Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 19 de 19
Filtrar
1.
Rev. enferm. UERJ ; 29: e57581, jan.-dez. 2021.
Artículo en Inglés, Portugués | LILACS | ID: biblio-1224578

RESUMEN

Objetivo: descrever as características sociodemográficas e de saúde de mulheres e homens com 75 anos ou mais de idade, no baseline e follow-up de quatro anos e verificar para mulheres e homens as mudanças nas condições de saúde. Métodos: estudo longitudinal com 109 idosos de 75 anos ou mais de idade de um município no Triângulo Mineiro. A coleta dos dados, realizada em dois momentos (2014-2018), ocorreu no domicílio com a aplicação de instrumentos validados no Brasil. Procederam-se às análises descritiva e teste t pareado (p<0,05). Os projetos foram aprovados pelo Comitê de Ética e Pesquisa com Seres Humanos. Resultados: verificaram-se, em ambos os sexos, aumento do número de morbidades e diminuição do escore total das atividades instrumentais da vida diária. Entre as mulheres observou-se, ainda, aumento do número de quedas e do escore de fragilidade. Conclusão: ao longo do seguimento houve piora nas condições de saúde dos idosos, sendo mais expressiva entre as mulheres.


Objective: to describe the sociodemographic and health characteristics of women and men aged 75 or over, at baseline and after four years of follow-up, and to ascertain changes in their health status. Methods: in this longitudinal study of 109 elderly people aged 75 or over from a city in the Triângulo Mineiro, data were collected at two points (2014 and 2018), at home, by applying instruments validated for use in Brazil. Descriptive analysis and paired t-tests were performed (p < 0.05). The projects were approved by the human research ethics committee. Results: in both genders, the number of morbidities increased and the total score for instrumental activities of daily living decreased. Among women, the number of falls and frailty score also increased. Conclusion: the older people's health status worsened over the course of follow-up, more so among the women.


Objetivo: describir las características sociodemográficas y de salud de mujeres y hombres de 75 años o más, en la base de referencia y el seguimiento durante cuatro años, y verificar los cambios en las condiciones de salud de mujeres y hombres. Métodos: estudio longitudinal con 109 personas mayores, de 75 años o más, de un municipio del Triângulo Mineiro. La recolección de datos, realizada en dos momentos (2014-2018), se realizó en sus domicilios aplicando instrumentos validados en Brasil. Se realizaron análisis descriptivos y prueba t pareada (p <0.05). Los proyectos fueron aprobados por el Comité de Ética en Investigación con Humanos. Resultados: en ambos os sexos, hubo un aumento en el número de morbilidades y una disminución en la puntuación total de las actividades instrumentales de la vida diaria. Entre las mujeres, se observó asimismo un aumento en el número de caídas y la puntuación de fragilidad. Conclusión: a lo largo del seguimiento, las condiciones de salud de las personas mayores empeoraron, más expresivamente entre las mujeres.


Asunto(s)
Humanos , Masculino , Femenino , Anciano , Anciano de 80 o más Años , Estado de Salud , Salud del Anciano , Estudios de Seguimiento , Estudios Longitudinales , Determinantes Sociales de la Salud
2.
Rev Esc Enferm USP ; 55: e03723, 2021.
Artículo en Inglés, Portugués | MEDLINE | ID: mdl-34161442

RESUMEN

OBJECTIVE: To describe the sociodemographic characteristics, functional capacity and vaccination status of older adults, and to verify the factors associated with the incomplete vaccination status and the absence of the vaccination card. METHOD: Cross-sectional and analytical study conducted with older adults living in the city of Uberaba (MG). The following analyzes were carried out: descriptive, bivariate and multinomial logistic regression (p<0.05). RESULTS: A total of 576 older adults participated. Most of them were women, in the 70-80 age group, with partner, low education and income, living with someone, independent in basic activities of daily living and with partial dependence on instrumental activities. The highest percentage was for older adults who had incomplete vaccination status, especially regarding the absence of immunization for Hepatitis B. Individual monthly income < 1 minimum wage (p=0.002) and single-person housing arrangement (p=0.010) were associated with the incomplete vaccination status, and the absence of the vaccination card, with the lowest level of education (p=0.039). CONCLUSION: Low income and education, as well as living alone, are factors associated with inadequate vaccination status among older adults in the community. The need for primary care nurses to develop strategies to increase vaccination coverage among older adults with these characteristics is emphasized.


Asunto(s)
Actividades Cotidianas , Vacunación , Anciano , Estudios Transversales , Escolaridad , Femenino , Humanos , Modelos Logísticos
3.
Rev Lat Am Enfermagem ; 29: e3451, 2021.
Artículo en Inglés, Portugués, Español | MEDLINE | ID: mdl-34190942

RESUMEN

OBJECTIVE: to analyze functional disability and its associated factors among community-dwelling older adults. METHOD: a cross-sectional study, conducted with 1,635 older adults distributed in the following age groups: 60 to 69, 70 to 79, and 80 years old or more, living in a health macro-region of the state of Minas Gerais. Descriptive and trajectory analysis was carried out (p<0.05). The parameters were estimated by the Maximum Likelihood method. RESULTS: the highest percentage was female, with a monthly income of 1 minimum wage and living with a companion. In the age groups from 60 to 69 and from 70 to 79 years old, older adults with a partner predominated; and, among those aged 80 years old or more, widowed individuals prevailed. In the three groups, functional disability occurred hierarchically. Lower schooling, frailty and depressive symptomatology were factors directly associated with functional disability in the advanced activities; frailty and sedentary behavior were directly associated with functional disability in the instrumental activities. In the older adults aged between 60 and 69 years old and from 70 to 79 years old, sedentary behavior was associated with greater dependence on the basic activities. CONCLUSION: the expanded understanding of the factors in the functional disability of the older adults, according to age group, helps the health professional in the development of preventive measures for this disease.


Asunto(s)
Actividades Cotidianas , Evaluación Geriátrica , Anciano , Anciano de 80 o más Años , Brasil , Estudios Transversales , Evaluación de la Discapacidad , Femenino , Anciano Frágil , Humanos , Análisis de Clases Latentes , Persona de Mediana Edad
4.
Rev Bras Enferm ; 74Suppl 1(Suppl 1): e20200938, 2021.
Artículo en Inglés, Portugués | MEDLINE | ID: mdl-33886845

RESUMEN

OBJECTIVE: to map the scientific knowledge about COVID-19 in older adults. METHOD: this is a scoping review literature review. A search was performed in the PubMed, CINAHL, Web of Science and LILACS databases. Original articles that answered the guiding question were included: what scientific knowledge is available in the world about COVID-19 in older adults? RESULTS: thirty-one articles were included, most of them carried out in China (n=23) and with a retrospective design (n=13) and case studies/case series (n=13). Based on the findings, six thematic categories emerged: clinical signs and symptoms (n=12), other information (n=9), adverse outcomes/complications resulting from COVID-19 (n=8), age relationship and greater severity of COVID-19 (n=8), variables related to death by COVID-19 (n=8), and diagnostic findings (n=8). CONCLUSION: the findings reinforce older adults' greater vulnerability to the worsening of COVID-19, as well as to complications resulting from the disease, including the greater occurrence of death.


