Restrição à participação auditiva: associação com as fragilidades física, cognitiva e social em pessoas idosas
Autor(a) principal: | |
---|---|
Data de Publicação: | 2023 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Repositório Institucional da UFSCAR |
Texto Completo: | https://repositorio.ufscar.br/handle/ufscar/17801 |
Resumo: | The social, functional and structural changes in the individual as he ages generate socioeconomic and public health impacts. Elderly people demand specialized care and actions to prevent negative outcomes related to aging, such as frailty. Given the complexity of the multidimensional processes of fragility and its negative impacts, it is important to verify the aspects related to it. Hearing loss, as a prevalent condition in the elderly population with consequent emotional and social harm, such as restriction to participation, should be considered in studies with elderly populations. Thus, this dissertation aimed to verify whether there is an association between auditory participation restriction and frailty in elderly people. For this, a cross-sectional study was carried out with 238 elderly people (age ≥ 60 years), which resulted in two articles. Article 1: “Hearing Handicap and Frailty in Community Elderly People” whose objective was to verify the relationship between auditory handicap and frailty in community-dwelling elderly people. The Hearing Handicap Inventory for the Elderly - Screening version - HHIE-S questionnaire was applied to assess participation restriction through auditory handicap. Frailty was assessed according to the Frailty Phenotype proposed by Fried et al. As a result, there was a greater restriction on participation in pre-frail and frail individuals, compared to non-frail individuals. Article 2: “Restriction to participation and self-perception of hearing loss: association with physical, cognitive and social frailty in elderly people”. It aimed to verify the association between physical, cognitive and social frailty with the restriction of auditory participation in elderly people. Physical frailty was assessed according to the five criteria of the Phenotype of Frailty, cognitive frailty was characterized by the simultaneous presence of physical frailty and cognitive decline, as indicated by the Mini Mental State Examination (MMSE), and social frailty was assessed by an index of five questions from social domains. The Hearing Handicap Inventory for the Elderly - Screening version - HHIE-S questionnaire was applied to quantify the restriction to auditory participation. The results showed that the restriction on auditory participation was greater in groups with physical, cognitive and social frailty. Using the univariate logistic regression model with the calculation of odds ratio, it was found that at each point indicative of restriction to auditory participation, there was a 1.05 times increase in the chance of the individual belonging to the physical frailty group and 1.033 belonging to the group of cognitive fragility. There was no association between restriction of auditory participation and cognitive frailty. Thus, this dissertation showed that the restriction on auditory participation is related to physical, cognitive and social weaknesses, however, the associations were verified only between the restriction on participation and physical and cognitive weaknesses. |
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Campos, Ruana Danieli da Silva CamposCosta-Guarisco, Letícia Pimentahttp://lattes.cnpq.br/9170509383468366http://lattes.cnpq.br/03025157672572607fc369a3-c953-41e1-bc97-0f5bc40f11372023-04-18T14:44:35Z2023-04-18T14:44:35Z23-03-03CAMPOS, Ruana Danieli da Silva Campos. Restrição à participação auditiva: associação com as fragilidades física, cognitiva e social em pessoas idosas. 23. Dissertação (Mestrado em Gerontologia) – Universidade Federal de São Carlos, São Carlos, 23. Disponível em: https://repositorio.ufscar.br/handle/ufscar/17801.https://repositorio.ufscar.br/handle/ufscar/17801The social, functional and structural changes in the individual as he ages generate socioeconomic and public health impacts. Elderly people demand specialized care and actions to prevent negative outcomes related to aging, such as frailty. Given the complexity of the multidimensional processes of fragility and its negative impacts, it is important to verify the aspects related to it. Hearing loss, as a prevalent condition in the elderly population with consequent emotional and social harm, such as restriction to participation, should be considered in studies with elderly populations. Thus, this dissertation