Capacidade Funcional de Idosos Portadores de HIV/AIDS: um estudo epidemiológico
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Data
2012
Autores
Cruz, Gylce Eloisa Cabreira Panitz [UNIFESP]
Orientadores
Ramos, Luiz Roberto [UNIFESP]
Tipo
Tese de doutorado
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ISSN da Revista
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Objetivo: avaliar a capacidade funcional dos portadores de HIV/AIDS na faixa etária de 60 anos ou mais da cidade de Santos/SP. Método: descritivo, transversal e quantitativo, desenvolvido por inquérito epidemiológico observacional. Para avaliar a capacidade funcional foram aplicados os domínios da saúde mental e das atividades de vida diária do Brazilian OARS (Orlder Americans Resources and Services)
Multidimensional Functional Assessment Questionnaire, e o miniexame do estado mental que avalia cognição. A população estudada ficou representada por 142 idosos. Resultados: 56,30% do sexo masculino e 43,70% do feminino, 74,76% de 60 a 69 anos de idade e a média de idade na data do diagnóstico foi de 56 anos. 82,39% tinham AIDS e 17,60%, HIV. 71,70% contaminados em relações heterossexuais com múltiplos parceiros, a maioria de viúvos, solteiros ou separados, 33,10% com oito anos de estudo e 35,20% com mais de nove anos, 65,40% aposentados, 77,40% com renda fixa. 28,90% tiveram tuberculose, seguida de hepatite B, pneumonia, hepatite C, sífilis e gonorreia. 85,80% nunca abandonaram a terapia antirretroviral e quase a metade iniciou o tratamento há mais de 15 anos. O aumento de T CD4+ e T CD8+ em relação ao ano do diagnóstico foi significativo.
52,50% eram hipertensos e 23,40% depressivos. No índice de massa corpórea, 57% eram eutróficos. Referiram ter boa saúde 65,70% e 45,30% disseram que a saúde deles era igual à saúde de outras pessoas da mesma idade. 71,83% não apresentaram déficit cognitivo, 75,88% não mostraram screening positivo de saúde mental, tipo distimia, e 61,26% não tinham nenhuma dificuldade para executar as 15 atividades de vida diária; 16,90% tinham pouca dificuldade entre uma a três atividades, 9,15% tinham muita dificuldade para executar de quatro a seis atividades e 12,67% não realizavam sete ou mais atividades. Conclusões: a maioria era de viúvos, solteiros ou separados, vivendo em domicílio unipessoal e com boa escolaridade. O comportamento sexual foi o principal fator de risco na contaminação
pelo HIV e a idade mostrou que eles tinham mais de 50 anos no ano do diagnóstico. Quase a metade dos idosos estava em tratamento há mais de 15 anos, e o aumento de linfócitos T CD4+ e T CD8+ foi significativo. Os dados indicativos da funcionalidade desses idosos portadores de HIV/AIDS se mostraram semelhantes à avaliação da cognição, da saúde mental e da independência para atividades de vida
diárias dos idosos representativos da população em geral
Objective: estimate the functional capacity of HIV/AIDS patients aged 60+ years old in Santos/SP. Method: Descriptive, transversal, and quantitative, developed by observational epidemiological investigation. To evaluate the functional capacity were applied the mental health dominions and the daily living activities from the Brazilian OARS Multidimensional Functional Assessment Questionnaire, and the mental state mini examination which estimates cognition. The studied population was represented by 142 elderly patients. Results: 56,30% male and 43,70% female patients, 74,76% of whom between 60 and 69 years old and the median age at the time of diagnosis was 56 years old. 82,39% had developed AIDS and 17,6%, HIV+. 71,70% became infected in heterosexual relationships with multiple partners, and most patients were widowers, unmarried or separated, 33,10% with eight years of schooling and 35,20% with more than nine years, 65,40% were retired, 77,40% had fixed income. 28,90% had developed tuberculosis, followed by pneumonia, hepatitis B, hepatitis C, syphilis and gonorrhea. 86% had never abandoned antirretroviral therapy and nearly half had started the treatment more than 15 years ago. The increase in TCD4+ and TCD8+ in relation to the year of diagnosis was significant. 52.5% had high blood pressure while 23.4% suffered from depression. Based on their body mass index, 57% were eutrophic. 66% reported to be in good health and 45% said that their health was similar to the health of other people at same age. 71.83% did not show any cognitive deficit, 75.88% did not show positive mental health screening, like dysthymia, and 61.26% had no difficulty to perform the 15 activities of daily living; 16.90% had little difficulty between one to three activities, 9.15% had a lot of difficulty to perform four to six activities and 12.67% didn’t perform seven or more activities. Conclusions: most patients were widowers, unmarried or separated, living in a single family residence and had good education. Sexual behavior was the main risk factor in HIV contamination risk and the age showed that they were over 50 years old in the year of diagnosis. Nearly half of the elderly patients had been undergoing treatment for more than 15 years, and the increase of TCD4 and TCD8 lymphocytes was significant. The indicative data of functionality of these elderly patients carrying HIV/AIDS were similar to the cognition estimate, the mental health and the independence for daily living activities of elderly people representative of the population in general
Objective: estimate the functional capacity of HIV/AIDS patients aged 60+ years old in Santos/SP. Method: Descriptive, transversal, and quantitative, developed by observational epidemiological investigation. To evaluate the functional capacity were applied the mental health dominions and the daily living activities from the Brazilian OARS Multidimensional Functional Assessment Questionnaire, and the mental state mini examination which estimates cognition. The studied population was represented by 142 elderly patients. Results: 56,30% male and 43,70% female patients, 74,76% of whom between 60 and 69 years old and the median age at the time of diagnosis was 56 years old. 82,39% had developed AIDS and 17,6%, HIV+. 71,70% became infected in heterosexual relationships with multiple partners, and most patients were widowers, unmarried or separated, 33,10% with eight years of schooling and 35,20% with more than nine years, 65,40% were retired, 77,40% had fixed income. 28,90% had developed tuberculosis, followed by pneumonia, hepatitis B, hepatitis C, syphilis and gonorrhea. 86% had never abandoned antirretroviral therapy and nearly half had started the treatment more than 15 years ago. The increase in TCD4+ and TCD8+ in relation to the year of diagnosis was significant. 52.5% had high blood pressure while 23.4% suffered from depression. Based on their body mass index, 57% were eutrophic. 66% reported to be in good health and 45% said that their health was similar to the health of other people at same age. 71.83% did not show any cognitive deficit, 75.88% did not show positive mental health screening, like dysthymia, and 61.26% had no difficulty to perform the 15 activities of daily living; 16.90% had little difficulty between one to three activities, 9.15% had a lot of difficulty to perform four to six activities and 12.67% didn’t perform seven or more activities. Conclusions: most patients were widowers, unmarried or separated, living in a single family residence and had good education. Sexual behavior was the main risk factor in HIV contamination risk and the age showed that they were over 50 years old in the year of diagnosis. Nearly half of the elderly patients had been undergoing treatment for more than 15 years, and the increase of TCD4 and TCD8 lymphocytes was significant. The indicative data of functionality of these elderly patients carrying HIV/AIDS were similar to the cognition estimate, the mental health and the independence for daily living activities of elderly people representative of the population in general
Descrição
Citação
CRUZ, Gylce Eloisa Cabreira Panitz. Capacidade Funcional de Idosos Portadores de HIV/AIDS: um estudo epidemiológico. 2012. 136 f. Tese (Doutorado) - Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, 2012.