Asunto(s)
COVID-19 , Coronavirus , Conocimientos, Actitudes y Práctica en Salud , Anciano , China , Humanos , Estudios Retrospectivos , SARS-CoV-2
5.
J Clin Nurs ; 30(17-18): 2634-2645, 2021 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-33434369

RESUMEN

AIMS AND OBJECTIVES: To identify the frequency of falls among older people with and without cataracts and to verify the association of sociodemographic, clinical and behavioural variables with the number of falls among community-dwelling older adults according to self-reported cataracts. BACKGROUND: Although the literature on the topic is vast, no studies were found that described the explanatory factors for the relationship between sociodemographic, clinical and behavioural variables with the occurrence of falls in older people, with and without cataracts, through models previously tested in mediation analysis. DESIGN AND METHOD: This is a cross-sectional and quantitative study guided by the STROBE, conducted with two groups: older people with (268) and without cataracts (689). For analysing the data, the path analysis was performed. RESULTS: The occurrence of falls among the older people with cataracts was higher than in the group without cataracts. In both groups, frailty and depressive symptoms were directly associated with a higher occurrence of falls. Among older people with cataracts, the lowest physical performance score and the highest sedentary behaviour were directly associated with the highest number of falls. Among the older people without cataract, the youngest age, the highest number of morbidities and functional disability for instrumental activities of daily living were directly associated with the occurrence of falls. CONCLUSION: The older people with cataracts have a higher frequency of falls. The factors associated with the occurrence of falls differ between the older people with and without cataracts. RELEVANCE TO CLINICAL PRACTICE: The expanded understanding of the factors associated with falls among community-dwelling older adults, differentiating those with and without cataracts, guides the health professional in the development and implementation of measures to reduce the occurrence of these events.


Asunto(s)
Actividades Cotidianas , Catarata , Anciano , Catarata/complicaciones , Catarata/epidemiología , Estudios Transversales , Humanos , Vida Independiente , Análisis de Clases Latentes
6.
Rev. bras. enferm ; 74(supl.1): e20200938, 2021. tab, graf
Artículo en Inglés | LILACS-Express | LILACS, BDENF - Enfermería | ID: biblio-1288427

RESUMEN

ABSTRACT Objective: to map the scientific knowledge about COVID-19 in older adults. Method: this is a scoping review literature review. A search was performed in the PubMed, CINAHL, Web of Science and LILACS databases. Original articles that answered the guiding question were included: what scientific knowledge is available in the world about COVID-19 in older adults? Results: thirty-one articles were included, most of them carried out in China (n=23) and with a retrospective design (n=13) and case studies/case series (n=13). Based on the findings, six thematic categories emerged: clinical signs and symptoms (n=12), other information (n=9), adverse outcomes/complications resulting from COVID-19 (n=8), age relationship and greater severity of COVID-19 (n=8), variables related to death by COVID-19 (n=8), and diagnostic findings (n=8). Conclusion: the findings reinforce older adults' greater vulnerability to the worsening of COVID-19, as well as to complications resulting from the disease, including the greater occurrence of death.


RESUMEN Objetivo: mapear el conocimiento científico sobre COVID-19 en ancianos. Método: revisión de la literatura del tipo scoping review. Se realizó una búsqueda en las bases de datos PubMed, CINAHL, Web of Science y LILACS. Se incluyeron artículos originales que respondieron a la pregunta orientadora: ¿qué conocimiento científico está disponible en el mundo sobre el COVID-19 en los ancianos? Resultados: se incluyeron 31 artículos, la mayoría realizados en China (n=23) y con un diseño retrospectivo (n=13) y estudios de casos/series de casos (n=13). A partir de los hallazgos, surgieron seis categorías temáticas: signos y síntomas clínicos (n=12); otra información (n=9); resultados/complicaciones adversos resultantes de COVID-19 (n=8); relación de edad y mayor gravedad de COVID-19 (n=8); variables relacionadas con la muerte por COVID-19 (n=8); hallazgos diagnósticos (n=8). Conclusión: los hallazgos refuerzan la mayor vulnerabilidad de los ancianos al agravamiento del COVID-19, así como las complicaciones derivadas de la enfermedad, incluida la mayor ocurrencia de muerte.


RESUMO Objetivo: mapear o conhecimento científico sobre a COVID-19 no idoso. Método: revisão da literatura do tipo scoping review. Realizou-se uma busca nas bases de dados PubMed, CINAHL, Web of Science e LILACS. Incluíram-se os artigos originais que responderam à questão norteadora: quais os conhecimentos científicos disponíveis no mundo sobre a COVID-19 no idoso? Resultados: foram incluídos 31 artigos, a maioria realizada na China (n=23) e de delineamento retrospectivo (n=13) e estudos de casos/série de casos (n=13). Com base nos achados, emergiram seis categorias temáticas: sinais e sintomas clínicos (n=12); outras informações (n=9); desfechos adversos/complicações decorrentes da COVID-19 (n=8); relação da idade e maior gravidade da COVID-19 (n=8); variáveis relacionadas ao óbito pela COVID-19 (n=8); achados diagnósticos (n=8). Conclusão: os achados reforçam a maior vulnerabilidade do idoso ao agravamento da COVID-19, bem como as complicações decorrentes da doença, incluindo a maior ocorrência de óbito.

7.
Rev. latinoam. enferm. (Online) ; 29: e3451, 2021. tab, graf
Artículo en Inglés | LILACS, BDENF - Enfermería | ID: biblio-1280481

RESUMEN

Objective: to analyze functional disability and its associated factors among community-dwelling older adults. Method: a cross-sectional study, conducted with 1,635 older adults distributed in the following age groups: 60 to 69, 70 to 79, and 80 years old or more, living in a health macro-region of the state of Minas Gerais. Descriptive and trajectory analysis was carried out (p<0.05). The parameters were estimated by the Maximum Likelihood method. Results: the highest percentage was female, with a monthly income of 1 minimum wage and living with a companion. In the age groups from 60 to 69 and from 70 to 79 years old, older adults with a partner predominated; and, among those aged 80 years old or more, widowed individuals prevailed. In the three groups, functional disability occurred hierarchically. Lower schooling, frailty and depressive symptomatology were factors directly associated with functional disability in the advanced activities; frailty and sedentary behavior were directly associated with functional disability in the instrumental activities. In the older adults aged between 60 and 69 years old and from 70 to 79 years old, sedentary behavior was associated with greater dependence on the basic activities. Conclusion: the expanded understanding of the factors in the functional disability of the older adults, according to age group, helps the health professional in the development of preventive measures for this disease.


