Assessment of the quality of services of reception with risk classification in obstetrics: a scoping review protocol.

INTRODUCTION: Quality assessment in the context of maternal health services in Brazil has been the object of study due to maternal mortality rates that remain high in the country, in addition to the high costs of healthcare and the increased level of complexity in care. To change this situation, several strategies have been proposed to improve care for women. One of them is the improvement of women's access to maternal and child services through the Reception with Obstetric Risk Classification (ACCRO). OBJECTIVE: To map and synthesise scientific evidence in the literature of studies that assess the quality of ACCRO services from the perspective of users, professionals and managers, as well as map tools that assess the quality of these services and their results. METHOD AND ANALYSIS: It is a scoping protocol that follows the method recommended by the Joanna Briggs Institute, other authors and guided by the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) guidelines. The Population, Concept and Context strategy will systematise the search in PubMed, Cochrane, Embase, LILACS, SCOPUS and Web of Science and PsycINFO databases. For the grey literature search: Google Scholar, Theses and Dissertations Bank of the Brazilian Institute of Information in Science and Technology, Federated Network of Institutional Repositories of Scientific Publications, Online Theses Electronic Service, Open Access Scientific Repository of Portugal, Academic Archive Online. Searches and application of selection criteria will be performed according to the PRISMA-ScR flow approach. The articles will be selected from the Web Rayyan platform, the results will be analysed and presented in a narrative and thematically organised way. This scoping review is expected to contribute to the feasibility of assessing the quality of ACCRO services. ETHICS AND DISSEMINATION: Ethics approval is not required. Results will be disseminated through professional networks, conference presentations and publication in a scientific journal. This protocol has been registered with OSF (https://osf.io/sp5df).

Analysis of Plantar Tactile Sensitivity in Older Women after Conventional Proprioceptive Training and Exergame.

OBJECTIVE: To evaluate and compare the effects of conventional proprioceptive training and games with motion monitoring on plantar tactile sensitivity in older women. METHODS: A randomized controlled clinical trial, with 50 older women randomized into three groups: conventional proprioception (n = 17), games with motion monitoring (n = 16), and the control (n = 17). They underwent 24 intervention sessions, three times a week, for eight weeks. The conventional proprioception group performed exercises involving gait, balance, and proprioception. The games performed by the motion monitoring group included exercises using the Xbox Kinect One video game from Microsoft®. The evaluation of tactile pressure sensitivity was performed using Semmes-Weinstein monofilaments. Intragroup comparisons between the two paired samples were performed using paired Student's t-test or Wilcoxon test. Intergroup comparisons between the three independent samples were performed using the Kruskal-Wallis test and Dunn's post hoc test, with p ≤ 0.05. RESULTS: The older women submitted to conventional games with motion monitoring training and showed improvement in plantar tactile sensitivity in the right and left feet. When comparing the intergroup results, the two training modalities obtained an improvement in the plantar tactile sensitivity of the older women when compared to the control group. CONCLUSIONS: We conclude that both training modalities may favor the improvement of plantar tactile sensitivity in older women, with no significant differences between conventional and virtual training.

Offer of integrative and complementary health practices for the elderly in health services: A protocol for systematic review and meta analysis.

INTRODUCTION: Integrative and complementary health practices (ICHP) question the hegemony of the biomedical, technical and hospital paradigm, as they are an important axis in the process of redefining the health care model. Understanding how ICHP are offered to the elderly population can help to improve the production of changes in care and in the daily life of health services. OBJECTIVE: To identify and summarize the scientific evidence on the provision of ICHP for the elderly in health services. METHODS: This is a research protocol for a scoping review following the recommendations of the Extension for Scoping Reviews method proposed by the Joanna Briggs Institute. Studies will be collected in the following databases, Latin American and Caribbean Health Sciences Literature, Web of Science, Scopus, Scielo, Online System for Searching and Analyzing Medical Literature (MEDLINE), Embase, Virtual Library in Health and gray literature. Two independent reviewers will perform screening, data extraction, and risk of bias assessment using the Joanna Briggs Institute Critical Assessment Checklist. For the quality of evidence, the Grading of Recommendations, Assessment, Development and Evaluation analysis will be used. RESULTS: This review will provide information on the provision of ICHP for the elderly population in health services. CONCLUSIONS: This scoping review will provide evidence to help health professionals, managers and users to recognize more effective therapeutic inventions for promoting, preventing and protecting comprehensive health at different levels of care.

Assessment of the Concurrent Validity of the ICF Core Set to Classify the Physical Health of Community-Dwelling Older Adults in Relation to Self-Rated Health.