aimed to verify whether there is an association between auditory participation restriction and frailty in elderly people. For this, a cross-sectional study was carried out with 238 elderly people (age ≥ 60 years), which resulted in two articles. Article 1: “Hearing Handicap and Frailty in Community Elderly People” whose objective was to verify the relationship between auditory handicap and frailty in community-dwelling elderly people. The Hearing Handicap Inventory for the Elderly - Screening version - HHIE-S questionnaire was applied to assess participation restriction through auditory handicap. Frailty was assessed according to the Frailty Phenotype proposed by Fried et al. As a result, there was a greater restriction on participation in pre-frail and frail individuals, compared to non-frail individuals. Article 2: “Restriction to participation and self-perception of hearing loss: association with physical, cognitive and social frailty in elderly people”. It aimed to verify the association between physical, cognitive and social frailty with the restriction of auditory participation in elderly people. Physical frailty was assessed according to the five criteria of the Phenotype of Frailty, cognitive frailty was characterized by the simultaneous presence of physical frailty and cognitive decline, as indicated by the Mini Mental State Examination (MMSE), and social frailty was assessed by an index of five questions from social domains. The Hearing Handicap Inventory for the Elderly - Screening version - HHIE-S questionnaire was applied to quantify the restriction to auditory participation. The results showed that the restriction on auditory participation was greater in groups with physical, cognitive and social frailty. Using the univariate logistic regression model with the calculation of odds ratio, it was found that at each point indicative of restriction to auditory participation, there was a 1.05 times increase in the chance of the individual belonging to the physical frailty group and 1.033 belonging to the group of cognitive fragility. There was no association between restriction of auditory participation and cognitive frailty. Thus, this dissertation showed that the restriction on auditory participation is related to physical, cognitive and social weaknesses, however, the associations were verified only between the restriction on participation and physical and cognitive weaknesses.As modificações sociais, funcionais e estruturais no indivíduo ao envelhecer geram impactos socioeconômicos e de saúde pública. A pessoa idosa demanda cuidados especializados e ações de prevenção de desfechos negativos relacionados ao envelhecimento, como a fragilidade. Dada a complexidade dos processos multidimensionais da fragilidade e seus impactos negativos é importante verificar os aspectos relacionados a ela. A perda auditiva, enquanto uma condição prevalente na população idosa com consequente prejuízo emocional e social, como a restrição à participação, deve ser considerada no estudo com populações idosas. Dessa forma, essa dissertação teve como objetivo verificar se há associação entre a restrição à participação auditiva e a fragilidade em pessoas idosas. Para isso, realizou-se estudo transversal realizado com 238 idosos (idade ≥ 60 anos), que deu origem a dois artigos. Artigo 1: “Handicap Auditivo e Fragilidade em Idosos da Comunidade” cujo objetivo foi verificar a relação entre o handicap auditivo e fragilidade em idosos residentes da comunidade. O questionário HHIE-S, foi aplicado para avaliar a restrição à participação, por meio do handicap auditivo. A fragilidade foi avaliada segundo o Fenótipo de Fragilidade proposto por Fried e colaboradores. Como resultado observou-se maior restrição à participação nos indivíduos pré-frágeis e frágeis, comparados aos não frágeis. Artigo 2: “Restrição à participação e autopercepção da perda auditiva: associação com as fragilidades física, cognitiva e social em pessoas idosas”. Teve o objetivo de verificar a associação entre a fragilidade física, cognitiva e social com a restrição à participação auditiva em pessoas idosas. A fragilidade física foi avaliada segundo os cinco critérios do Fenótipo de Fragilidade, a fragilidade cognitiva foi caracterizada pela presença simultânea da fragilidade física e do declínio cognitivo, indicado pelo Mini Exame do Estado Mental (MEEM), e a fragilidade social foi avaliada por um índice de cinco questões de domínios sociais. O questionário HHIE-S foi aplicado para quantificar a restrição à participação auditiva. Os resultados apontaram que a restrição à participação auditiva foi maior nos grupos com