Objetivo: analisar a incapacidade funcional e seus fatores associados entre idosos na comunidade. Método: estudo transversal, com 1.635 idosos distribuídos nas faixas etárias: 60 a 69, 70 a 79 e 80 ou mais, residentes em uma macrorregião de saúde do Estado de Minas Gerais. Procedeu-se à análise descritiva e de trajetórias (p<0,05). Os parâmetros foram estimados pelo método da Máxima Verossimilhança. Resultados: o maior percentual era do sexo feminino, com renda mensal de 1 salário mínimo e morava acompanhado. Nas faixas etárias de 60 a 69 e 70 a 79 anos predominaram os idosos com companheiro, e entre aqueles com 80 anos ou mais os viúvos. Nos três grupos, a incapacidade funcional se deu de forma hierárquica. A menor escolaridade, a fragilidade e a sintomatologia depressiva foram fatores associados diretamente à incapacidade funcional nas atividades avançadas; a fragilidade e o comportamento sedentário associaram-se diretamente à incapacidade funcional nas atividades instrumentais. Nos idosos com idade entre 60 e 69 anos e 70 a 79 anos, o comportamento sedentário associou-se à maior dependência nas atividades básicas. Conclusão: a compreensão ampliada dos fatores atuantes na incapacidade funcional dos idosos, segundo faixa etária, auxilia o profissional de saúde no desenvolvimento de medidas preventivas desse agravo.


Objetivo: analizar la incapacidad funcional y sus factores asociados entre adultos mayores de la comunidad. Método: estudio transversal, con 1.635 adultos mayores distribuidos en rangos etarios: 60 a 69, 70 a 79 y 80 o más, residentes en una macrorregión de salud del Estado de Minas Gerais. Se realizó análisis descriptivo y de trayectoria (p<0,05). Los parámetros se estimaron mediante el método de máxima verosimilitud. Resultados: el mayor porcentaje fue de sexo femenino, con un ingreso mensual de 1 salario mínimo y vivía acompañado. En los rangos etarios de 60 a 69 y de 70 a 79 años predominaron los adultos mayores con pareja, y entre los de 80 años o más, los viudos. En los tres grupos, la incapacidad funcional se presentó de forma jerárquica. Menor educación, fragilidad y síntomas de depresión fueron factores directamente asociados con la incapacidad funcional en actividades avanzadas; la fragilidad y el sedentarismo se asociaron directamente con la incapacidad funcional en las actividades instrumentales. En los adultos mayores de 60 y 69 años y de 70 a 79 años, el sedentarismo se asoció con una mayor dependencia de las actividades básicas. Conclusión: una mayor comprensión de los factores que influyen en la incapacidad funcional del adulto mayor, según el rango etario, ayuda a los profesionales de la salud en el desarrollo de medidas preventivas de esta enfermedad.


Asunto(s)
Humanos , Femenino , Persona de Mediana Edad , Anciano , Anciano de 80 o más Años , Brasil , Actividades Cotidianas , Evaluación Geriátrica , Características de la Residencia , Estudios Transversales , Anciano Frágil , Evaluación de la Discapacidad , Conducta Sedentaria , Análisis de Clases Latentes , Grupos de Edad
8.
Cogitare enferm ; 26: e74528, 2021. tab
Artículo en Portugués | LILACS-Express | LILACS, BDENF - Enfermería | ID: biblio-1286159

RESUMEN

RESUMO Objetivos: verificar o acesso e a utilização dos serviços de saúde de idosos comunitários e os fatores associados à utilização dos serviços de saúde. Métodos: estudo transversal, com 1.611 idosos da macrorregião de saúde de Minas Gerais. Os dados foram coletados de março de 2017 a junho de 2018 por meio de instrumentos validados. Procederam-se as análises descritiva e regressão logística múltipla (p<0,05). Resultados: 83,8% procuraram o mesmo serviço ou profissional de saúde; nas duas últimas semanas anteriores à entrevista (20%); consultaram o médico nos últimos 12 meses (87,3%); usavam medicamentos (87,8%); foram ao dentista pela última vez há três anos ou mais (57,7%). A utilização dos serviços de saúde associou-se à condição de pré-fragilidade/fragilidade (p=0,026) e à autopercepção de saúde negativa (p=0,037). Conclusão: os dados denotam a necessidade de ações em saúde para atender às demandas do idoso fragilizado e com autopercepção negativa da saúde.


RESUMEN: Objetivos: verificar el acceso y el uso de los servicios de salud por parte de personas de edad avanzada de la comunidad y los factores asociados a dicho uso. Métodos: estudio transversal, realizado con 1.611 personas de edad avanzada de la macro-región de salud de Minas Gerais. Los datos se recolectaron entre marzo de 2017 y junio de 2018 por medio de instrumentos validados. Se realizaron los análisis descriptivo y de regresión logística múltiple (p<0,05). Resultados: el 83,8% procuró el mismo servicio o profesional de salud; en las dos últimas semanas anteriores a la entrevista (20%); consultaron al médico en los últimos 12 meses (87,3%); consumían medicamentos (87,8%); y fueron al dentista por última vez hace al menos tres (57,7%). El uso de los servicios de salud se asoció a la condición de pre-fragilidad/ fragilidad (p=0,026) y a la autopercepción negativa de la salud (p=0,037). Conclusión: los datos denotan la necesidad de acciones en salud para responder a las demandas de la persona de edad avanzada en condición de fragilidad y con autopercepción negativa de su salud.


ABSTRACT Objectives to verify access and use of the health services by community older adults and the factors associated to the use of the health services. Methods: a cross-sectional study, conducted with 1,611 older adults living in the health macro-region of Minas Gerais. Data was collected from March 2017 to June 2018 by means of validated instruments. Descriptive analyses and multiple logistic regression were performed (p<0.05). Results: 83.8% sought the same service or health professional; in the last two weeks prior to the interview (20%); had a medical consultation in the last 12 months (87.3%); used medications (87.8%); went to the dentist for the last time three years ago or more (57.7%). The use of the health services was associated with the pre-frail/frail condition (p=0.026) and with the negative self-perception of health (p=0.037). Conclusion: the data denote the need for action in health to meet the demands of the frail older adult with a negative self-perception of health.