BACKGROUND AND PURPOSE: The present study aimed to assess the concurrent validity of the International Classification of Functioning, Disability and Health (ICF) core set to classify physical health of older adults in relation to self-rated health. METHODS: This is a methodological study conducted in Santa Cruz, Rio Grande do Norte (RN) state, in Northeastern Brazil, with 101 community-dwelling older adults. The participants rated their health status, which was classified into 3 groups: very good, fair, and poor/very poor. An interview was then conducted using self-reported and objective measurements to classify physical health according to the ICF core set. It consists of 30 categories, 14 of which belong to the body function (b) component, 4 to body structures (s), 9 to activities and participation (d), and 3 related to environmental factors (e). To analyze the compromised and problematic categories in the ICF, an impairment index was created for each component. The relationship between self-rated health and the impairment indexes was assessed using the multinomial logistic regression test adjusted for age, sex, schooling, and perception of income sufficiency. RESULTS: A greater likelihood of poor or very poor self-rated health was found in older individuals with the highest impairment index in (b) (odds ratio [OR] = 1.18; P < .001); (s) (OR = 1.11; P ≤ .001); (d) capacity (OR = 1.09; P = .02); and (d) performance (OR = 1.08; p = 0.01). CONCLUSION: The results suggest that the ICF core set is a valid instrument to assess the physical health of older adults, since it is associated with self-rated health and shows potential for use in clinical practice and scientific research, with universal language regarding functionality and physical health in older adults.

Loss of Muscle Mass and Vulnerability in Institutionalized Older Adults.

This study aimed to evaluate the association between muscle mass and vulnerability in institutionalized older adults. A cross-sectional study was carried out in eight philanthropic Long-Term Care Facilities (LTCF) located in the metropolitan area of Natal, Rio Grande do Norte, Brazil. The participants were individuals aged 60 years or older who were present in the institutions at the time of data collection. To assess muscle mass, the calf circumference was categorized into loss of muscle mass (<31 cm) and preserved muscle mass (≥31 cm). The vulnerability was assessed by The Vulnerable Elders Survey (VES-13). Of the 250 older adults evaluated, 46.1% presented loss of muscle mass, which was associated with the presence of physical limitation, vulnerability, and age group (p < 0.05). The presence of vulnerability was the main factor contributing to loss of muscle mass (R2 = 8.8%; B = 0.781; 95% CI 0.690−0.884; p < 0.001). Loss of muscle mass is associated with disability in institutionalized older adults.

Depression and quality of life in Brazilian and Portuguese older people communities: Analysis of association.

ABSTRACT: We aimed to compare the association of depression with aspects of quality of life (QoL) among older people users of primary health care (PHC) living in Brazil and Portugal.We carried out an observational, cross-sectional and comparative study with a quantitative approach in the PHC scope in Brazil and Portugal, where we obtained a nonrandom sample of 150 participants aged 65 years or older (100 Brazilians and 50 Portuguese). We used the socioeconomic and health data questionnaire, the Medical Outcomes Short-Form Health Survey QoL (SF-36) questionnaire and the Beck Inventory.Among the socioeconomic profiles, most were females aged between 65 and 80 years in both countries. There was a significant difference between groups in the income variable, with 100.0% of Portuguese people earning up to 1 minimum wage (P value <.001), and the presence of chronic diseases in 92.0% of respondents in Portugal (P value = .033). In the association analysis, most aspects of QoL had a higher median score (>50.0) within the categorical variables of "absent" and "mild" depression. The Emotional role functioning, Physical role functioning, Physical functioning, Mental health, Total score domains and the Mental health and Physical health summary measures stood out with this behavior in Brazil and in Portugal, where these latter 2 presented moderate to strong correlation values (ρ > 0.400) in Portugal. Greater associations of depression on QoL were revealed in Portugal than in Brazil. Among their most expressive associations, the Physical role functioning (odds ratio [OR] = 4.776; 95.0% confidence interval [CI]: 2.41-9.43), Physical functioning (OR = 3.037; 95.0% CI: 3.037), Vitality (OR = 6.000; 95.0% CI: 1.56-23.07) and Total score (OR = 3.727; 95.0% CI: 2.24-6.17) domains and the Mental health summary measure (OR = 3.870; 95.0% CI: 2.13-7.02) stood out.Aspects related to the emotional, physical, functional and mental health components stood out. The association and correlation with depression were more expressive in Portugal compared to Brazil. However, similar results were obtained in Brazil but with less relevance.

Health conditions of potential risk for severe Covid-19 in institutionalized elderly people.

The objective of this study was to identify the health conditions considered potential risk factors for severe Covid-19 and analyze its association with the BMI of elderly people living in Long-Term Care Facilities (LTCF). This is a descriptive and cross-sectional study, with a quantitative approach, carried out in eight LTCF in the Metropolitan Region of Natal, Rio Grande do Norte, with a population of 267 elderly people, between the months of February and December 2018. The Elderly Health Handbook was used to collect data on sociodemographic, health and risk factors. The Pearson's Chi-square test and odds ratio were used for the analysis. A higher frequency of low weight was observed in elderly people with cognitive impairment (24.6%), and overweight in those hypertensive (23.3%) and diabetics (12.9%). BMI was associated with the age group of 80 years or over, hypertension and diabetes (p = 0.013; p < 0.001; p = 0.001). Hypertensive elderly people were more likely to have low weight when compared to non-hypertensive individuals (RC = 3.6; 95% CI 1.5-8.6). The institutionalized elderly individuals present health conditions that may contribute to the occurrence of adverse outcomes in case of infection by Covid-19. The importance of protective measures for this population must be reinforced, in view of the devastating action of this disease in these institutions.