fragilidade física, cognitiva e social. Utilizando o modelo de regressão logística univariada com o cálculo de odds ratio, verificou-se que a cada ponto indicativo de restrição à participação auditiva, aumentava 1,05 vezes a chance de o indivíduo pertencer ao grupo de fragilidade física e 1,033 pertencer ao grupo de fragilidade cognitiva. Não foi verificada associação entre a restrição à participação auditiva e fragilidade cognitiva. Dessa forma, essa dissertação evidenciou que a restrição à participação auditiva está relacionada com as fragilidades física, cognitiva e social, porém, as associações foram verificadas somente entre a restrição à participação e as fragilidades física e cognitiva.Não recebi financiamentoporUniversidade Federal de São CarlosCâmpus São CarlosPrograma de Pós-Graduação em Gerontologia - PPGGeroUFSCarAttribution-NonCommercial-NoDerivs 3.0 Brazilhttp://creativecommons.org/licenses/by-nc-nd/3.0/br/info:eu-repo/semantics/openAccessEnvelhecimentoIdosoPerda AuditivaPresbiacusiaFragilidadeIdoso fragilizadoCIENCIAS DA SAUDE::FONOAUDIOLOGIACIENCIAS DA SAUDERestrição à participação auditiva: associação com as fragilidades física, cognitiva e social em pessoas idosasRestriction of auditory participation: association with physical, cognitive and social frailty in elderly peopleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesis6006008a814155-746c-4687-917c-b5de16f962a9reponame:Repositório Institucional da UFSCARinstname:Universidade Federal de São Carlos (UFSCAR)instacron:UFSCARORIGINALRuana Danieli da Silva Campos_dissertação.pdfRuana Danieli da Silva Campos_dissertação.pdfapplication/pdf7509858https://repositorio.ufscar.br/bitstream/ufscar/17801/1/Ruana%20Danieli%20da%20Silva%20Campos_disserta%c3%a7%c3%a3o.pdf99fda8c472cd125b7a88ca304ee82de1MD51CC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; charset=utf-8810https://repositorio.ufscar.br/bitstream/ufscar/17801/2/license_rdff337d95da1fce0a22c77480e5e9a7aecMD52TEXTRuana Danieli da Silva Campos_dissertação.pdf.txtRuana Danieli da Silva Campos_dissertação.pdf.txtExtracted texttext/plain121790https://repositorio.ufscar.br/bitstream/ufscar/17801/3/Ruana%20Danieli%20da%20Silva%20Campos_disserta%c3%a7%c3%a3o.pdf.txt856fc2925b100ffefc5c8307883eb98fMD53THUMBNAILRuana Danieli da Silva Campos_dissertação.pdf.jpgRuana Danieli da Silva Campos_dissertação.pdf.jpgIM Thumbnailimage/jpeg5391https://repositorio.ufscar.br/bitstream/ufscar/17801/4/Ruana%20Danieli%20da%20Silva%20Campos_disserta%c3%a7%c3%a3o.pdf.jpg738ebb7f9f36b9d85275f14419285aedMD54ufscar/178012023-09-18 18:32:36.665oai:repositorio.ufscar.br:ufscar/17801Repositório InstitucionalPUBhttps://repositorio.ufscar.br/oai/requestopendoar:43222023-09-18T18:32:36Repositório Institucional da UFSCAR - Universidade Federal de São Carlos (UFSCAR)false |
dc.title.por.fl_str_mv |
Restrição à participação auditiva: associação com as fragilidades física, cognitiva e social em pessoas idosas |
dc.title.alternative.eng.fl_str_mv |
Restriction of auditory participation: association with physical, cognitive and social frailty in elderly people |
title |
Restrição à participação auditiva: associação com as fragilidades física, cognitiva e social em pessoas idosas |
spellingShingle |
Restrição à participação auditiva: associação com as fragilidades física, cognitiva e social em pessoas idosas Campos, Ruana Danieli da Silva Campos Envelhecimento Idoso Perda Auditiva Presbiacusia Fragilidade Idoso fragilizado CIENCIAS DA SAUDE::FONOAUDIOLOGIA CIENCIAS DA SAUDE |
title_short |
Restrição à participação auditiva: associação com as fragilidades física, cognitiva e social em pessoas idosas |
title_full |
Restrição à participação auditiva: associação com as fragilidades física, cognitiva e social em pessoas idosas |
title_fullStr |
Restrição à participação auditiva: associação com as fragilidades física, cognitiva e social em pessoas idosas |
title_full_unstemmed |
Restrição à participação auditiva: associação com as fragilidades física, cognitiva e social em pessoas idosas |
title_sort |
Restrição à participação auditiva: associação com as fragilidades física, cognitiva e social em pessoas idosas |
author |
Campos, Ruana Danieli da Silva Campos |
author_facet |
Campos, Ruana Danieli da Silva Campos |
author_role |
author |
dc.contributor.authorlattes.por.fl_str_mv |
http://lattes.cnpq.br/0302515767257260 |
dc.contributor.author.fl_str_mv |
Campos, Ruana Danieli da Silva Campos |
dc.contributor.advisor1.fl_str_mv |
Costa-Guarisco, Letícia Pimenta |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/9170509383468366 |
dc.contributor.authorID.fl_str_mv |