9.
Rev. Esc. Enferm. USP ; 55: e03723, 2021. tab
Artículo en Inglés | LILACS, BDENF - Enfermería | ID: biblio-1279624

RESUMEN

ABSTRACT Objective: To describe the sociodemographic characteristics, functional capacity and vaccination status of older adults, and to verify the factors associated with the incomplete vaccination status and the absence of the vaccination card. Method: Cross-sectional and analytical study conducted with older adults living in the city of Uberaba (MG). The following analyzes were carried out: descriptive, bivariate and multinomial logistic regression (p<0.05). Results: A total of 576 older adults participated. Most of them were women, in the 70-80 age group, with partner, low education and income, living with someone, independent in basic activities of daily living and with partial dependence on instrumental activities. The highest percentage was for older adults who had incomplete vaccination status, especially regarding the absence of immunization for Hepatitis B. Individual monthly income < 1 minimum wage (p=0.002) and single-person housing arrangement (p=0.010) were associated with the incomplete vaccination status, and the absence of the vaccination card, with the lowest level of education (p=0.039). Conclusion: Low income and education, as well as living alone, are factors associated with inadequate vaccination status among older adults in the community. The need for primary care nurses to develop strategies to increase vaccination coverage among older adults with these characteristics is emphasized.


RESUMEN Objetivo: Describir las caracteristicas sociodemograficas, la capacidad funcional y la situacion vacunal de los adultos mayores y comprobar los factores asociados con la situacion vacunal incompleta y la ausencia del carnet de vacunacion. Método: Se trata de un estudio transversal y analitico llevado a cabo con adultos mayores residentes en el area urbana de Uberaba, Minas Gerais, mediante un analisis descriptivo, bivariado y de regresion logistica multinomial (p<0,05). Resultados: Participaron 576 adultos mayores. Predominaban las mujeres de edad avanzada, 70├80 anos, con pareja, bajo nivel de escolaridad e ingresos, que vivian solas, independientes en las actividades basicas de la vida diaria y parcialmente dependientes de las actividades instrumentales. El porcentaje mas alto correspondia a los adultos mayores que tenian un estado de vacunacion incompleto, especialmente en lo que respecta a la ausencia de inmunizacion contra la hepatitis B. Los ingresos mensuales individuales ≤ 1 salario minimo (p=0,002) y la disposicion de una vivienda unifamiliar (p=0,010) estaban asociados con el estado de vacunacion incompleta, y la ausencia del carnet de vacunacion, con un nivel de escolaridad bajo (p=0,039). Conclusión: Los ingresos bajos y la educacion, asi como el hecho de vivir solo, son factores que estan asociados a un estado de vacunacion inadecuado en adultos mayores de la comunidad. Es importante que el enfermero de atencion primaria desarrolle estrategias para aumentar la cobertura de vacunacion entre los adultos mayores con dichas caracteristicas.


RESUMO Objetivo: Descrever as caracteristicas sociodemograficas, a capacidade funcional e a situacao vacinal de idosos, e verificar os fatores associados a situacao vacinal incompleta e a ausencia do cartao de vacinas. Método: Estudo transversal e analitico conduzido com idosos residentes na zona urbana de Uberaba (MG). Procedeu-se as analises descritiva, bivariada e regressao logistica multinomial (p<0,05). Resultados: Participaram 576 idosos. Predominaram os idosos do sexo feminino, na faixa etaria de 70├80 anos, com companheiro, baixa escolaridade e renda, que moravam acompanhados, independentes nas atividades basicas da vida diaria e com dependencia parcial nas atividades instrumentais. O maior percentual foi para os idosos que possuiam situacao vacinal incompleta, sobretudo em relacao a ausencia da imunizacao para Hepatite B. Foram associados a situacao vacinal incompleta a renda individual mensal ≤ 1 salario minimo (p=0,002) e o arranjo de moradia unipessoal (p=0,010); e a ausencia do cartao de vacinas, a menor escolaridade (p=0,039). Conclusão: As baixas renda e escolaridade, bem como residir sozinho, sao fatores associados as situacoes vacinais inadequadas dos idosos da comunidade. Ressalta-se a necessidade de que o enfermeiro da atencao primaria desenvolva estrategias para aumentar a cobertura vacinal entre os idosos com essas caracteristicas.


Asunto(s)
Vacunas , Salud del Anciano , Inmunización , Anciano , Enfermería Geriátrica
10.
Rev. enferm. UERJ ; 28: e49370, jan.-dez. 2020.
Artículo en Inglés, Portugués | LILACS, BDENF - Enfermería | ID: biblio-1122754

RESUMEN

Objetivos: descrever a média total de independência geral e por domínios de comunicação dos idosos da comunidade e verificar as variáveis sociodemográficas e de saúde associadas à maior média de independência de comunicação entre os idosos. Métodos: estudo transversal e analítico, desenvolvido entre 808 idosos da comunidade. Procederam-se às análises: descritiva, bivariada e regressão linear múltipla (p<0,05). Resultados: verificou-se necessidade mínima de auxílio na comunicação (6,43±0,77); quanto aos domínios obteve maior escore de independência de comunicação nas necessidades básicas (6,88±0,51) e menor na leitura, escrita e conceitos numéricos (5,96±1,63). A maior média de independência de comunicação associou-se à faixa etária 60├80 (p<0,001); ter escolaridade (p<0,001); renda maior que um salário mínimo (p<0,001); à ausência do declínio cognitivo (p<0,001) e do indicativo de sintomas depressivos (p=0,014). Conclusão: a escolaridade, menor idade, maior renda e a ausência do declínio cognitivo e do indicativo de sintomas depressivos contribuíram para maior independência de comunicação.


Objectives: to describe the total mean of independence and communication domains of the elderly in the community, and to verify the sociodemographic and health variables associated with the highest mean of independence of communication among the elderly. Methods: A cross - sectional and analytical study developed among 808 elderly people in the community. The analyzis were: descriptive, bivariate and linearly multiple regression (p<0.05). Results: There was a minimum need for assistance in communication (6.43 ± 0.77); concerning the domains, it obtained a higher score of communication independence in basic needs (6.88 ± 0.51) and lower in reading, writing and numerical concepts (5.96 ± 1.63). The highest average of communication independence was associated with the age group 60├80 (p<0.001); having schooling (p<0.001); income greater than a minimum wage (p<0.001); the absence of cognitive decline (p<0.001) and indicative of depressive symptoms (p=0.014). Conclusion: Schooling, lower age, higher income and the absence of cognitive decline and indicative of depressive symptoms contributed to greater communication independence.