Hospital-Health Psychology, Human Development and Interdisciplinarity: Research in the interface between Psychology and Health / Psicologia da Saúde Hospitalar, Desenvolvimento Humano e Interdisciplinaridade: pesquisa na Interface entre Psicologia e Saúde / Psicología de la salud hospitalaria, Desarrollo Humano e Interdisciplinariedad: Práctica de la Investigación en la Interfaz Psicología y Salud

This theoretical article aims to characterize the interface between psychology and studies on the health-disease process, especially in the field of Health Psychology, with human development and interdisciplinarity as a background to these investigations. To that end, the study revisited the history of these two fields of psychology (health and human development), and the introduction of interdisciplinarity in human science research. Next, we present the main methods used in health psychology research. It is concluded that despite the various epistemological, methodological and paradigm shifts that coexist in the human sciences, much remains to be done to effectively implement a knowledge construction and research framework that addresses the complexity of the health-disease process.

Este artigo teórico pretende caracterizar a interface das pesquisas entre a psicologia e os estudos sobre o processo saúde-doença, notadamente, no campo da Psicologia da Saúde-Hospitalar, tendo como transfundo destas investigações o desenvolvimento humano e a interdisciplinaridade. Para tanto, o estudo revisitou a história destes dois campos da psicologia: da saúde hospitalar e do desenvolvimento humano, e a introdução do tema da interdisciplinaridade nas pesquisas em ciências humanas. Em seguida, apresentamos os principais métodos de investigação utilizados na pesquisa em psicologia da saúde-hospitalar. Conclui-se que apesar das diversas mudanças epistemológicas, metodológicas e paradigmáticas que coexistem nas ciências humanas, ainda há muito o que se construir para implementar efetivamente uma perspectiva de construção de conhecimento e de pesquisa que deem conta da complexidade do processo saúde-doença.

Este artículo teórico tiene como objetivo caracterizar las interfaces de investigación entre la psicología y los estudios sobre o proceso salud-enfermedad, especialmente en el campo de la psicología de la salud, teniendo como antecedentes de estas investigaciones el desarrollo humano y la interdisciplinariedad. Para ello, el estudio revisó la historia de estos dos campos de la psicología: la salud y el desarrollo humano, y la introducción del tema de la interdisciplinariedad en la investigación en ciencias humanas. A continuación, presentamos los principales métodos de investigación utilizados en la investigación de la psicología de la salud. Se concluye que apesar de los diversos cambios epistemológicos, metodológicos y paradigmáticos que coexisten en las ciencias humanas, todavía hay mucho que construir para implementar efectivamente una perspectiva de construcción de conocimiento e investigación que explique la complejidad del proceso de salud-enfermedad.

Mat Pilates and aquatic aerobic exercises for women with fibromyalgia: a protocol for a randomised controlled blind study.

INTRODUCTION: Physical exercises have been recommended to improve the overall well-being of patients with fibromyalgia, with the main objective of repairing the effects of lack of physical conditioning and of improving the symptoms, especially pain and fatigue. Although widely recommended and widely known, few studies support the use of Pilates as an effective method in improving the symptoms of the disease, comparing it with other well-founded exercise modalities. This protocol was developed to describe the design of a randomised controlled study with a blind evaluator that evaluates the effectiveness of mat Pilates, comparing it with aquatic aerobic exercises, in improving pain in women with fibromyalgia. METHODS: Sixty women aged 18-60 years with a diagnosis of fibromyalgia, with a score of between 3 and 8 points on the Visual Analogue Scale for pain, and who sign the clear and informed consent form will be recruited according to the inclusion criteria. They will be randomised into one of the two intervention groups: (1) Pilates, to perform an exercise programme based on mat Pilates; and (2) aquatic exercise, to participate in a programme of aerobic exercises in the swimming pool. The protocol will correspond to 12 weeks of treatment, with both groups performing the exercises with supervision twice a week. The primary outcome will be pain (Visual Analogue Scale for pain). The secondary outcomes are to include impact related to the disease, functional capacity, sleep quality and overall quality of life. The evaluations will be performed at three points: at baseline and after 6 weeks and 12 weeks of treatment. ETHICS AND DISSEMINATION: This protocol has been approved by the Ethics Committee of FACISA/UFRN (number: 2.116.314). Data collection will begin after approval by the ethics committee. There will be prior contact with the women, at which time all the information about the study and the objectives will be presented, as well as resolution no 466/2012 of the National Health Council of Brazil for the year 2012, which provides guidelines and regulatory standards for research involving human beings. Participants must sign the informed consent form before the study begins. TRIAL REGISTRATION NUMBER: NCT03149198.

