Associação das demandas de saúde e qualidade de vida em pessoas idosas: estudo comparativo entre Brasil e Portugal
Background: Aging is occurring at an accelerated pace, but countries have not prepared for this change, which makes this issue a public health problem, provoking the need to investigate which characterize and intervene in a multidimensional way. Objective: This research aims to evaluate the assoc...
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| Formato: | doctoralThesis |
| Idioma: | pt_BR |
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Universidade Federal do Rio Grande do Norte
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| Endereço do item: | https://repositorio.ufrn.br/handle/123456789/51286 |
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| Resumo: | Background: Aging is occurring at an accelerated pace, but countries have not
prepared for this change, which makes this issue a public health problem, provoking
the need to investigate which characterize and intervene in a multidimensional way.
Objective: This research aims to evaluate the association between the presence of
health demands (functional, nutritional and depressive symptoms) with the quality of
life (QoL) of elderly people assisted in primary health care (PHC) in Brazil and
Portugal. Methods: Observational, comparative, cross-sectional and quantitative
study, carried out in the cities of Natal and Santa Cruz in Brazil and Évora in
Portugal, with elderly people with preserved cognitive status, enrolled in the PHC.
The sample consisted of 150 elderly people, 100 from Brazil and 50 from Portugal.
Data collection took place through interviews, using instruments to assess
functionality (PRISMA 7 and the Lawton & Brody Scale), nutritional status (Mini
Nutritional Assessment - MAN), the presence of depressive symptoms (Geriatric
Depression Scale, version 15 - GDS15) and QV (Short Form 36 –SF-36). Data were
analyzed descriptively and non-parametric statistical tests were performed. The
research was approved by the Ethics Committee of Hospital Onofre Lopes in Brazil
and by the Committee of the University of Évora/Portugal. Results: Health demands
were present in most of the sample (PRISMA: 64.7%, Lawton & Brody: 58.0%, MAN:
81.3%, GDS-15: 52.0%), especially among Brazilians . The Portuguese achieved the
best total QoL score (P25: 53.9, P50: 60.8, P75: 63.9, p-value: 0.006). Among the
associations of health demands and QoL, impairment in the risk of functional decline
and in nutrition was mainly associated with the physical components and the
perception of well-being in Brazilians. The group from Portugal showed an
association between nutritional alteration and the presence of depressive symptoms
with the domains Vitality, Social Function and Mental Health. Conclusion: It is
observed that the main aspects of QoL that are associated with health demands
were: physical component (physical aspect and physical health dimension),
perception of well-being (general state of health and vitality) and social function
(mental health ) and social aspect). |
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