Efeitos das intervenções remotas na funcionalidade e qualidade de vida de idosos durante a pandemia da COVID-19 : uma revisão sistemática

• Autor(a) principal: Silva, Beatriz Rozendo da
• Data de Publicação: 2023
• 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/123456789/29970
• topic: Envelhecimento; COVID-19; Isolamento social; Classificação Internacional de Funcionalidade; Qualidade de Vida; Exercício físico - Idosos; Social isolation; International Classification of Functionality; Quality of Life; Exercise; CNPQ::CIENCIAS DA SAUDE::FISIOTERAPIA E TERAPIA OCUPACIONAL

Introduction: The World Health Organization (WHO) considers an elderly person to be an inhabitant of a developing country who is 60 years old or older and an inhabitant of a developed country who is 65 years old or older. An important fact to mention is that aging can lead to certain reductions in functional reserves. Thus, it is essential to seek means to provide the elderly with functional autonomy. With the emergence of the new coronavirus, SARS- CoV-2, social isolation has become the most recommended means of preventing its transmissibility, with the elderly being the most vulnerable population. Objective: To analyze the effects that remote interventions carried out during the COVID-19 pandemic promoted on the functionality and quality of life of the elderly population. Method: A systematic review of the literature was carried out using the following databases: PubMed, EMBASE, CENTRAL, CINAHL, Web of Science, Science Direct, PEDro and BVS. Articles were published between 2020-2022 and there was no language restriction. Completed or ongoing randomized clinical trial studies evaluating the effects of remote interventions performed during the COVID-19 pandemic on the functionality and quality of life of the elderly were accepted. The risk of bias in the studies was assessed using the Cochrane Risk of Bias Tool. The quality of evidence was analyzed using the GRADE system. Results: 11,391 articles were found, of which 2,801 were excluded due to duplicates; 8,590 remained analyzed in the first screening by title and abstract, and of these 8,484 were excluded for not addressing the topic suggested for this review. Finally, the remaining 106 studies were submitted to a second screening by reading the full text. Thus, 97 studies were excluded for not being randomized clinical trials, not being in the context of social isolation and pandemic, and not having evaluated the main outcomes of this review. Therefore, only 9 articles were included in this review, in which the risk of bias was classified as high risk and the GRADE analysis was classified as very low. Conclusions: Although the studies included in this review were classified with a methodological degree of high risk and very low evidence, in the end it was observed that social isolation, during the COVID-19 pandemic, brought changes to the health of the elderly, in particular, in physical and mental health and quality of life, and that remote intervention strategies were beneficial for the outcomes evaluated in this review.