Caracterização das condições de saúde e presença de polifarmácia em idosos institucionalizados
Autor(a) principal: | |
---|---|
Data de Publicação: | 2017 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Biblioteca de teses e dissertações da Universidade de Passo Fundo (BDTD UPF) |
Texto Completo: | http://tede.upf.br/jspui/handle/tede/1316 |
Resumo: | To characterize the health conditions of the institutionalized elderly, to relate the occurrence of chronic diseases with the use of medication, to verify the occurrence of controversy and to identify the use of benzodiazepines among elderly people living in long-stay institutions for the elderly in the city of Passo Fundo. Method: cross -sectional, population-based study involving 222 people aged 60 years and over. A sample with a predominance of the female gender, with white skin color, above 80 years, low schooling and widows. There was a decline in knowledge, presence of chronic diseases, practice of polypharmacy (such as using 5 or more drugs) and use of benzodiazepines. In order to verify sociodemographic variables, health conditions and access to medicines and medicines, a Pearson's Chi-square test and a Fisher's exact test were used, and a linear trend was used in the crude analysis and binary logistic regression model in the adjusted analysis, with measures of effect Expressed in odds ratio. The level of significance was 5%. Results: There was a cognitive decline of 63.5% among interviewees. Of the chronic diseases, 53.8% SAH, 47.6% dementia, 34.8% chronic pain, 33.0% insomnia and 32.7% depression, are directly related to polypharmacy. The prevalence of polypharmacy was 74.5%. No statistically significant associations were identified between cognitive decline and benzodiazepine use, cognitive decline was found in those who did not use benzodiazepines. Conclusion: In this case, many problems were encountered and several sets for health services due to the need for qualified professionals and the lack of support programs for long-term care institutions for the elderly (ILPI). This study contributes to the construction of public policies that act on the health conditions of the elderly, promoting well -being, independence and vitality. However, it is necessary to deepen research involving the elderly in the condition of institutionalization and emphasizing polypharmacy. |
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Wibelinger, Lia Mara51845229053http://lattes.cnpq.br/531649891358162501943811024http://lattes.cnpq.br/3322132352706832Gatto, Cristine Melania2018-05-18T23:35:25Z2017-08-25GATTO, Cristine Melania. Caracterização das condições de saúde e presença de polifarmácia em idosos institucionalizados. 2017. 88 f. Dissertação (Mestrado em Envelhecimento Humano) - Universidade de Passo Fundo, Passo Fundo, RS, 2017.http://tede.upf.br/jspui/handle/tede/1316To characterize the health conditions of the institutionalized elderly, to relate the occurrence of chronic diseases with the use of medication, to verify the occurrence of controversy and to identify the use of benzodiazepines among elderly people living in long-stay institutions for the elderly in the city of Passo Fundo. Method: cross -sectional, population-based study involving 222 people aged 60 years and over. A sample with a predominance of the female gender, with white skin color, above 80 years, low schooling and widows. There was a decline in knowledge, presence of chronic diseases, practice of polypharmacy (such as using 5 or more drugs) and use of benzodiazepines. In order to verify sociodemographic variables, health conditions and access to medicines and medicines, a Pearson's Chi-square test and a Fisher's exact test were used, and a linear trend was used in the crude analysis and binary logistic regression model in the adjusted analysis, with measures of effect Expressed in odds ratio. The level of significance was 5%. Results: There was a cognitive decline of 63.5% among interviewees. Of the chronic diseases, 53.8% SAH, 47.6% dementia, 34.8% chronic pain, 33.0% insomnia and 32.7% depression, are directly related to polypharmacy. The prevalence of polypharmacy was 74.5%. No statistically significant associations were identified between cognitive decline and benzodiazepine use, cognitive decline was found in those who did not use benzodiazepines. Conclusion: In this case, many problems were encountered and several sets for health services due to the need for qualified professionals and the lack of support programs for long-term care institutions for the elderly (ILPI). This study contributes to the construction of public policies that act on