Objetivos: describir el promedio general de independencia y los ámbitos de comunicación de los ancianos de la comunidad y verificar las variables sociodemográficas y de salud asociadas a la mayor media de independencia de comunicación entre los ancianos. Métodos: Estudio transversal y analítico, desarrollado entre 808 ancianos de la comunidad. Se realizaron los análisis: descriptiva, bivariada y regresión linealmente dolara (p<0,05). Resultados: Se verificó la mínima ayuda de comunicación (6,43 ± 0,77); En cuanto a los dominios, una puntuación más alta de independencia de comunicación en necesidades básicas (6,88 ± 0,51) y menor en lectura, escritura y conceptos numéricos (5,96 ± 1,63). Un promedio mayor de independencia de comunicación se asoció a la franja etaria 60├80 (p<0,001); tener escolaridad (p<0,001); el ingreso mayor que un salario mínimo (p<0,001); la ausencia del cognitivo (p<0,001) y del indicativo de síntomas depresivos (p=0,014). Conclusión: La escolaridad, menor edad, menor renta y la ausencia del cognitivo y del indicador de síntomas depresivos contribuyeron a una mayor independencia de comunicación.


Asunto(s)
Humanos , Masculino , Femenino , Persona de Mediana Edad , Anciano , Anciano de 80 o más Años , Salud del Anciano , Comunicación , Brasil , Actividades Cotidianas , Demografía , Estudios Transversales , Depresión , Escolaridad , Disfunción Cognitiva , Renta , Atención de Enfermería
11.
Rev. enferm. UERJ ; 28: e51838, jan.-dez. 2020.
Artículo en Inglés, Portugués | LILACS, BDENF - Enfermería | ID: biblio-1145843

RESUMEN

Objetivo: descrever e comparar as características sociodemográficas e clínicas dos idosos, e o acesso e a utilização dos serviços de saúde, segundo três microrregionais de saúde de Minas Gerais. Método: inquérito domiciliar transversal realizado com 1.635 idosos residentes nas Microrregionais de Saúde do Triângulo Sul, em Minas Gerais. Procederam-se às análises descritivas e teste qui-quadrado (p<0,05). Resultados: na comparação entre os grupos obteve-se diferença significativa em relação à faixa etária (p<0,001), número de morbidades (p<0,001), uso contínuo de medicamentos (p<0,001) e não realizar consulta com dentista no último ano (p=0,005). Conclusão: as políticas públicas devem considerar os fatores sociodemográficos e as condições clínicas dos idosos, mediante o contexto da territorialização e regionalização em saúde, para proposição de estratégias de ação que favoreçam o acesso e uso dos serviços por essa população.


Objective: to describe and compare the older adults' sociodemographic and clinical characteristics, and their access to, and use of, health services, by three health micro-regions in Minas Gerais. Method: this cross-sectional household survey interviewed 1,635 older adults living in the Health Micro-regions of the Southern Triangle of Minas Gerais. Descriptive analyses and chisquare test were performed (p<0.05). Results: comparisons among the groups revealed significant differences by age group (p < 0.001), number of morbiditie (p<0.001), continuous medication use (p<0.001) and no dental appointment in the prior year (p = 0.005). Conclusion: in the context of health care territorialization and regionalization, public policies should consider older adults' sociodemographic characteristics and clinical conditions, in order to propose action strategies to favor service access and use by this population.


Objetivo: describir y comparar las características sociodemográficas y clínicas de los adultos mayores y su acceso y uso de los servicios de salud por parte de tres microrregiones de salud en Minas Gerais. Método: esta encuesta de hogares de corte transversal entrevistó a 1.635 adultos mayores residentes en las Microrregiones de Salud del Triángulo Sur de Minas Gerais. Se realizaron análisis descriptivos y prueba de chi-cuadrado (p<0.05). Resultados: as comparaciones entre los grupos revelaron diferencias significativas por grupo de edad (p<0.001), número de morbilidades (p<0.001), uso continuo de medicación (p<0.001) y ausencia de consulta dental en el año anterior (p = 0,005). Conclusión: en el contexto de territorialización y regionalización asistencial, las políticas públicas deben considerar las características sociodemográficas y las condiciones clínicas de los adultos mayores, con el fin de proponer estrategias de acción que favorezcan el acceso y uso de los servicios por parte de esta población.


Asunto(s)
Humanos , Masculino , Femenino , Persona de Mediana Edad , Anciano , Anciano de 80 o más Años , Salud del Anciano , Accesibilidad a los Servicios de Salud , Factores Socioeconómicos , Brasil , Salud Urbana , Estudios Transversales , Encuestas y Cuestionarios , Accesibilidad a los Servicios de Salud/estadística & datos numéricos
12.
Acta fisiátrica ; 27(4): 233-241, dez. 2020.
Artículo en Inglés, Portugués | LILACS-Express | LILACS | ID: biblio-1224521

RESUMEN

Objetivo: Verificar a dependência funcional para a realização das atividades básicas, instrumentais e avançadas da vida diária entre idosos e seus fatores associados. Método: Estudo transversal e analítico, com 1.611 idosos da comunidade de uma Macrorregião de Minas Gerais. Na coleta dos dados utilizaram-se: Miniexame do Estado Mental; Questionário estruturado elaborado pelo Grupo de Pesquisa em Saúde Coletiva; versão brasileira Short Physical Performance Battery; Índice de Katz; Escalas de Lawton & Brody e Atividades Avançadas da Vida Diária e fenótipo de fragilidade. Procederam-se as análises descritiva e regressão logística múltipla (p<0,05). Resultados: 6,5% dos idosos eram dependentes para as atividades básicas; 70,7% dependentes parcial/total para as atividades instrumentais e 25,1% tinham menor participação nas atividades avançadas. A dependência para as atividades básicas e instrumentais da vida diária associou-se à faixa etária de 80 anos ou mais (p= 0,001; p<0,001); presença de 5 ou mais morbidades (p= 0,023; p= 0,017); incapacidade/baixo desempenho físico (p<0,001; p<0,001) e pré-fragilidade/fragilidade (p= 0,015; p<0,001), respectivamente. A dependência para as atividades instrumentais também foi associada à ausência de escolaridade (p<0,001). Já a menor participação nas atividades avançadas associou-se à ausência de escolaridade (p<0,001); renda individual mensal ≤ 1 salário-mínimo (p<0,001); incapacidade/baixo desempenho físico (p<0,001) e pré-fragilidade/fragilidade (p<0,001). Conclusão: Os idosos apresentaram maior percentual de dependência para realização das atividades instrumentais. A saúde física está relacionada à dependência funcional do idoso, independente da complexidade das atividades cotidianas; e deve ser considerada no planejamento de intervenções direcionadas à prevenção e/ou reabilitação do declínio funcional nesse grupo etário


