOQOL-OLD) instrument contains six domains and was applied to assess quality of life. Simple and multiple linear regressions were used in the statistical analysis.
Results:
The factors associated with Sensory Abilities were age (β = - 0.52), time spent together (β = - 14.35; - 17.86; - 15.57), and pain intensity (β = - 1, 70). Autonomy was associated with depression (β = - 5.99) and chest pain (β = - 6.17). Social participation related to schooling (β = - 0.64), diabetes mellitus (β = - 8.15), depression (β = - 14.53), pain intensity (β = - 1.43), and lower limb pain (β = - 5.94). Past, present and future activities related to depression (β = - 6.94). Death and dying related to hypertension (β = - 8.40), while Intimacy to depression (β = - 5.99) and headache/face pain (β = - 3.19).
Conclusion:
The time experiencing chronic pain and the location of this experience, as well as depression, diabetes and systemic arterial hypertension were factors that had greater influence on the older adult’s Quality of Life domains.
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REVIEW
Public and health policy for the aged in Africa to the South of Saara
Revista Brasileira de Enfermagem. 2020;73(suppl 3):e20190313
07-08-2020
Resumo
REVIEWPublic and health policy for the aged in Africa to the South of Saara
Revista Brasileira de Enfermagem. 2020;73(suppl 3):e20190313
07-08-2020DOI 10.1590/0034-7167-2019-0313
Visualizações0ABSTRACT
Objective:
to know the social and health responses for the elderly in sub-Saharan Africa.
Methods:
An integrative literature review.
Results:
There is a lack of specialized health care to meet the real needs of the elderly, and the shortage of health professionals does not contribute favorably to this situation. There is a small number of facilities for the elderly and most of them are inadequate. Although there are models of care as well as social and health support policies for the elderly, there are still inequities/inequalities in access to these policies, especially for the most disadvantaged populations.
Conclusion:
Social and health policies for the elderly in Sub-Saharan Africa are below standard and appropriate economic, political and social intervention is required.
Palavras-chave: Africa South of the SaharaAgedHealth Services for the AgedOld Age AssistancePublic PolicyVer mais -
ORIGINAL ARTICLE
Perception of nursing workers on the care of hypertension in older adult
Revista Brasileira de Enfermagem. 2019;72(suppl 2):3-13
12-05-2019
Resumo
ORIGINAL ARTICLEPerception of nursing workers on the care of hypertension in older adult
Revista Brasileira de Enfermagem. 2019;72(suppl 2):3-13
12-05-2019DOI 10.1590/0034-7167-2016-0681
Visualizações0ABSTRACT
Objective:
To understand how nursing workers perceive care of hypertension (HBP) in older adult within the scope of the Family Health Strategy.
Method:
A qualitative descriptive study carried out in the city of Natal/RN, with 20 nursing workers providing care to older adults with HBP. The data were obtained through a semi-structured interview and analysed by the Thematic Analysis, based on the theoretical support of the integrality, using Atlas.ti 7.0 software.
Results:
The elements found as facilitators were: territorialization, partnerships, professional proactivity and the user’s bond with the team. Among those found as barriers were: disease-centered care; academic education based on the biomedical model; lack of inter-sectorality and discontinuity of care in the care network.
Final considerations:
Nursing workers perceive that health institutions lack articulated and innovative practices that incorporate new paradigms focused on integrality of care.
Palavras-chave: Chronic DiseaseDelivery of Health CareFamily Nurse PractitionersHealth Services for the AgedPrimary Health CareVer mais -
ORIGINAL ARTICLE
Elderly caregiver: knowledge, attitudes and practices about falls and its prevention
Revista Brasileira de Enfermagem. 2019;72(suppl 2):119-126
12-05-2019
Resumo
ORIGINAL ARTICLEElderly caregiver: knowledge, attitudes and practices about falls and its prevention
Revista Brasileira de Enfermagem. 2019;72(suppl 2):119-126
12-05-2019DOI 10.1590/0034-7167-2018-0276
Visualizações0ABSTRACT
Objective:
investigate the knowledge, attitudes and practices of informal elderly caregivers about falls and its prevention.
Method:
this is a descriptive cross-sectional study conducted with 97 informal elderly caregivers residents in areas covered by five Health Strategy Units (ESF) in Cuiabá.
Results:
more than half of the participants are aware of falls and identify them as a problem, as well as they identify some risk factors and prevention measures. Regarding attitudes, more than half of the caregivers do not seem to act effectively to prevent falls. Most of them report adopting practices to prevent falls of the elderly, supervising the activities of their daily lives.
Conclusion:
caregivers know about falls and its prevention, but in a superficial way, and it seems to influence their attitudes and practices regarding the prevention of this event.
Palavras-chave: Accidental FallsAgedCaregiversHealth Knowledge, Attitudes, PracticeHealth Services for the AgedVer mais