Prevalencia de la infección relacionada con la asistencia a la salud en pacientes hospitalizados en unidad de cuidados intensivos / Prevalência de infecção relacionada à assistência à saúde em pacientes internados em unidade de terapia intensiva / Prevalence of health assistance infection in patients hospitalized in intensive therapy unit

Objetivo: Determinar la prevalencia de infección relacionada con la atención sanitaria (IRAS) en los pacientes ingresados en la Unidad de Cuidados Intensivos (UCI). Método: Estudio descriptivo, retrospectivo, con un enfoque cuantitativo. Los datos fueron recolectados a través de un formulario lleno de notificaciones de infección, seguido por el análisis de los resultados de las pruebas microbiológicas disponibles en el sistema 2000i MV. Resultados: Los pacientes ingresados en la UCI fueron las mujeres, los ancianos y los procedentes de otras unidades de hospitalización de la institución. La tasa de prevalencia de la infección fue del 5,3% confirmada por cultivo positivo, y el sistema respiratorio el lugar más frecuente de infección (42,5%). La mayoría de los patógenos aislados fueron gramnegativos (71,05%), destacando el Acinetobacter sp. El antibiograma mostró que Klebsiella sp. era resistente a la ampicilina y amoxicilina más ácido clavulánico. La Pseudomonas sp. 50% mostró resistencia a imipenem, cefepima y ciprofloxacina. Todos los Acinetobacteres eran resistentes a la ceftazidima, ceftriaxona y seguido de cefepima. Conclusión: La prevalencia de infecciones hospitalarias en pacientes críticamente enfermos se configura en un reto, no sólo para los profesionales, sino para los gerentes de salud y toda la sociedad, lo que justifica la necesidad y pertinencia de las acciones dirigidas a la prevención y control

Objetivo: Determinar a prevalência de Infecção Relacionada à Assistência à Saúde (IRAS) em pacientes internados em Unidade de Terapia Intensiva (UTI). Método: Estudo descritivo, retrospectivo, com abordagem quantitativa. Os dados foram coletados por meio de um formulário preenchido a partir das notificações de infecção, seguido de análise dos resultados de exames microbiológicos disponíveis no sistema MV 2000i. Resultados: Os pacientes admitidos na UTI eram do sexo feminino, idosos e procedentes de outras unidades de internamento da instituição. A taxa de prevalência de infecção foi de 5,3% confirmada por cultura positiva, sendo o sistema respiratório o sítio de infecção mais frequente (42,5%). A maioria dos patógenos isolados eram gram-negativos (71,05%), com destaque para o Acinetobacter sp. O antibiograma evidenciou que a Klebsiella sp. era resistente a ampicilina e amoxicilina mais ácido clavulânico. Quanto a Pseudomonas sp. 50% apresentou resistência a imipenem, cefepime e ciprofloxacino. Todos os Acinetobacteres foram resistentes a ceftazidima, seguido por ceftriaxona e cefepime. Conclusão: A prevalência das IRAS em pacientes críticos se configura em um desafio, não apenas aos profissionais, mas, aos gestores de saúde e a toda sociedade, justificando a necessidade e a relevância de ações voltadas à prevenção e controle

Objective: To determine the prevalence of Infection Related to Health Care (IRHC) in patients admitted to the Intensive Care Unit (ICU). Method: Descriptive, retrospective study, with a quantitative approach. Data were collected through a form completed from infection notifications, followed by analysis of the results of microbiological tests available on the MV 2000i system. Results: The patients admitted to the ICU were female, elder and came from other inpatient units of the institution. The prevalence rate of infection was 5.3% confirmed by positive culture, and the respiratory system was the most frequent site of infection (42.5%). Most isolates were gram-negative pathogens (71.05%), highlighting the Acinetobacter sp. The antibiogram showed that Klebsiella sp. was resistant to ampicillin and amoxicillin plus clavulanic acid. Regarding Pseudomonas sp., 50% were resistant to imipenem, cefepime and ciprofloxacin. All Acinetobacteres were resistant to ceftazidime, followed by ceftriaxone and cefepime. Conclusion: The prevalence of IRHCs in critically ill patients represents a huge challenge, not only for professionals, but also for health managers and the whole society, justifying the need and relevance of actions aimed at prevention and control

Doenças crônicas e sonolência diurna excessiva em pessoas idosas / Enfermedades crónicas y somnolencia diurna excesiva en mayores / Chronic diseases and excessive daytime sleepiness in older adults

OBJETIVO: Avaliar o nível de sonolência diurna excessiva (SDE), a síndrome de apneia obstrutiva do sono (SAOS) e as condições de saúde em idosos.MÉTODOS: Trata-se de um estudo transversal e quantitativo, realizado com idosos cadastrados nas Estratégias de Saúde da Família de um município do Rio Grande do Norte, Brasil, de setembro de 2015 a janeiro de 2016. Utilizou-se um questionário sociodemográfico (com perguntas relativas ao: sexo, estado civil, tipo de moradia, endereço, renda, escolaridade e profissão) e de condições de saúde (com perguntas relativas à presença de doenças, a sequelas presentes e ao uso de medicamentos). A sonolência diurna excessiva (SDE) foi medida pela escala de Epworth e a síndrome de apneia obstrutiva do sono (SAOS), pelo questionário clínico de Berlin. RESULTADOS: Participaram do estudo 61 idosos, com idade média de 68,5 anos, sendo 46 do sexo feminino (75,4%). Dentre eles, 56 (91,8%) relataram ter algum tipo de doença, sendo a hipertensão arterial sistêmica (HAS) a mais frequente (57,4%; n=35), seguida pela diabetes mellitus (DM) (24,6%; n=15) e artrite ou artrose (34,4%; n=21). Observou-se correlação positiva entre HAS e SAOS (p=0,001), DM e SAOS (p=0,018) e entre SDE e doenças respiratórias (p=0,010). CONCLUSÃO: As doenças mais prevalentes entre os idosos avaliados foram hipertensão arterial sistêmica e diabetes mellitus. A maioria não apresentou sonolência diurna excessiva e, quando observada, foi principalmente em grau leve. Apesar disso, observou-se associação positiva entre doenças crônicas, síndrome de apneia obstrutiva do sono e sonolência diurna excessiva.