Objective: To verify the functional dependence to perform basic, instrumental and advanced activities of daily living among the older people, and associated factors. Method: Cross-sectional an analytical study, developed with 1.611 older people from the community of a Health Macro-region of the State of Minas Gerais. In data collection, the following were applied: Mini-Mental State Examination; Structured questionnaire prepared by the Collective Health Research Group; Brazilian version of the Short Physical Performance Battery; Katz index; Lawton & Brody and Advanced Activities of Daily Living scales and the frailty phenotype. Results: 6.5% of the older people were dependent for basic activities; 70.7% partial/total dependent for instrumental activities and 25.1% had less participation in advanced activities. Dependence on basic and instrumental activities of daily living associated with the age group of 80 years or more (p= 0.001; p<0.001); presence of 5 or more morbidities (p= 0.023; p= 0.017); disability/poor physical performance (p<0.001; p<0.001) and pre-frailty/frailty (p= 0.015; p<0.001), respectively. Dependence on instrumental activities was also associated with no schooling (p<0.001). The lower participation in advanced activities was associated with no schooling (p<0.001); individual monthly income ≤ 1 minimum wage (p<0.001); disability/poor physical performance (p<0.001) and pre-frailty/frailty (p<0.001). Conclusion: The older adults showed a higher percentage of dependence to perform instrumental activities. Physical health is related to the functional dependence of the elderly, regardless of the complexity of daily activities; and should be considered when planning nursing interventions aimed at preventing and / or rehabilitating functional decline in this age group

13.
Säo Paulo med. j ; 138(6): 465-474, Nov.-Dec. 2020. tab, graf
Artículo en Inglés | LILACS, Sec. Est. Saúde SP | ID: biblio-1145136

RESUMEN

ABSTRACT BACKGROUND: The scientific literature has shown that an association between polypharmacy and frailty exists. However, few studies have also considered drug interactions and the use of potentially inappropriate medications. OBJECTIVE: To evaluate the association between the use of drugs and frailty among community-dwelling older people. DESIGN AND SETTING: Cross-sectional study carried out among 580 older people in Uberaba (MG). METHODS: Data were collected at these older people's homes using instruments validated in Brazil. Descriptive, bivariate and binary logistic regression analyses were performed (P < 0.05). RESULTS: Most of these individuals were classified as pre-frail (55.7%), while 13.1% were frail. It was found that 31.7% of them presented polypharmacy, 41.7% had drug interactions and 43.8% were using potentially inappropriate medications. In the initial model, polypharmacy (odds ratio, OR = 1.91; confidence interval, CI = 1.27-2.86) and use of potentially inappropriate medications (OR = 2.45; CI = 1.68-3.57) increased the chance that these older people would be pre-frail or frail. In the final adjusted model, use of potentially inappropriate drugs remained associated with the outcome (OR = 2.26; CI = 1.43-3.57). CONCLUSION: Use of potentially inappropriate medications was the independent variable that explained the occurrence of frailty in a representative sample of community-dwelling older adults.


Asunto(s)
Humanos , Anciano , Anciano Frágil/estadística & datos numéricos , Lista de Medicamentos Potencialmente Inapropiados/estadística & datos numéricos , Fragilidad/epidemiología , Brasil/epidemiología , Estudios Transversales , Vida Independiente
14.
Rev Lat Am Enfermagem ; 28: e3383, 2020.
Artículo en Inglés, Portugués, Español | MEDLINE | ID: mdl-33174993

RESUMEN

OBJECTIVE: to describe the occurrence of COVID-19 and the health services used by elderly individuals living by themselves; identify the knowledge held by elderly individuals regarding the transmission, signs and symptoms of COVID-19, as well as factors associated with poor knowledge of preventive measures according to sociodemographic and clinical variables. METHOD: cross-sectional survey conducted by telephone or mobile with 123 elderly individuals living by themselves in the Health Macro-Region of Triângulo Sul in the state of Minas Gerais, Brazil. Descriptive analysis was performed along with bivariate and multiple linear regression (p<0.05). RESULTS: most elderly individuals did not present COVID-19 signs and symptoms (97.5%), were aware of how it is transmitted (86.6%), and of its signs and symptoms (90.8%). The elderly individuals were familiar with four preventive measures on average. After social distancing began, 85.7% of them left home and implemented three preventive measures on average, the most frequent of which was the use of face masks (99.0%). Being a man (p=0.001), 80 years old or older (p=0.045), and having fewer years of schooling (p=0.010) were associated with having less knowledge regarding the COVID-19 preventive measures. CONCLUSION: the elderly individuals were knowledgeable on COVID-19, but did not implement all the preventive measures. Male elderly individuals living by themselves with a low educational level are more vulnerable to COVID-19.


Asunto(s)
Infecciones por Coronavirus , Coronavirus , Pandemias , Neumonía Viral , Anciano , Anciano de 80 o más Años , Betacoronavirus , Brasil , COVID-19 , Estudios Transversales , Humanos , Masculino , SARS-CoV-2
15.
Rev Bras Enferm ; 73(suppl 3): e20200110, 2020.
Artículo en Inglés, Portugués | MEDLINE | ID: mdl-33111807

RESUMEN

OBJECTIVE: to propose a structural model of active ageing among elderly community members based on the World Health Organization's theoretical framework and to identify the most relevant determinants of active ageing to the proposed model. METHODS: a cross-sectional and analytical study conducted with 957 elderly community members. Confirmatory factor analysis and structural equation modeling were performed. RESULTS: the final measurement model was composed of the six determinants of active ageing: behavioral (R²=0.66); personal (R²=0.74); physical environment (R²=0.70); social (R²=0.77); economic (R²=0.44); and social and health services (R²=0.95). The last one showed good quality of adjustment: χ2/gl=3.50; GFI=0.94; CFI=0.92; TLI=0.90; RMSEA=0.05. By analyzing the trajectories between determinants and active ageing, the most representative was social and health services  active ageing (λ=0.97; p<0.001). CONCLUSION: satisfaction with access to health services and positive self-assessment of health status were the factors that most contributed to active ageing in this population.