7fc369a3-c953-41e1-bc97-0f5bc40f1137 |
contributor_str_mv |
Costa-Guarisco, Letícia Pimenta |
dc.subject.por.fl_str_mv |
Envelhecimento Idoso Perda Auditiva Presbiacusia Fragilidade Idoso fragilizado |
topic |
Envelhecimento Idoso Perda Auditiva Presbiacusia Fragilidade Idoso fragilizado CIENCIAS DA SAUDE::FONOAUDIOLOGIA CIENCIAS DA SAUDE |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE::FONOAUDIOLOGIA CIENCIAS DA SAUDE |
description |
The social, functional and structural changes in the individual as he ages generate socioeconomic and public health impacts. Elderly people demand specialized care and actions to prevent negative outcomes related to aging, such as frailty. Given the complexity of the multidimensional processes of fragility and its negative impacts, it is important to verify the aspects related to it. Hearing loss, as a prevalent condition in the elderly population with consequent emotional and social harm, such as restriction to participation, should be considered in studies with elderly populations. Thus, this dissertation aimed to verify whether there is an association between auditory participation restriction and frailty in elderly people. For this, a cross-sectional study was carried out with 238 elderly people (age ≥ 60 years), which resulted in two articles. Article 1: “Hearing Handicap and Frailty in Community Elderly People” whose objective was to verify the relationship between auditory handicap and frailty in community-dwelling elderly people. The Hearing Handicap Inventory for the Elderly - Screening version - HHIE-S questionnaire was applied to assess participation restriction through auditory handicap. Frailty was assessed according to the Frailty Phenotype proposed by Fried et al. As a result, there was a greater restriction on participation in pre-frail and frail individuals, compared to non-frail individuals. Article 2: “Restriction to participation and self-perception of hearing loss: association with physical, cognitive and social frailty in elderly people”. It aimed to verify the association between physical, cognitive and social frailty with the restriction of auditory participation in elderly people. Physical frailty was assessed according to the five criteria of the Phenotype of Frailty, cognitive frailty was characterized by the simultaneous presence of physical frailty and cognitive decline, as indicated by the Mini Mental State Examination (MMSE), and social frailty was assessed by an index of five questions from social domains. The Hearing Handicap Inventory for the Elderly - Screening version - HHIE-S questionnaire was applied to quantify the restriction to auditory participation. The results showed that the restriction on auditory participation was greater in groups with physical, cognitive and social frailty. Using the univariate logistic regression model with the calculation of odds ratio, it was found that at each point indicative of restriction to auditory participation, there was a 1.05 times increase in the chance of the individual belonging to the physical frailty group and 1.033 belonging to the group of cognitive fragility. There was no association between restriction of auditory participation and cognitive frailty. Thus, this dissertation showed that the restriction on auditory participation is related to physical, cognitive and social weaknesses, however, the associations were verified only between the restriction on participation and physical and cognitive weaknesses. |
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2023 |
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2023-04-18T14:44:35Z |
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2023-04-18T14:44:35Z |
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23-03-03 |
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CAMPOS, Ruana Danieli da Silva Campos. Restrição à participação auditiva: associação com as fragilidades física, cognitiva e social em pessoas idosas. 23. Dissertação (Mestrado em Gerontologia) – Universidade Federal de São Carlos, São Carlos, 23. Disponível em: https://repositorio.ufscar.br/handle/ufscar/17801. |
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https://repositorio.ufscar.br/handle/ufscar/17801 |
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CAMPOS, Ruana Danieli da Silva Campos. Restrição à participação auditiva: associação com as fragilidades física, cognitiva e social em pessoas idosas. 23. Dissertação (Mestrado em Gerontologia) – Universidade Federal de São Carlos, São Carlos, 23. Disponível em: https://repositorio.ufscar.br/handle/ufscar/17801. |
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