OBJECTIVE: To assess the level of Excessive Daytime Sleepiness (EDS), Obstructive Sleep Apnea Syndrome (OSAS) and health conditions in older adults. METHODS: This is a quantitative cross-sectional study carried out with older adults enrolled in the Family Health Strategy in a municipality in Rio Grande do Norte, Brazil, from September 2015 to January 2016. A sociodemographic questionnaire (with questions related to: sex, marital status, type of housing, address, income, education and profession) and a health conditions questionnaire (with questions related to presence of diseases, sequelae and use of medications) were used. Excessive daytime sleepiness (EDS) was measured using the Epworth scale and sleep apnea obstructive syndrome (OSAS) was measured using the Berlin questionnaire. RESULTS: Participants were 61 older adults with a mean age of 68.5 years, 46 of whom were women (75.4%). In all, 56 (91.8%) participants reported having some disease, with systemic arterial hypertension (SAH) being the most common (57.4%; n=35), followed by type 2 diabetes (24.6%, n=15), and arthritis or arthrosis (34.4%, n=21). There was a positive correlation between SAH and OSAS (p=0.001), DM and OSAS (p=0.018) and between EDS and respiratory diseases (p=0.010). CONCLUSION: The most prevalent diseases in the older adults analyzed were systemic arterial hypertension and diabetes mellitus. The majority did not present excessive daytime sleepiness, and some presented very low levels of such condition. Despite that, there was a positive association of chronic diseases with obstructive sleep apnea syndrome and excessive daytime sleepiness.

OBJETIVO: Evaluar el nivel de Somnolencia Diurna Excesiva (SDE), el Síndrome de Apnea Obstructiva del Sueño (SAOS) y las condiciones de salud de mayores. MÉTODOS: Se trata de un estudio transversal y cuantitativo realizado con mayores inscritos en la Estrategia de Salud de la Familia de un municipio de Rio Grande do Norte, Brasil, entre septiembre de 2015 y enero de 2016. Se utilizó un cuestionario sociodemográfico (con preguntas sobre el sexo, el estado civil, el tipo de vivienda, la dirección, la renta, la escolaridad y la profesión) y de las condiciones de salud (con preguntas sobre la presencia de enfermedades, las secuelas y el uso de medicamentos). La Somnolencia Diurna Excesiva (SDE) fue medida por la escala de Epworth y el Síndrome de la Apnea Obstructiva del Sueño (SAOS) por el cuestionario de Berlin. RESULTADOS: Participaron del estudio 61 mayores con media de edad de 68,5 años y 46 eran del sexo femenino (75,4%). De entre ellos, 56 (91,8%) relataron algún tipo de enfermedad y la hipertensión arterial sistémica (HAS) ha sido la más frecuente (57,4%; n=35) seguida por la diabetes mellitus (DM) (24,6%; n=15) y artritis o artrosis (34,4%; n=21). Se observó una correlación positiva entre la HAS y el SAOS (p=0,001), la DM y el SAOS (p=0,018) y entre la SDE y las enfermedades respiratorias (p=0,010). CONCLUSIÓN: Las enfermedades más frecuentes en los mayores evaluados fueron la hipertensión arterial sistémica y la diabetes mellitus. La mayoría no presentó somnolencia diurna excesiva y, si hubo, ha sido las de grado leve. A pesar de ello, se observó una asociación positiva entre las enfermedades crónicas, el síndrome de la apnea obstructiva del sueño y la somnolencia diurna excesiva.

Capacidade funcional e fatores associados em idosos residentes na comunidade e asilados / Functional capacity and associated factors in community-dwelling and institutionalized elderly / Capacidad funcional y factores asociados en ancianos residentes atención a domicilio en la comunidad y