Asunto(s)
Envejecimiento , Anciano , Estudios Transversales , Análisis Factorial , Humanos , Análisis de Clases Latentes
16.
Sao Paulo Med J ; 138(6): 465-474, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33053050

RESUMEN

BACKGROUND: The scientific literature has shown that an association between polypharmacy and frailty exists. However, few studies have also considered drug interactions and the use of potentially inappropriate medications. OBJECTIVE: To evaluate the association between the use of drugs and frailty among community-dwelling older people. DESIGN AND SETTING: Cross-sectional study carried out among 580 older people in Uberaba (MG). METHODS: Data were collected at these older people's homes using instruments validated in Brazil. Descriptive, bivariate and binary logistic regression analyses were performed (P < 0.05). RESULTS: Most of these individuals were classified as pre-frail (55.7%), while 13.1% were frail. It was found that 31.7% of them presented polypharmacy, 41.7% had drug interactions and 43.8% were using potentially inappropriate medications. In the initial model, polypharmacy (odds ratio, OR = 1.91; confidence interval, CI = 1.27-2.86) and use of potentially inappropriate medications (OR = 2.45; CI = 1.68-3.57) increased the chance that these older people would be pre-frail or frail. In the final adjusted model, use of potentially inappropriate drugs remained associated with the outcome (OR = 2.26; CI = 1.43-3.57). CONCLUSION: Use of potentially inappropriate medications was the independent variable that explained the occurrence of frailty in a representative sample of community-dwelling older adults.


Asunto(s)
Anciano Frágil , Fragilidad , Lista de Medicamentos Potencialmente Inapropiados , Anciano , Brasil/epidemiología , Estudios Transversales , Anciano Frágil/estadística & datos numéricos , Fragilidad/epidemiología , Humanos , Vida Independiente , Lista de Medicamentos Potencialmente Inapropiados/estadística & datos numéricos
17.
Acta fisiátrica ; 27(1): 4-10, mar. 2020.
Artículo en Portugués | LILACS | ID: biblio-1129938

RESUMEN

Objetivos: Descrever as características sociodemográficas e de saúde dos longevos, identificar a ocorrência da redução da força de preensão manual dos longevos e verificar os fatores associados à redução da força de preensão manual dos longevos. Métodos: Estudo transversal e analítico, com abordagem quantitativa, desenvolvido com 313 idosos longevos da comunidade de uma Macrorregião de Saúde do Estado de Minas Gerais. Na coleta dos dados aplicaram-se: Miniexame do Estado Mental; Questionário estruturado elaborado pelo Grupo de Pesquisa em Saúde Coletiva; Questionário Internacional de Atividade Física; versão brasileira do Short Physical Performance Battery; Teste de força de preensão manual; Índice de massa corporal e questão referente à ocorrência de queda. Procederam-se às análises: descritiva, teste Qui-quadrado e regressão logística múltipla (p<0,05). Resultados: Houve predomínio de longevos do sexo feminino (64,2%); com 80-90 anos de idade (86,6%); 1-5 anos de estudo (53,0%); renda ≤1 salário mínimo (55,3%); viúvos (63,3%); que moravam acompanhados (75,7%); inativos fisicamente (51,4%); com desempenho físico moderado/bom (55,9%); sem ocorrência de quedas nos últimos 12 meses (68,4%); eutróficos (39,9%) e com cinco ou mais morbidades (62,9%). A maioria dos longevos (60,4%) apresentou redução da força de preensão manual que se associou à ocorrência de quedas nos últimos 12 meses (p=0,042) e à inatividade física (p<0,001). Conclusão: A redução na força de preensão manual dos idosos longevos foi relacionada à ocorrência de quedas e inatividade física, tais fatores contribuem para planejamento do cuidado gerontológico na prática clínica.


Objective: To describe the sociodemographic and health characteristics of older adults aged 80 or over, to identify the occurrence of reduced handgrip strength of older adults aged 80 or over and to verify the factors associated with reduced handgrip strength of older adults aged 80 or over. Methods: Cross-sectional an analytical study, with a quantitative approach, developed with 313 older adults aged 80 or over from the community of a Health Macro-region of the State of Minas Gerais. In data collection, the following were applied: Mini-Mental State Examination; Structured questionnaire prepared by the Collective Health Research Group; International Physical Activity Questionnaire; Brazilian version of the Short Physical Performance Battery; Handgrip strength test; Body mass index and question regarding the occurrence of falls. Results: There was a predominance of older adults aged 80 or over females (64.2%); with 80 -90 years of age (86.6%); 1-5 years of schooling (53.0%); income ≤1 minimum wage (55.3%); widowers (63.3%); who lived accompanied (75.7%); physically inactive (51.4%); with moderate/good physical performance (55.9%); no falls in the last 12 months (68.4%), eutrophic (39.9%) and with five or more morbidities (62.9%). Most older adults aged 80 or over (60.4%) showed a reduction in handgrip strength, which was associated with the occurrence of falls in the last 12 months (p=0.042) and physical inactivity (p<0.001). Conclusion: The reduction in the handgrip strength of older adults aged 80 or over was related to the occurrence of falls and physical inactivity, such factors contribute to planning gerontological care in clinical practice.


Asunto(s)
Anciano de 80 o más Años , Fuerza de la Mano , Sarcopenia , Enfermería Geriátrica
18.
Rev. bras. enferm ; 73(supl.3): e20200110, 2020. tab, graf
Artículo en Inglés | LILACS-Express | LILACS, BDENF - Enfermería | ID: biblio-1137628

RESUMEN

ABSTRACT Objective: to propose a structural model of active ageing among elderly community members based on the World Health Organization's theoretical framework and to identify the most relevant determinants of active ageing to the proposed model. Methods: a cross-sectional and analytical study conducted with 957 elderly community members. Confirmatory factor analysis and structural equation modeling were performed. Results: the final measurement model was composed of the six determinants of active ageing: behavioral (R²=0.66); personal (R²=0.74); physical environment (R²=0.70); social (R²=0.77); economic (R²=0.44); and social and health services (R²=0.95). The last one showed good quality of adjustment: χ2/gl=3.50; GFI=0.94; CFI=0.92; TLI=0.90; RMSEA=0.05. By analyzing the trajectories between determinants and active ageing, the most representative was social and health services  active ageing (λ=0.97; p<0.001). Conclusion: satisfaction with access to health services and positive self-assessment of health status were the factors that most contributed to active ageing in this population.


RESUMEN Objetivo: proponer un modelo estructural de envejecimiento activo entre los miembros de la comunidad de ancianos basado en el marco teórico de la Organización Mundial de la Salud e identificar los determinantes del envejecimiento activo que son más relevantes para el modelo propuesto. Métodos: estudio transversal y analítico, realizado con 957 adultos mayores de la comunidad. Se realizaron análisis factoriales confirmatorios y modelos de ecuaciones estructurales. Resultados: el modelo de medición final compuesto por los seis determinantes del envejecimiento activo: conductual (R²=0.66); personal (R²=0,74); ambiente físico (R²=0.70); social (R²=0.77); económico (R²=0.44); y servicios sociales y de salud (R²=0.95), que mostraron buena calidad de ajuste: χ2/gl=3.50; GFI=0,94; CFI=0,92; TLI=0.90; RMSEA=0.05. En el análisis de las trayectorias entre los determinantes y el envejecimiento activo, el más representativo fue el de los servicios sociales y de salud aging  envejecimiento activo (λ=0.97; p<0.001). Conclusión: la satisfacción con el acceso a los servicios de salud y la autoevaluación positiva del estado de salud fueron los factores que más contribuyeron al envejecimiento activo en esta población.


