Qualidade de vida e sintomas depressivos em idosos da atenção primária à saúde: estudo de intervenção e comparativo no Brasil e em Portugal
Listed by the World Health Organization (WHO) as one of the main public health problems, depression affects more than 300 million people worldwide in 2015. Given its importance within the context of public health and its worsening, depression, which mostly affects the elderly population, directly in...
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| 格式: | doctoralThesis |
| 語言: | pt_BR |
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Universidade Federal do Rio Grande do Norte
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| 在線閱讀: | https://repositorio.ufrn.br/handle/123456789/45419 |
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| 總結: | Listed by the World Health Organization (WHO) as one of the main public health
problems, depression affects more than 300 million people worldwide in 2015. Given
its importance within the context of public health and its worsening, depression, which
mostly affects the elderly population, directly interferes with their Quality of Life (QL).
This research aimed to develop and test the effectiveness of a multidimensional
educational intervention to improve QoL and reduce depressive symptoms in elderly
people assisted in primary health care; to evaluate the association between QoL and
depressive symptoms in elderly people assisted in Primary Health Care (PHC) in Brazil
and Portugal. Article 1 with a longitudinal cut, which tested the impact of
multidimensional interventions applied to elderly Brazilians, users of PHC. Article 2
was an observational study, carried out with a cross-section, which, in turn, compared
the association and risk of depression on aspects of QoL among elderly PHC users
residing in Brazil and Portugal. The instruments used in the data collection were the
Socioeconomic and Health Data Questionnaire, Medical Outcomes Short-Form Health
Survey-36 (SF-36), Geriatric Depression Scale, version with 30 questions (Article 1),
Beck Inventory (Article 2), Mini Mental State Examination (MMSE). For the treatment
and tabulation of data in tables, Microsoft® Excel 2016 and the Statistical Package for
Social Sciences (SPSS) version 20.0 were used. Prior ethical approval was obtained
in Brazil and Portugal by their respective regional Ethics Committees. In article 1, the
interventions applied demonstrated a favorable outcome in the intervention group
compared to the control group. There was a reduction in depressive symptoms, as well
as an improvement in the Mental Health, General Health and Physical Health domains
of QOL in the GI participants. Article 2 highlighted the association, correlation and risk
between depression and aspects related to the emotional, physical, functional and
mental health components. The data were more expressive in Portugal compared to
Brazil, despite having also presented similar results, but with less relevance. In this
sense, we accept our study hypothesis. |
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