Functional disability and morbidities among the elderly people, according to socio-demographic conditions and indicative of depression.

OBJECTIVES: To investigate the association of functional incapacity and the number of morbidities with sociodemographic, economic and health variables. METHODS: This is a household survey, quantitative and transversal approach, conducted with 1,693 elderly in Uberaba-MG in 2012. We used the Mini-Mental State Examination, Katz Scale, Lawton and Brody Scale; Geriatric Depression Scale abbreviated and semi-structured instrument for evaluation of demographic data, economic and morbidities. RESULTS: Functional incapacity in basic activities of daily living was associated with older age, a greater number of morbidities and presence of indicative of depression. Regarding the instrumental activities of daily living, functional incapacity was related to age, lower education and income, the greater number of morbidities and have indicative of depression. The largest number of comorbidities was associated with female sex, older age, lower income and indicative of depression. CONCLUSIONS: This study highlights the need for health actions directed to the oldest old, with less education and income, and indicative of depression to minimize the dependency on the performance of functional capacity and impact on morbidities.

Enfermedades autoreportadas en el adulto mayor: diferencias entre las áreas urbana y rural / Self-reported diseases of the aged adult: differences between the urban and rural areas

Introducción: las poblaciones rurales presentan una realidad que puede contribuir a mayores dificultades en el cuidado de su salud y subdiagnóstico de las enfermedades crónicas. Objetivo: comparar las enfermedades autoreportadas en el adulto mayor por lugar de domicilio. Métodos: estudio transversal, realizado con entrevistas en el domicilio a 2 142 adultos mayores que viven en la zona urbana y 850 en la rural. Se utilizó la estadística descriptiva y regresión logística (p<0,001). Resultados: predominaron el sexo femenino en el área urbana y el masculino en la rural; en ambos grupos las edades comprendidas entre 60-70 años, viudo, 4-8 años de estudio y el ingreso de un salario mínimo. Los adultos mayores del área urbana presentaron mayor proporción de artritis (p<0,001), osteoporosis (p<0,001), mala circulación (p<0,001), problemas cardíacos (p<0,001), de columna (p=0,006); de visión (p<0,001), estreñimiento (p<0,001), catarata (p<0,001); secuela por accidente/trauma (p=0,003) y los tumores benignos (p <0,001). La proporción de la embolia fue mayor entre la zona rural (p<0,001). La mediana del número de enfermedades fue mayor en el área urbana (p<0,001). Conclusiones : en general, la proporción de morbilidad entre los ancianos fue mayor entre los que residen en el zona urbana en comparación con la rural(AU)

Introduction: rural populations have a reality that can contribute to greater difficulties in the health care and poor diagnosis of chronic diseases. Objective: to compare self-reported diseases of the aged adults by dwelling place. Methods: cross-sectional study carried out with home interviews to 2142 aged adults living in urban areas and 850 living in rural areas. Descriptive statistics and logistic regression (p <0.001) was used. Results: there was a predominance of females in urban areas and of males in rural; also in both groups aged between 60-70 years, widowed, 4-8 years of study and income of a minimum wage predominated. Aged adults in urban areas had a higher proportion of arthritis (p<0.001), osteoporosis (p<0.001), poor circulation (p<0.001), heart problems (p<0.001), spine problems (p=0.006); sight problems (p<0.001), constipation (p<0.001), cataract (p<0.001); sequel accident/trauma (p=0.003) and benign tumors (p<0.001). The proportion of stroke was higher among rural aged adults (p<0.001). The average number of diseases was higher in urban areas (p<0.001). Conclusions: general speaking, morbidity proportion between the elderlies was higher among those who dwell in the urban zone in comparison to the rural one(AU)

Correlation of quality of life with knowledge and attitude of diabetic elderly / Correlación de la calidad de vida con el conocimiento y la actitud en ancianos diabéticos / Correlação da qualidade de vida com conhecimento e atitude de idosos diabéticos

Objective.To describe the quality of life (QL), knowledge and attitude of the elderly with diabetes mellitus (DM) and to correlate the QL with the knowledge and the attitude of the elderly. Method. It is a cross-sectional study of household inquiry type and developed with 296 elderly with DM. The used instruments were: World Health Organization Quality of Life Bref (WHOQOL-BREF), World Health Organization Quality of Life Old (WHOQOL-OLD), Diabetes Knowledge Scale Questionnaire (DKN-A) and Diabetes Attitudes Questionnaire (ATT-19). Results. The female were predominant (68.2%), aged from 70 - 79 years old (43.9%), married or living with a partner (41.6%), living with their children (43.2%), with income of one minimum wage (52.4%), had 4 - 7 years of education (32.8%), on diet use and oral hypoglycemic (68.6%) and less than five years diagnosis (29.1%). The greater the knowledge and the attitude the higher QL scores in physical, psychological, social relationships and environment domains; and facets of sensory works, autonomy, and intimacy. Conclusion. Educational activities need to be worked improving the knowledge and attitude of the elderly about the DM.

