Navegando por Palavras-chave "saúde do idoso"
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- ItemAcesso aberto (Open Access)As condições crônicas e a incapacidade funcional em idosos(Universidade Federal de São Paulo (UNIFESP), 2015-07-12) Bento, Carlos Adriano Pla [UNIFESP]; Ramos, Luiz Roberto Ramos [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Objective: to evaluate the prevalence of chronic conditions and examine the relationship between chronic conditions and functional disability in the elderly. Methods: Survey of 759 patients of records evaluated in EPIDOSO project ? Phase 2, from which data of sociodemographic and chronic conditions: self-reported diseases, diagnoses by medical evaluation, impairment, signs, symptoms and surgeries were observed. The association between chronic conditions and disability was analyzed through the logistic regression models. Results: Chronic diseases were observed in 99.5% of patients with mean of 5.7 diseases per individual. The most prevalent diseases were systemic arterial hypertension (70%), dyslipidemia (66%) and arthropathy (59%). Chronic conditions most associated with disability were: gait and balance disorders (OR 8.95 95% CI 5.12 to 15.63), change in muscle strength (OR 3.67 95% CI 1.28 to 11.09 ), urinary incontinence (OR 2.91 95% CI 1,71- 4,93) and falls (OR 2.20 95% CI 1.29 to 3.77). Conclusions: This study showed a high prevalence of chronic conditions after medical evaluation. Highlighting classic chronic diseases with hypertension, joint disease, dyslipidemia and depression, but also organic functional changes such as tooth loss, hearing loss, urinary incontinence; Signs and symptoms, as decreased sexual desire, joint pain and sleep disorders. Chronic conditions not classically characterized as diseases were the most strongly associated with functional disability. The gait and balance changes, change in muscle strength, incontinence and falls were the health problems associated with more disability than the classic diseases such as hypertension and diabetes. The findings of this study show that the maintenance of functional capacity depends not only on control of chronic diseases, but fundamentally the physical, psychological and functional for the elderly.
- ItemAcesso aberto (Open Access)Cuidadores de idosos e o sistema único de saúde(Associação Brasileira de Enfermagem, 2003-06-01) Brêtas, Ana Cristina Passarella [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)This research has the objective of proposing some reflections about the theme of people who take care of the elderly, taking as the theoretical, conceptual, and political reference the Brazilian public health system. It is broken down into four topics. First of all, I attempt to briefly discuss the interfaces of the theme Aging and Health with the purpose of laying a theoretical groundwork where this is proposed. Secondly, I try to present the Public Health System (SUS) as a scenario for the discussion on the issue of taking care of the elderly. Thirdly, I present some paradigms about this care as a human attitude and bring to the discussion the person who takes care of the elderly. Finally, I present some final considerations.
- ItemAcesso aberto (Open Access)Próteses auditivas e tempos de recuperação: estudo segundo status cognitivo(Associação Brasileira de Otorrinolaringologia e Cirurgia Cervicofacial, 2013-04-01) Ghiringhelli, Rosângela [UNIFESP]; Iorio, Maria Cecilia Martinelli [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Studies have shown that elderly people with cognitive impairments benefit more from hearing aids with slower recovery times. OBJECTIVE: To study participation constraints and speech recognition in noise of elderly subjects equipped with hearing aids of different recovery times according to cognitive impairment status. METHOD: Fifty subjects aged between 60 and 80 years were followed for four months. They were divided at first in groups of individuals without (G1; n = 24) and with (G2; n = 26) cognitive impairment based on results of the Alzheimer's Disease Assessment Scale -Cognitive Sub-scale test. Half the members of each group received hearing aids with faster recovery times and half got slower recovery aids, thus forming four groups: two without cognitive impairment (faster recovery - G1F; slower recovery - G1S) and two suspected for cognitive impairment (faster recovery - G2F; slower recovery - G2S). All subjects were interviewed, submitted to basic audiological assessment, asked to answer the Hearing Handicap Inventory for the Elderly questionnaire, and tested for speech recognition in noise. ANOVA, McNemar's test, and the Chi-square test were applied. The significance level was set at 5%. RESULTS: There was significant improvement in participation constraint and speech recognition in noise with hearing aids alone. Sub-group G2F needed more favorable signal-to-noise ratios to recognize 50% of the speech in noise. CONCLUSION: Participation constraint and speech recognition in noise were improved regardless of recovery times or cognitive impairment status.