Objetivo: investigar a influencia de fatores sociodemográficos e de saúde na capacidade funcional de idosos residentes na comunidade e asilados. Método: trata-se de um estudo exploratório descritivo, com uma amostra de 120 idosos com 60 anos ou mais, de ambos os sexos, residentes no município de Jequié/BA, divididos em dois grupos de 60 idosos cada. O primeiro grupo representado por idosos residentes na comunidade e o segundo grupo por idosos asilados. O instrumento foi constituído de quatro partes: 1) Caracterização sociodemográfica e de saúde; 2) Aspectos relacionados a dor; 3) Escala Numérica da Dor e 4) Índice de Barthel. As análises estatísticas foram realizadas pela aplicação do software SPSS versão13.0, sendo realizada analise descritiva, aplicação do Teste do Qui-Quadrado (x2) e o Teste Exato, com p-valor≤0,05. Esta pesquisa foi aprovada pelo Comitê de Ética da Universidade Estadual do Sudoeste da Bahia/UESB, parecer (nº. 224/08).Resultados: em relação à capacidade funcional a maioria dos idosos da comunidade foi classificada como independentes(86,7%), sendo denominados dependentes apenas na atividade de higiene pessoal (86,7%). Enquanto que os idosos da comunidade 70,0% foram denominados como dependentes, sendo dependentes nas atividades transferência para higiene intima (53,3%), transferência cama-cadeira (66,7%), deambulação (53,3%) e subir escadas (60,0%). Verificou-se diferença estatística significativa apenas nos idosos asilados entre capacidade funcional e dor (p<0,001). Conclusão: desta forma,conclui-se que na amostra estudo que a capacidade funcional sofreu influencia apenas da dor no grupo dos idosos asilados.(AU)

Objective: to investigate the influence of sociodemographic and health factors on the functional capacity of communitydwelling and institutionalized elderly. Method: this is a descriptive exploratory study with a sample of 120 elderly men and women aged 60 years or older, residents of Jequié, Brazil, allocated to two groups of 60 elderly each. The first group was composed of community-dwelling elderly and the second of institutionalized elderly. The instrument consisted of four parts: 1) Sociodemographic and health characterization; 2) Pain-related aspects; 3) Numerical Pain Scale 4) Barthel's Index. Statistical analyses were conducted using SPSS 13.0 software, while descriptive analysis was performed using the chi-square (x2 ) and Fischer Exact tests, with a p value≤0.05. This study was approved by the Ethics Committee of the State University of Southwest Bahia/UESB, opinion (No .224/08). Results: with respect to functional capacity, most of the community-dwelling elderly were classified as independent (86.7%) in all activities except personal hygiene, in which 86.7% were considered dependent. Most of the institutionalized elderly (70.0%) were classified as dependent as follows: transfer for personal hygiene (53.3%), bed-chair transfer (66.7%), walking (53.3%) and climbing stairs (60.0%). A statistically significant difference was found between functional capacity and pain (p<0.001) only in the institutionalized elderly. Conclusion: thus, it was concluded that functional capacity in the study sample was influenced by pain only in the group of institutionalized elderly.(AU)

Objective: investigar la influencia de factores sociodemográficos y de salud y capacidad funcional en adultos mayores residentes de la comunidad y los solicitantes de asilo. Métodos: este es un estudio exploratorio, con una de 120 personas mayores de 60 años o más, de ambos sexos, que viven en Jequié, BA, divididos en dos grupos de 60 pacientes de edad avanzada cada uno. El primer grupo representado por residentes de la comunidad de edad avanzada y el segundo grupo de ancianos institucionalizados. El instrumento consta de cuatro partes: 1) Caracterización de sociodemográficas y de salud, 2) Problemas relacionados con el dolor, 3) Escala numérica del dolor, y 4) el índice de Barthel. El análisis estadístico se realizó con el programa SPSS versión 13.0, se realizó un análisis descriptivo y la aplicación de la Chi-cuadrado (x2 ) y la prueba exacta, valor de p≤0,05. Este estudio fue aprobado por el Comité de Ética de la Universidad Estatal del Sudoeste de Bahia/UESB, la opinión (Nº. 224/08). Resultados: en relación con la capacidad funcional de la mayoría de los ancianos de la comunidad fueron clasificados como independientes (86,7%) y se denomina sólo depende de la actividad de la higiene personal (86,7%). Mientras que los ancianos de la comunidad el 70,0% fueron nombrados como dependientes, y dependientes de las actividades de transferencia para la higiene personal (53,3%), la transferencia de la cama-silla (66,7%), a pie (53,3%) y la escalada escaleras (60,0%). No fue estadísticamente significativa sólo en los ancianos institucionalizados entre la capacidad funcional y el dolor (p<0,001). Conclusión: por lo tanto, llegamos a la conclusión de que la muestra del estudio que se sometieron a la capacidad funcional sólo afecta el dolor de los adultos mayores en hogares de ancianos.(AU)

Avaliação do suporte familiar em idosos residentes em domicílio / Evaluation of family support in elderly living at home

Este teve por objetivo avaliar a percepção do suporte familiar em idosos residentes em domicílio. Trata-se de uma pesquisa do tipo analítica, com delineamento transversal, tendo uma amostra de 150 idosos, com média de idade de 74,47 (DP 9,42) anos, cadastrados em quatro Unidades de Saúde no município de Jequié/BA. O instrumento foi constituído de: dados sociodemográficos e de saúde; Mini-exame do Estado Mental e o Inventário de Percepção do Suporte Familiar. De acordo com a média dos valores dos domínios do Inventário do Suporte de Percepção Familiar, a maioria dos idosos apresentou percepção do suporte familiar inadequada nos domínios Afetividade-Consistência (52,0 por cento) e Autonomia (58,0 por cento) e percepção do suporte familiar adequado no domínio Adaptação Familiar (67,3 por cento). Diante do exposto, fica evidente que boa parte dos idosos entrevistados apresentou comprometimento dos domínios Afetividade-Consistência e Autonomia do Inventário de Percepção do Suporte Familiar, o que demonstra, em parte, a falta preparo das famílias na prestação de cuidados aos idosos.(AU)