Objetivo.Describir la calidad de vida (CV), el conocimiento y la actitud de los ancianos con diabetes mellitus (DM), y correlacionar la CV con el conocimiento y la actitud de los ancianos. Métodos. Estudio transversal del tipo encuesta de hogares en el que participaron 296 ancianos con DM. Se utilizaron los instrumentos: World Health Organization Quality of Life Bref (WHOQOL-BREF), World Health Organization Quality of Life Old (WHOQOL-OLD), Diabetes Knowledge Scale Questionnaire (DKN-A) y Diabetes Atitudes Questionnaire (ATT-19). Resultados. Predominó el sexo femenino (68.2%), la edad de 70 a 79 años (43.9%), los casados o con compañero (41.6%), que vivían con los hijos (43.2%), con renta de un salario mínimo (52.4%), con 4 a 7 años de estudio (32.8%), tratados con dieta e hipoglicemiante oral (68.6%) y con tiempo de diagnóstico inferior a cinco años (29.1%). Cuanto mayor fue el conocimiento y la actitud, los puntajes de la CV fueron mayores en los dominios físico, psicológico, relaciones sociales y medio ambiente; y en los aspectos de funcionamiento de los sentidos, autonomía e intimidad. Conclusión. Deben desarrollarse actividades educativas direccionadas hacia el mejoramiento del conocimiento y de la actitud de los ancianos acerca de la DM.

Objetivo.Descrever a qualidade de vida (QV), o conhecimento e a atitude dos idosos com diabetes mellitus (DM), e correlacionar a QV com o conhecimento e a atitude dos idosos. Métodos. Estudo transversal do tipo inquérito domiciliar em que participaram 296 idosos com DM. Foram utilizados os instrumentos: World Health Organization Quality of Life Bref (WHOQOL-BREF), World Health Organization Quality of Life Old (WHOQOL-OLD), Diabetes Knowledge Scale Questionnaire (DKN-A) e Diabetes Atitudes Questionnaire (ATT-19). Resultados. Predominaram o sexo feminino (68,2%), idade de 70 a 79 anos (43,9%), casados ou com companheiro (41,6%), que viviam com os filhos (43,2%), com renda de um salário mínimo (52,4%), com 4 a 7 anos de estudo (32,8%), em uso de dieta e hipoglicemiante oral (68,6%) e com tempo de diagnóstico inferior a cinco anos (29,1%). Quanto maior o conhecimento e a atitude maiores foram os escores de QV nos domínios físico, psicológico, relações sociais e meio ambiente; e facetas funcionamentos dos sentidos, autonomia e intimidade. Conclusão. Devem ser desenvolvidas atividades educativas direcionadas a melhoria do conhecimento e atitude dos idosos acerca do DM.

Correlation of quality of life with knowledge and attitude of diabetic elderly.

OBJECTIVE: To describe the quality of life (QL), knowledge and attitude of the elderly with diabetes mellitus (DM) and to correlate the QL with the knowledge and the attitude of the elderly. METHOD: It is a cross-sectional study of household inquiry type and developed with 296 elderly with DM. The used instruments were: World Health Organization Quality of Life Bref (WHOQOL-BREF), World Health Organization Quality of Life Old (WHOQOL-OLD), Diabetes Knowledge Scale Questionnaire (DKN-A) and Diabetes Attitudes Questionnaire (ATT-19). RESULTS: The female were predominant (68.2%), aged from 70 - 79 years old (43.9%), married or living with a partner (41.6%), living with their children (43.2%), with income of one minimum wage (52.4%), had 4 - 7 years of education (32.8%), on diet use and oral hypoglycemic (68.6%) and less than five years diagnosis (29.1%). The greater the knowledge and the attitude the higher QL scores in physical, psychological, social relationships and environment domains; and facets of sensory works, autonomy, and intimacy. CONCLUSION: Educational activities need to be worked improving the knowledge and attitude of the elderly about the DM.

Quality of life of elderly. Comparison between urban and rural areas.

OBJECTIVE: Comparing the scores of quality of life according to place of residence (urban and rural areas). METHODS: A cross-sectional study involving 2142 elderly in urban area and other 850 in rural area of the municipality of Uberaba (Minas Gerais, Brazil). Instruments used: Olders Americans Resources and Services, World Health Organization Quality of Life--BREF (WHOQOL-BREF) and World Health Organization Quality of Life Assessment for Older Adults (WHOQOL-OLD). RESULTS: We found that in urban area predominated women and men in rural areas. It was common in two areas: 60â±µ70 years old, married marital status, schooling of 4 to 8 years of study and the income of a minimum wage. The elderly residing in the urban area with their children and in rural areas did so with the spouse. In the evaluation of the quality of life, rural elders presented scores significantly higher than the urban area in the domains of physical, psychological, and social relations in the WHOQOL-BREF; and in the facets of autonomy, past, present and future activities, social participation and intimacy of the WHOQOL-OLD. For the latter instrument facets sensory ability and of death and dying the elderly's urban area had higher scores than the rural area. CONCLUSION: The elders of the urban area showed a greater involvement of the quality of life than the residents in the rural area. Nurses who work in primary care should address health strategies according to the specific needs of the urban and rural areas.