Instrumento para avaliação da condição de saúde da pessoa idosa na atenção básica

• Autor(a) principal: Wanderley, Renata Maria Mota
• Data de Publicação: 2018
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da UFPB
• Texto Completo: https://repositorio.ufpb.br/jspui/handle/123456789/13840
• topic: Enfermagem; Saúde do idoso; Nível de saúde; Atenção primária à saúde; Nursing; Health of the elderly; Level of health; Primary health care; Enfermería; Salud de los ancianos; Nivel de salud; Atención primaria de salud; CNPQ::CIENCIAS DA SAUDE

Introduction: Brazil today shows a different reality, an expressive increase in long life rate and consequent increase in the number of people in the third age. Objectives: To characterize the Brazilian scientific production about the assessment of health condition of the elderly person in the basic attention; Identify empirical indicators in literature from the basic human needs of the older person; Confirm the usefulness of empirical indicators for assessment of the health condition of the elderly person in the basic attention by nurses; Build a tool for assessment of the health condition of the elderly person in the basic attention by the nurse, in the light of the Theory of Basic Human Needs. Method: It is a methodological study developed in Family Health Units of the municipality of Igarassu, Pernambuco, with the population of nurses acting in primary health care. It was developed in three stages: an integrative review of literature about the basic human needs of the elderly person and an extensive bibliographical survey and empirical indicators assessment by the nurses of the family health units; production of an instrument for assessment of the health condition of the elderly person in the basic attention with empirical indicators validated by the nurses. Results: First, the integrative review covered 12 studies available in databases, with the descriptors: elderly, degree of health and primary health care, published from 2007 to 2016. There were inserted three themes: clinical and epidemiological profile of the Brazilian elderly population; Self-evaluation of elderly health and importance of the Family Health Strategy on health care of the elderly person. The results of this stage have shown that socioeconomic, demographic characteristics, functional capacity, health conditions, and nutritional status interfere in the self-evaluation of the elderly health and in the planning of services turned to this public. There were identified, also, 316 empirical indicators in the literature. Of those, 255 remained with Content Validity Index = 0.80 and, from the validated indicators, 205 were psychobiological needs, 47 of psychosocial needs and 3 of psychospiritual needs. Conclusions: With the empirical indicators validated there was built a tool for evaluation of the health condition of the elderly person in the basic attention. Considering that the elderly shows special features that sets him apart from other types of individuals, it is expected that the empirical indicators identified and validated in this survey will contribute to the health needs of them, in view of the planning of actions in health with a differentiated and systematized care for this population in the basic attention. For a healthy old age it is fundamental the correlation between independence and autonomy, consisting in a challenge for health care professionals, who must overcome a conduct complaint-based approach and adopt a multidisciplinary and interdisciplinary stance. To this end, it is expected that the instrument built contribute to the practice of nursing, once, it will have a look more specific, aiming a differentiated attention and systematized.