The aim of the present study was to assess the perception of family support in elderly individuals living at home. This is an analytical study with a cross-sectional design involving a sample of 150 elderly subjects with mean age of 74.47 (SD 9.42) years, enrolled in four health units in the city of Jequié, Brazil. The instruments consisted of social demographic data and health; the Mini-Mental State Examination and the Perception of Family Support Inventory. According to the mean of the areas of Inventory of Perceived Family Support, most seniors had inadequate perception of family support in the areas Affectivity-consistency (52.0 percent) and autonomy (58.0 percent) and perception of family support system in the area Family Adaptation (67.3 percent). It is evident that many of the elderly subjects showed commitment, consistency and affective domains of the Self Perception Inventory of Family Support. It shows, in part, the lack of preparation in families providing care for the elderly.(AU)

Avaliação do suporte familiar em idosos residentes em domicílio / Evaluation of family support in elderly living at home

Este teve por objetivo avaliar a percepção do suporte familiar em idosos residentes em domicílio. Trata-se de uma pesquisa do tipo analítica, com delineamento transversal, tendo uma amostra de 150 idosos, com média de idade de 74,47 (DP 9,42) anos, cadastrados em quatro Unidades de Saúde no município de Jequié/BA. O instrumento foi constituído de: dados sociodemográficos e de saúde; Mini-exame do Estado Mental e o Inventário de Percepção do Suporte Familiar. De acordo com a média dos valores dos domínios do Inventário do Suporte de Percepção Familiar, a maioria dos idosos apresentou percepção do suporte familiar inadequada nos domínios Afetividade-Consistência (52,0 por cento) e Autonomia (58,0 por cento) e percepção do suporte familiar adequado no domínio Adaptação Familiar (67,3 por cento). Diante do exposto, fica evidente que boa parte dos idosos entrevistados apresentou comprometimento dos domínios Afetividade-Consistência e Autonomia do Inventário de Percepção do Suporte Familiar, o que demonstra, em parte, a falta preparo das famílias na prestação de cuidados aos idosos.

The aim of the present study was to assess the perception of family support in elderly individuals living at home. This is an analytical study with a cross-sectional design involving a sample of 150 elderly subjects with mean age of 74.47 (SD 9.42) years, enrolled in four health units in the city of Jequié, Brazil. The instruments consisted of social demographic data and health; the Mini-Mental State Examination and the Perception of Family Support Inventory. According to the mean of the areas of Inventory of Perceived Family Support, most seniors had inadequate perception of family support in the areas Affectivity-consistency (52.0 percent) and autonomy (58.0 percent) and perception of family support system in the area Family Adaptation (67.3 percent). It is evident that many of the elderly subjects showed commitment, consistency and affective domains of the Self Perception Inventory of Family Support. It shows, in part, the lack of preparation in families providing care for the elderly.

Caracterização dos aspectos quantitativos da dor em idosos asilados / Characterization of quantitative aspects of pain in elderly at asylum / Caracterización de los aspectos cuantitativos de dolor en los ancianos asilados

Objetivo: investigar os aspectos quantitativos da dor decorrente de doenças osteomusculares quanto à presença, intensidade e localização em idosos asilados no município de Jequié/BA. Método: trata-se de um estudo descritivo realizado na Fundação Leur Brito, aprovado pelo Comitê de Ética em Pesquisa da Universidade Federal do Rio Grande do Norte (nº Parecer nº177/05), sendo a amostra composta por 60 idosos. O instrumento utilizado constituiu-se de: 1)Caracterização sócio demográfica e de saúde; 2) Mini-exame do estado mental; 3) Questionário para dor McGill. Os dados foram analisados de maneira descritiva, sendo utilizado programa Statistical Package for Social Science (SPSS) versão 14.0Windows. Resultados: foram estudados 60 idosos institucionalizados, sendo 50% de cada sexo, com maior frequência do sexo masculino na faixa etária de 60 a 80 anos (33,3%). A ocorrência de dor foi de 73,3%, sendo predominantemente entre60 a 80 anos (33,3%). Em relação a intensidade, 61,4% dos idosos relataram dor intensa. Quanto à localização foi mais predominante nos MMII (53,3%). Conclusão: a avaliação da dor é importante na tentativa de descrevê-la, objetivando uma intervenção terapêutica adequada e contribuindo na melhoria da qualidade de vida dos idosos.(AU)

