Navegando por Assunto "Envelhecimento"

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Desenvolvimento e validação de cartilha educativa “quebracuca” como estratégia de autocuidado em idosos hipertensos
(Centro Universitário do Estado do Pará, 2021) Pacheco, Mônica Vanessa de Moraes Lima; Fernandes, Ronicelli Cezario; Albuquerque, Mário Roberto Tavares Cardoso de; http://lattes.cnpq.br/3233617656287982
Introduction: The world population has been going through a demographic transition process, resulting in population aging. In addition, there was a change in the epidemiological profile, demonstrating a preponderance of chronic-degenerative diseases, such as systemic arterial hypertension (SAH). The high prevalence of SAH in the elderly makes it necessary to have greater knowledge about risk factors, drug and non-drug treatment, prevention of complications inherent to the pathology, in order to reduce morbidity and mortality and improve quality of life and functional independence. In this context, recreational activities are an instrument to facilitate learning, promote improvement in the individual's health, and change in behavior. Objectives: This study aimed to develop and validate a playful booklet with guidelines that enhance self-care in hypertensive elderly. This validation was carried out by expert judges on the subject, as well as representatives of the target audience. Methods: This is a cross-sectional, applied, quantitative descriptive study. The Booklet was organized based on manuals and public health policies, in addition to scientific articles published in virtual libraries. Its content was analyzed by health professionals through a questionnaire administered via e-mail. The evaluators were divided into two groups: the first containing 30 professionals (doctors, nurses, nutritionists and physical educators) who work with elderly hypertensive patients within their area of expertise, and a second group containing 15 elderly patients diagnosed with SAH registered in the CEMEC. The method used was the Likert Scale. Results and Discussion: The technical jury and the target audience evaluated the topics “objectives, content, relevance, illustrations, language and layout and design”. According to the Likert scale score, showing that the higher the “I totally agree” criterion, the more approved the material will be, the Quebra-Cuca Booklet had its validation confirmed, since the technical jury showed 81% acceptance and the public target 96%, generating an overall approval of 86%. Conclusion: The booklet obtained a good approval rate by the judges, demonstrating its importance for health education, in addition to being a useful tool to disseminate the minimum necessary knowledge, therefore considered validated.
Ocorrência da sarcopenia e suas principais complicações em idosos obesos
(Centro Universitário do Estado do Pará, 2019) Reis, Fernanda de Carvalho; Tadaiewsky, Zbyeth da Silva; Maués, Cristiane Ribeiro; Cavallero, Mônica Ribeiro Maués; http://lattes.cnpq.br/0584956998438639
Introduction: The world population is aging. It is estimated that in Brazil, in the last 60 years, there has been an increase of more than 15 million elderly individuals. The Ministry of Health accepts that in the elderly, defined as 60 years or older, there is an increase in the prevalence of chronic and disabling diseases, such as obesity and sarcopenia. The latter is defined by the gradual loss of skeletal muscle mass which results in a reduction in both muscle endurance and muscle strength.Objective: To identify the prevalence of sarcopenia among obese elderly who are followed up at the Obesity Outpatient Clinic of CESUPA Medical Center (CEMEC).Methodology: The study analyzed 14 patients who were enrolled at the CEMEC Obesity Outpatient Clinic. Data collection was performed in 2 steps. In the first, data on age, gender, previous diagnoses and occurrence of falls were collected in a specific research form. Then, the participants were submitted to anthropometric measurements, body composition evaluation and functional performance tests. Bioimpedance, Grip Hand Strength Test, Timed up and go and Gait Speed were used. The 2018 European Criteria (EWGSOP2) were used as a reference for the diagnosis of sarcopenia.Results: It was observed that none of the analyzed sample had a diagnosis for sarcopenia, however, two patients had lower palmar grip strength, which was classified as probable sarcopenia.Conclusion: This study concluded that although results were negative to confirm the diagnosis of sarcopenia in the sample, relevant changes in body composition and physical performance were perceived, thus contributing in the future to the establishment of a condition with sarcopenia and its complications.
Síndrome de fragilidade: prevalência e comparação com os 5 IS da geriatria
(Centro Universitário do Estado do Pará, 2021) Araújo, Amanda Vallinoto Silva de; Costa, Tanise Nazaré Maia; Furlaneto, Ismari Perini; http://lattes.cnpq.br/9542085122721945; http://lattes.cnpq.br/4471975369870057
Introduction: The growing population aging determines expressive changes in the epidemiological profile, with the increase of chronic-degenerative diseases, which generates, in a progressive way, a reduction in the functional capacity and quality of life of the elderly population. Accordingly, the impairment of cognitive functions generates the loss of global functionality in the elderly and, consequently, the geriatric syndromes: cognitive insufficiency, postural instability, incontinence, immobility and iatrogenic disorders. In the same way, with the objective of organizing the health management of the elderly, the concept of frailty syndrome arises, which corresponds to a state of vulnerability, associated with an increased risk of mortality and adverse health events, such as dependence, disability, falls, acute illnesses, hospitalizations and institutionalization. Therefore, the relevance of geriatric syndromes and the fragility of the elderly's health becomes clear, especially regarding the need for adaptations in social policies. Objective: Identify and relate the prevalence of frailty syndrome and geriatric syndromes (cognitive insufficiency, iatrogenic disorders, postural instability, incontinence and immobility) in elderly patients in follow-up at the geriatric clinic. Method: This is an observational, cross-sectional and analytical study, based on data collection from 128 elderly people treated between March and June 2021 at the geriatric clinic of the Medical Specialties Center (CEMEC – CESUPA). The instruments used included a self-authored questionnaire and scales commonly used in geriatric consultations – Daily Living Activity Scale, Timed get up and go and adapted Edmonton Frail Scale. Results: 128 elderly people were studied, with a mean age of 74.8 ± 8.9 years (95%CI 73.3 – 76.4), ranging between 60 and 103 years; 75.1% (97/128; p<0.0001) were female. The prevalence of frailty was 46.5%, with 38.3% mild frailty, 36.7% moderate frailty and 25% severe frailty. There was an association between this syndrome and the presence of cognitive impairment (p=0.0063), postural instability (p<0.0001) and immobility. Analyzing the relationship between geriatric syndromes and gender, an association was found between female gender and postural instability (p=0.0135). Among patients with postural instability and immobility, there was a lower proportion of young elderly (60 to 69 years old) and a higher proportion of elderly between 80 to 99 years old (p=0.0093). Regarding the frailty syndrome, there was no relationship between this and gender (p=0.8386); however, there was a higher prevalence in elderly aged between 80 and 99 years. Conclusion: frailty syndrome was identified in about half of the population studied, having an association with age and with three of the geriatric syndromes: cognitive impairment, postural instability and immobility. Postural instability was the most frequent geriatric syndrome, followed by immobility. In comparison, iatrogenic disorders and incontinence had the lowest prevalence.