RESUMO Objetivo: propor um modelo estrutural de envelhecimento ativo entre idosos comunitários, com base no referencial teórico da Organização Mundial de Saúde, e identificar os determinantes do envelhecimento ativo de maior relevância para o modelo proposto. Métodos: estudo transversal e analítico, conduzido com 957 idosos comunitários. Realizou-se Análise Fatorial Confirmatória e Modelagem de Equações Estruturais. Resultados: o modelo de medida final composto pelos seis determinantes do envelhecimento ativo: comportamentais (R²=0,66); pessoais (R²=0,74); ambiente físico (R²=0,70); sociais (R²=0,77); econômicos (R²=0,44); e serviços sociais e de saúde (R²=0,95), apresentou boa qualidade de ajuste: χ2/gl=3,50; GFI=0,94; CFI=0,92; TLI=0,90; RMSEA=0,05. Na análise das trajetórias entre os determinantes e o envelhecimento ativo, a mais representativa foi serviços sociais e de saúde  envelhecimento ativo (λ=0,97; p<0,001). Conclusão: a satisfação com o acesso aos serviços de saúde e a autoavaliação positiva do estado de saúde foram os fatores que mais contribuíram com envelhecimento ativo nessa população.

19.
Rev. latinoam. enferm. (Online) ; 28: e3383, 2020. tab
Artículo en Inglés | LILACS, BDENF - Enfermería | ID: biblio-1139225

RESUMEN

Objective: to describe the occurrence of COVID-19 and the health services used by elderly individuals living by themselves; identify the knowledge held by elderly individuals regarding the transmission, signs and symptoms of COVID-19, as well as factors associated with poor knowledge of preventive measures according to sociodemographic and clinical variables. Method: cross-sectional survey conducted by telephone or mobile with 123 elderly individuals living by themselves in the Health Macro-Region of Triângulo Sul in the state of Minas Gerais, Brazil. Descriptive analysis was performed along with bivariate and multiple linear regression (p<0.05). Results: most elderly individuals did not present COVID-19 signs and symptoms (97.5%), were aware of how it is transmitted (86.6%), and of its signs and symptoms (90.8%). The elderly individuals were familiar with four preventive measures on average. After social distancing began, 85.7% of them left home and implemented three preventive measures on average, the most frequent of which was the use of face masks (99.0%). Being a man (p=0.001), 80 years old or older (p=0.045), and having fewer years of schooling (p=0.010) were associated with having less knowledge regarding the COVID-19 preventive measures. Conclusion: the elderly individuals were knowledgeable on COVID-19, but did not implement all the preventive measures. Male elderly individuals living by themselves with a low educational level are more vulnerable to COVID-19.


Objetivo: descrever a ocorrência da COVID-19 e o local de atendimento entre idosos que moram sozinhos; identificar o conhecimento dos idosos sobre a transmissão, sinais e sintomas e medidas preventivas da COVID-19 e verificar os fatores associados ao menor conhecimento das medidas preventivas segundo variáveis sociodemográficas e clínicas. Método: inquérito telefônico e transversal desenvolvido com 123 idosos que moram sozinhos na Macrorregião de Saúde do Triângulo Sul no Estado de Minas Gerais. Realizaram-se análises: descritiva, bivariada e regressão linear múltipla (p<0,05). Resultados: a maioria dos idosos não apresentou sinais e sintomas da COVID-19 (97,5%), conhecia sua forma de transmissão (86,6%) e os sinais e sintomas (90,8%). Os idosos conheciam, em média, quatro medidas preventivas da COVID-19. Após o início do distanciamento social, 85,7% saíram do domicílio e realizaram, em média, três medidas preventivas, sendo mais frequente o uso de máscaras (99,0%). O menor conhecimento sobre as medidas preventivas da COVID-19 associou-se ao sexo masculino (p=0,001), faixa etária de 80 anos ou mais (p=0,045) e menor escolaridade (p=0,010). Conclusão: os idosos possuíam conhecimento sobre a COVID-19, porém, não realizavam todas as medidas preventivas. Além disso, idosos que moram sozinhos do sexo masculino, longevos e com baixa escolaridade estão mais vulneráveis à COVID-19.


Objetivo: describir la incidencia de COVID-19 y el local de atención entre los adultos mayores que viven solos; identificar el conocimiento de los adultos mayores sobre la trasmisión, señales y síntomas y medidas preventivas de COVID-19 y comprobar los factores asociados al menor conocimiento de las medidas preventivas según variables sociodemográficas y clínicas. Método: encuesta telefónica y trasversal, desarrollada con 123 adultos mayores que viven solos en la Macroregión Sanitaria del Triângulo Sul en el estado de Minas Gerais. Fueron aplicados análisis: descriptivo, bivariado y regresión lineal múltiple (p<0,05). Resultados: la mayoría de los adultos mayores no presentaron señales y síntomas de COVID-19 (97,5%), conocía su forma de trasmisión (86,6%) y los señales y síntomas (90,8%). Los adultos mayores conocían en promedio cuatro medidas preventivas de COVID-19. Tras el inicio del distanciamiento social, el 85.7% salió del hogar y practicó en promedio tres medidas de prevención, siendo más frecuente el uso de mascarillas (99,0%). El menor conocimiento sobre las medidas preventivas de COVID-19 se asoció con el sexo masculino (p=0,001), el rango de edad de 80 años o más (p=0,045) y menor escolaridad (p=0,010). Conclusión: los adultos mayores tenían conocimiento sobre la COVID-19, pero no aplicaban todas las medidas preventivas. Además, los adultos mayores que viven solos, mayores y con baja escolaridad son más vulnerables a la COVID-19.


Asunto(s)
Humanos , Masculino , Anciano , Anciano de 80 o más Años , Neumonía Viral , Brasil , Incidencia , Estudios Transversales , Infecciones por Coronavirus , Coronavirus , Transmisión de Enfermedad Infecciosa , Pandemias , Betacoronavirus , Grupos de Edad
SELECCIÓN DE REFERENCIAS
DETALLE DE LA BÚSQUEDA
...