Objective: investigating aspects of quantitative behavior of pain caused by musculoskeletal diseases, in relation to presence, intensity and localization on elderly residents in a specialized institution in the city of Jequié/BA. Method: this is a descriptive study in Fundação Leur Brito, approved by the Ethics Committee of the Federal University of Rio Grande do Norte (No Opinion No. 177/05) and the studied population was compound by 60 elderly. The instruments applied were: 1) Health and socio-demographic characterization; 2) Mini-mental State Examination; 3) Mc Gill Pain Questionnaire. The data were analyzed descriptively way and program used Statistical Package for Social Science (SPSS) version 14.0 for Windows. Results: we studied 60 institutionalized elderly, 50% of each sex, more often males aged 60 to 80 years (33.3%). Concerning intensity, 61,4% of the elderly reported intense pain. The most predominant localization was Lower Extremity (53,3%). Conclusion: the evaluation of pain is important in trying to describe it, aiming adequate therapeutic intervention and contributing on the improvement of the quality of life of the elderly.(AU)

Objetivo: investigar los aspectos de dolor cuantitativos causadas por las enfermedades musculoesqueléticas, en relación con la presencia, intensidad y localización de personas mayores residentes en una institución especializada en la ciudad de Jequié /BA. Este es un estudio descriptivo. Método: este es un estudio descriptivo en Fundação Leur Brito, aprobado por el Comité de Ética de la Universidad Federal de Rio Grande do Norte (n opinión N º 177/05) y de la población estudiada estaba compuesto por 60 personas mayores. Los instrumentos que se aplicaron fueron: 1) Salud y sociodemográficas caracterización; 2) Mini - mental de examen de Estado; 3) Mc Gill Pain Questionnaire. Los datos fueron analizados descriptivamente y el programa utilizado Statistical Package for Social Science (SPSS) para Windows versión 14,0. Resultados: se estudiaron 60 ancianos institucionalizados, y 50% de cada sexo, y su distribución equitativa entre los dos grupos de edad estudiados (36,7%), respectivamente. La aparición de dolor fue del 73,3%. En cuanto a la intensidad, el 61,4% de las personas de edad informó de intenso dolor. Conclusión: a localización más predominante fue Extremidades Inferiores (53,3%). La evaluación del dolor es importante en el intento de describirla, con el objetivo adecuada intervención terapéutica y contribuir en la mejora de la calidad de vida de las personas de edad.(AU)

Aspectos da personalidade e sua influência na percepção da dor aguda em pacientes submetidos à cirurgia cardíaca / Aspects of personality and its influence on acute pain perception in patients submitted to cardiac surgery

OBJETIVO: Verificar o papel e a influência da personalidade na percepção dolorosa aguda de pacientes submetidos à cirurgia cardíaca. MÉTODO: Trata-se de uma pesquisa transversal, analítica, prospectiva de caráter correlacional, realizada em Natal, Rio Grande do Norte, Brasil. A amostra foi composta por 25 pacientes, sendo 64 por cento do sexo feminino, com menos de 60 anos (52 por cento). RESULTADOS: A intensidade dolorosa foi avaliada pela escala numérica de dor do primeiro ao quinto dia de pós-operatório e os estilos de personalidade, pelo Inventário Millon de Estilos de Personalidade. A percepção dolorosa foi experienciada com magnitudes variando de leve a moderada do primeiro ao quinto dia do pós-operatório e relacionada às características de personalidade. Nos pacientes com menos intensidade de dor, foi observada maior elevação significativa da pontuação obtida nos fatores preservação, individualismo, introversão e, nos pacientes com maior intensidade de dor, houve uma elevação significativa nos fatores de proteção, extroversão, retraimento, discrepância, afetividade, acomodação, retraimento, comunicabilidade e firmeza. CONCLUSÃO: A ocorrência do fenômeno doloroso em pacientes submetidos à cirurgia cardíaca mostra-se associada com manifestações comportamentais e com magnitudes variáveis quanto ao tempo do ato cirúrgico, tipo e posição de drenos, além do período pós-operatório imediato. Pode-se caracterizar que aspectos psicológicos enquanto características de personalidade podem influenciar padrões de comportamento como os observados.

OBJECTIVE: To determine the role and influence of personality in acute pain perception of post cardiac surgery patients. METHOD: This is a cross-sectional, analytical, prospective with correlational nature, developed in Natal, Rio Grande do Norte, Brazil. The sample consisted of 25 patients, 64 percent female, less than 60 years (52 percent). RESULTS: Pain intensity was measured by numeric pain scale of 1 to 5 days postoperatory and personality styles was by Millon Inventory of Personality Styles. Pain perception was experienced with magnitudes ranging from mild to moderate from 1st to 5th day after surgery and related to personality characteristics. In patients with less pain intensity was observed a significant elevation of the highest score factors in the preservation, individualism, introversion and in the patients with greater intensity of pain were: protection, extraversion, shyness, discrepancy, affection, accommodation, withdrawal, communication and firmness. CONCLUSION: The occurrence of the painful phenomenon in patients post-cardiac surgery appears to be associated with behavioral manifestations and varying magnitudes as the time of surgery, type and position of drains, besides the immediate postoperative period. To characterize psychological aspects as personality characteristics may influence patterns of behavior as these observed.