the health conditions of the elderly, promoting well -being, independence and vitality. However, it is necessary to deepen research involving the elderly in the condition of institutionalization and emphasizing polypharmacy.Objetivo: Caracterizar as condições de saúde dos idosos institucionalizados, relacionar a ocorrência de doenças crônicas com o uso de medicamentos, verificar a ocorrência de polifarmácia e identificar o uso de benzodiazepínicos entre os idosos residentes nas Instituições de longa permanência do município de Passo Fundo. Método: estudo de corte transversal, de base populacional em que participaram 222 pessoas com 60 anos e mais. A amostra teve um predomínio do gênero feminino, cor da pele branca, 80 anos ou mais, baixa escolaridade e viúvas. Verificou-se um declínio de cognição, presença de doenças crônicas, prática de polifarmácia (definida como uso de 5 medicamentos ou mais) e uso de benzodiazepínicos. Para verificar as variáveis sociodemográficas, condições de saúde e acesso aos medicamentos e polifarmácia, realizou-se Teste qui-quadrado, de Pearson e exato de Fisher. O nível de significância adotado foi de 5%. Resultado: Apresentou-se um declínio cognitivo de 63,5% entre os intrevistados. Das doenças crônicas, 53,8% Hipertensão artérial sistêmica (HAS), 47,6% demências, 34,8% dores crônicas 33,0%, insônia e 32,7% depressão, estão diretamente relacionadas com a polifarmácia. A prevalência de polifarmácia foi de 74,5%. Não foram identificadas associações estatisticamente significantes entre declínio cognitivo e uso de benzodiazepínicos, o declínio cognitivo mostrouse nos indivíduos que não faziam uso de benzodiazepínicos. Conclusão: Neste estudo, muitos problemas são encontrados como presença de polifarmácia, diminuição do nível cognitivo, ocorrência de doenças crônicas nos idosos intitucionalizados apresentando subsídios para atenção aos idosos institucionalizados. Porém, torna-se necessário aprofundar pesquisas envolvendo os idosos em condição de institucionalização e enfatizando a polifarmácia.Submitted by Aline Rezende (alinerezende@upf.br) on 2018-05-18T23:35:25Z No. of bitstreams: 1 2017CristineMelaniaGatto.pdf: 1292574 bytes, checksum: 41de23322068a2d4dbb102e51b31b92a (MD5)Made available in DSpace on 2018-05-18T23:35:25Z (GMT). No. of bitstreams: 1 2017CristineMelaniaGatto.pdf: 1292574 bytes, checksum: 41de23322068a2d4dbb102e51b31b92a (MD5) Previous issue date: 2017-08-25application/pdfporUniversidade de Passo FundoPrograma de Pós-Graduação em Envelhecimento HumanoUPFBrasilFaculdade de Educação Física e Fisioterapia – FEFFEnvelhecimentoIdosos - Saúde e higieneMedicamentosVelhice - AsilosSAUDE COLETIVA::SAUDE PUBLICACaracterização das condições de saúde e presença de polifarmácia em idosos institucionalizadosCharacterization of health conditions and presence of polypharmacy in institutionalized elderlyinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesis-9132566411690049154500500600-65308596723982726413112649244584600979info:eu-repo/semantics/openAccessreponame:Biblioteca de teses e dissertações da Universidade de Passo Fundo (BDTD UPF)instname:Universidade de Passo Fundo (UPF)instacron:UPFLICENSElicense.txtlicense.txttext/plain; charset=utf-81940http://tede.upf.br:8080/jspui/bitstream/tede/1316/1/license.txte0faded76e3df80302a4a0fb3f2bb5f3MD51ORIGINAL2017CristineMelaniaGatto.pdf2017CristineMelaniaGatto.pdfapplication/pdf1292574http://tede.upf.br:8080/jspui/bitstream/tede/1316/2/2017CristineMelaniaGatto.pdf41de23322068a2d4dbb102e51b31b92aMD52tede/13162018-05-18 20:35:25.949oai:tede.upf.br: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Biblioteca Digital de Teses e DissertaçõesPUBhttp://tede.upf.br/oai/requestbiblio@upf.br || bio@upf.br || cas@upf.br || car@upf.br || lve@upf.br || sar@upf.br || sol@upf.br || upfmundi@upf.br || jucelei@upf.bropendoar:2018-05-18T23:35:25Biblioteca de teses e dissertações da Universidade de Passo Fundo (BDTD UPF) - Universidade de Passo Fundo (UPF)false |
dc.title.por.fl_str_mv |
Caracterização das condições de saúde e presença de polifarmácia em idosos institucionalizados |
dc.title.alternative.por.fl_str_mv |
Characterization of health conditions and presence of polypharmacy in institutionalized elderly |
title |
Caracterização das condições de saúde e presença de polifarmácia em idosos institucionalizados |
spellingShingle |
Caracterização das condições de saúde e presença de polifarmácia em idosos institucionalizados Gatto, Cristine Melania Envelhecimento Idosos - Saúde e higiene Medicamentos Velhice - Asilos SAUDE COLETIVA::SAUDE PUBLICA |
title_short |
