Prevalência do uso de antipsicóticos em idosos de instituições de longa permanência para idosos (ILPI) na cidade do Natal/RN
Objective: The aim of this study was to examine the prevalence of antipsychotic use and associated factors in Nursing Home (NH) residents in the city of Natal-RN. Methodology: This is a cross-sectional study, part of the research project entitled "Human Aging and Health: the reality of insti...
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Formato: | Dissertação |
Idioma: | pt_BR |
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Endereço do item: | https://repositorio.ufrn.br/jspui/handle/123456789/27494 |
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Resumo: | Objective: The aim of this study was to examine the prevalence of antipsychotic use
and associated factors in Nursing Home (NH) residents in the city of Natal-RN.
Methodology: This is a cross-sectional study, part of the research project entitled
"Human Aging and Health: the reality of institutionalized older adults in the city of
Natal”, conducted from 2013 to 2015 in 10 NH (05 for-profit institutions and 05 notfor-profit institutions) in the city of Natal. Individuals over the age of 60 who reside in
the institutions were included (n=320 residents). Bivariate analysis was used through
the chi-square test and Poisson regression for the identification of factors associated
with antipsychotic prescription. The dependent variable was the number of prescribed
antipsychotics, and independent variables included sociodemographic information, as
well as variables related to the institution itself and to health conditions. Results: The
prevalence of antipsychotic use among the older adults was 50% (n = 160). In the forprofit institutions, 65.5% (n = 76) of the older adults used at least 1 antipsychotic,
whereas the prevalence was 40.9% (n = 83) in not-for-profit NH. After multivariate
analysis, older adults between the ages of 60 to 79 years (PR = 1.39) had moderate to
severe cognitive impairment (PR = 1.78), mental disorder (PR = 2.07), polypharmacy
use (PR = 1.30), with for-profit institutions (PR = 1.51) being positively and
independently associated to the greater use of antipsychotics in older adults of NH (p
<0.05). Conclusion: A high prevalence of antipsychotic use was observed in NH in
Natal. |
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