Vulnerabilidade clínico-funcional, alcolismo, depressão e qualidade de vida em pessoas idosas em situação de rua
Data
2024-06-27
Autores
Orlando, Ana Paula Lima 
Orientadores
Okuno, Meiry Fernanda Pinto
Tipo
Dissertação de mestrado
Título da Revista
ISSN da Revista
Título de Volume
Resumo
Objetivo: Associar a vulnerabilidade clínico-funcional, os sintomas depressivos e a qualidade de vida à intensidade de dor de pessoas idosas em situação de rua, bem como associar o alcoolismo com a capacidade funcional delas. Método: Estudo transversal e analítico, realizado com 99 idosos em quatro Centros de Acolhida Especial para Idosos de São Paulo de agosto a dezembro de 2022. Foi utilizado um questionário estruturado com informações sociodemográficas e econômicas, e foram aplicados os instrumentos: Intensidade de Dor, Índice de Vulnerabilidade ClínicoFuncional-20, Escala de Depressão Geriátrica, 36-Item Short Form Health Survey, Michigan Alcoholism Screening Test – Geriatric Version, Índice de Katz e escala de Lawton. Para a análise estatística, foram usados a correção de Spearman e os generalized lienar models. Resultados: Em relação à vulnerabilidade clínicofuncional, 54,6% da amostra encontrava-se em risco de fragilização/frágil e 28,3% com quadro de depressão leve/severa. O domínio com média de pontuação mais baixa na qualidade de vida foi o dos aspectos sociais (27,7). A intensidade da dor foi um fator que influenciou a vulnerabilidade clínico-funcional (X²3 = 28,42; p < 0,001), os sintomas depressivos (X²3 = 11,96; p = 0,008) e a qualidade de vida (X²3 = 63,11; p <0,001). Houve correlação negativa entre o Michigan Alcoholism Screening Test – Geriatric Version e as escalas de Katz (R = -0,36) e Lawton (R = -0,107). A variável ocupação influenciou significativamente o índice de Katz (X²3 = 8,324; p < 0,016). Conclusão: A amostra estudada encontrava-se com risco de fragilização/frágil. A dor influenciou negativamente a vulnerabilidade clínico-funcional, os sintomas de depressão e a qualidade de vida. As pessoas idosas em situação de rua com problemas relacionados ao uso do álcool tinham maior comprometimento nas atividades instrumentais e da vida diária. A variável ocupação foi preditiva para a manutenção das atividades da vida diária.
Objective: To associate clinical-functional vulnerability, depressive symptoms and quality of life with pain intensity of homeless elderly people, as well as to associate alcoholism with their functional capacity. Methods: Cross-sectional and analytical study, carried out with 99 elderly people in four Centros de Acolhida Especial para Idosos in São Paulo from August to December 2022. A structured questionnaire with sociodemographic and economic information was used. Pain Intensity, Clinical Vulnerability Index- Functional-20, Geriatric Depression Scale, 36-Item Short Form Health Survey, Michigan Alcoholism Screening Test – Geriatric Version, Katz Index and Lawton Scale were also used. For statistical analysis, we used Spearman's correction and generalized linear models. Results: In relation to clinical-functional vulnerability, 54.6% of the sample was at risk of becoming frail/frail, and 28.3% were at risk of mild/severe depression. The domain with the lowest average score in quality of life was social aspects (27.7). Pain intensity was a factor that influenced clinicalfunctional vulnerability (X²3 = 28.42; p < 0.001), depressive symptoms (X²3 = 11.96; p = 0.008) and quality of life (X²3 = 63.11; p < 0.001). There was a negative correlation between the Michigan Alcoholism Screening Test – Geriatric Version and the Katz (R = -0.36) and Lawton (R = -0.107) scales. The occupational variable was significantly influenced by the Katz scale (X²3 = 8.324; p < 0.016). Conclusion: The sample studied was at risk of becoming frail/fragile. Pain negatively influenced clinical-functional vulnerability, symptoms of depression and quality of life. Homeless elderly people with problems related to alcohol use had greater impairment in instrumental and daily living activities. The occupational variable was predictive for maintaining activities of daily living.
Objective: To associate clinical-functional vulnerability, depressive symptoms and quality of life with pain intensity of homeless elderly people, as well as to associate alcoholism with their functional capacity. Methods: Cross-sectional and analytical study, carried out with 99 elderly people in four Centros de Acolhida Especial para Idosos in São Paulo from August to December 2022. A structured questionnaire with sociodemographic and economic information was used. Pain Intensity, Clinical Vulnerability Index- Functional-20, Geriatric Depression Scale, 36-Item Short Form Health Survey, Michigan Alcoholism Screening Test – Geriatric Version, Katz Index and Lawton Scale were also used. For statistical analysis, we used Spearman's correction and generalized linear models. Results: In relation to clinical-functional vulnerability, 54.6% of the sample was at risk of becoming frail/frail, and 28.3% were at risk of mild/severe depression. The domain with the lowest average score in quality of life was social aspects (27.7). Pain intensity was a factor that influenced clinicalfunctional vulnerability (X²3 = 28.42; p < 0.001), depressive symptoms (X²3 = 11.96; p = 0.008) and quality of life (X²3 = 63.11; p < 0.001). There was a negative correlation between the Michigan Alcoholism Screening Test – Geriatric Version and the Katz (R = -0.36) and Lawton (R = -0.107) scales. The occupational variable was significantly influenced by the Katz scale (X²3 = 8.324; p < 0.016). Conclusion: The sample studied was at risk of becoming frail/fragile. Pain negatively influenced clinical-functional vulnerability, symptoms of depression and quality of life. Homeless elderly people with problems related to alcohol use had greater impairment in instrumental and daily living activities. The occupational variable was predictive for maintaining activities of daily living.
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Citação
ORLANDO, Ana Paula Lima. Vulnerabilidade clínico-funcional, alcoolismo, depressão e qualidade de vida em pessoas idosas em situação de rua. 2024. 105 f. Dissertação (Mestrado em Enfermagem) – Escola Paulista de Enfermagem, Universidade Federal de São Paulo (UNIFESP), São Paulo, 2024.