Caracterização das condições de saúde e presença de polifarmácia em idosos institucionalizados |
title_full |
Caracterização das condições de saúde e presença de polifarmácia em idosos institucionalizados |
title_fullStr |
Caracterização das condições de saúde e presença de polifarmácia em idosos institucionalizados |
title_full_unstemmed |
Caracterização das condições de saúde e presença de polifarmácia em idosos institucionalizados |
title_sort |
Caracterização das condições de saúde e presença de polifarmácia em idosos institucionalizados |
author |
Gatto, Cristine Melania |
author_facet |
Gatto, Cristine Melania |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Wibelinger, Lia Mara |
dc.contributor.advisor1ID.fl_str_mv |
51845229053 |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/5316498913581625 |
dc.contributor.authorID.fl_str_mv |
01943811024 |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/3322132352706832 |
dc.contributor.author.fl_str_mv |
Gatto, Cristine Melania |
contributor_str_mv |
Wibelinger, Lia Mara |
dc.subject.por.fl_str_mv |
Envelhecimento Idosos - Saúde e higiene Medicamentos Velhice - Asilos |
topic |
Envelhecimento Idosos - Saúde e higiene Medicamentos Velhice - Asilos SAUDE COLETIVA::SAUDE PUBLICA |
dc.subject.cnpq.fl_str_mv |
SAUDE COLETIVA::SAUDE PUBLICA |
description |
To characterize the health conditions of the institutionalized elderly, to relate the occurrence of chronic diseases with the use of medication, to verify the occurrence of controversy and to identify the use of benzodiazepines among elderly people living in long-stay institutions for the elderly in the city of Passo Fundo. Method: cross -sectional, population-based study involving 222 people aged 60 years and over. A sample with a predominance of the female gender, with white skin color, above 80 years, low schooling and widows. There was a decline in knowledge, presence of chronic diseases, practice of polypharmacy (such as using 5 or more drugs) and use of benzodiazepines. In order to verify sociodemographic variables, health conditions and access to medicines and medicines, a Pearson's Chi-square test and a Fisher's exact test were used, and a linear trend was used in the crude analysis and binary logistic regression model in the adjusted analysis, with measures of effect Expressed in odds ratio. The level of significance was 5%. Results: There was a cognitive decline of 63.5% among interviewees. Of the chronic diseases, 53.8% SAH, 47.6% dementia, 34.8% chronic pain, 33.0% insomnia and 32.7% depression, are directly related to polypharmacy. The prevalence of polypharmacy was 74.5%. No statistically significant associations were identified between cognitive decline and benzodiazepine use, cognitive decline was found in those who did not use benzodiazepines. Conclusion: In this case, many problems were encountered and several sets for health services due to the need for qualified professionals and the lack of support programs for long-term care institutions for the elderly (ILPI). This study contributes to the construction of public policies that act on the health conditions of the elderly, promoting well -being, independence and vitality. However, it is necessary to deepen research involving the elderly in the condition of institutionalization and emphasizing polypharmacy. |
publishDate |
2017 |
dc.date.issued.fl_str_mv |
2017-08-25 |
dc.date.accessioned.fl_str_mv |
2018-05-18T23:35:25Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/masterThesis |
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publishedVersion |
dc.identifier.citation.fl_str_mv |
GATTO, Cristine Melania. Caracterização das condições de saúde e presença de polifarmácia em idosos institucionalizados. 2017. 88 f. Dissertação (Mestrado em Envelhecimento Humano) - Universidade de Passo Fundo, Passo Fundo, RS, 2017. |
dc.identifier.uri.fl_str_mv |
http://tede.upf.br/jspui/handle/tede/1316 |
identifier_str_mv |
GATTO, Cristine Melania. Caracterização das condições de saúde e presença de polifarmácia em idosos institucionalizados. 2017. 88 f. Dissertação (Mestrado em Envelhecimento Humano) - Universidade de Passo Fundo, Passo Fundo, RS, 2017. |
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http://tede.upf.br/jspui/handle/tede/1316 |
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por |
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Universidade de Passo Fundo |
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UPF |
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Brasil |
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Universidade de Passo Fundo |
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