Atendimento ao idoso na atenção básica e as competências do enfermeiro
Arquivos
Data
2014-09-24
Autores
Santos, Gerson de Souza 
Orientadores
Cunha, Isabel Cristina Kowal Olm
Tipo
Tese de doutorado
Título da Revista
ISSN da Revista
Título de Volume
Resumo
O acelerado crescimento da população idosa já pode ser considerado um desafio para o Sistema Único de Saúde. Atualmente acredita-se que as competências impliquem na potencialização do desempenho profissional, aumentando o uso de capacidades individuais e coletivas, a fim de agregar valor econômico às organizações e social para os indivíduos, atendendo as transformações da sociedade. Objetivos Caracterizar os aspectos de qualidade de vida e capacidade funcional dos idosos atendidos em uma Unidade Básica de Saúde. Discutir a atuação do enfermeiro para o atendimento ao idoso em Unidade Básica de Saúde. Propor um Perfil Básico de Competências (PBC) aos enfermeiros para atuarem junto á este grupo na Atenção Básica. Avaliar este Perfil Básico de Competências com experts. Método: Trata-se de um estudo descritivo, exploratório, metodologia de natureza quantitativa. A amostra aleatória foi constituída de 340 pessoas idosas. Os dados foram coletados mediante a aplicação de questionário sociodemográfico, Escala de Avaliação Funcional de Katz, Escala de Lawton e questionário Whoqol-Old. Os dados foram coletados no período de dezembro de 2012 a março de 2013. Foram analisados por meio de estatística descritiva, teste t student e teste qui-quadrado considerando nível de significância de 5%. Resultados: Dos idosos que participaram do estudo, 211 eram do sexo feminino e 129 do sexo masculino. A média de idade foi de 69,3 para homens e 68,7 para mulheres, na faixa etária de 60 a 69 anos, afrodescendentes, sem cônjuge, com baixa escolaridade, aposentadas, com renda de 1 a 3 salários mínimos, arranjos familiares multigeraicionais, com doenças crônicas, alto consumo de medicamentos e inatividade física. Os idosos que participaram deste estudo apresentam alto grau de dependência para as atividades instrumentais da vida diária. Após a construção das competências básicas as mesmas foram avaliadas por especialistas. Bloco das competências gerenciais: nível de concordância total de 80%, concordância parcial 16% e discordância 4%. Competências pessoais: nível de concordância total de 88%, concordância parcial 8% e discordância parcial de 4%. Competências técnicas: nível de concordância total 80%, concordância parcial 12% e discordância 8%. Conclusão: Este estudo evidenciou que os idosos eram, na sua maioria mulheres, na faixa etária de 60 a 69 anos, afrodescendentes, sem cônjuge, com baixa escolaridade, aposentadas, com renda de 1 a 3 salários mínimos, arranjos familiares multigeraicionais, prevalência de doenças crônicas, alto consumo de medicamentos e inatividade física. Os idosos que participaram deste estudo apresentam alto grau de dependência para as atividades instrumentais da vida diária. A maior parte das atividades, os idosos entrevistados conseguem realizar com auxílio. Destacam-se tomar remédios em doses e horários corretos, cuidar das finanças e realizar trabalhos manuais como as mais citadas dentre as atividades que conseguem realizar. A avaliação da qualidade de vida evidenciou que as facetas intimidade e atividades presentes, passadas e futuras apresentaram baixos escores.
The rapid growth of the elderly population can now be considered a challenge to the National Health System is now believed that skills involving the potentiation of professional performance, increasing the use of individual and collective capacities in order to add economic value social organizations and to individuals, given the changes in society. Objectives: To characterize the aspects of quality of life and functional capacity of the elderly in a Basic Health Discuss the work of nurses to care for the elderly in Basic Health Suggest a Basic Skills Profile (PBC) for nurses to work among this group in Primary Care. Rate this Profile Basic Skills with experts. Method: This was a descriptive, exploratory, quantitative study methodology. The random sample consisted of 340 elderly. Data were collected by applying socio-demographic questionnaire, Functional Rating Scale Katz, Lawton Scale and Whoqol-Old questionnaire. Data were collected from December 2012 to March 2013. Were analyzed using descriptive statistics, Student t test and chi-square test considering a significance level of 5%. Results: Of the elderly, who participated in the study, 211 were female and 129 were male. The average age was 69.3 for men and 68.7 for women, aged 60 to 69 years, African descendants, no spouse, with low education, retired, earning 1-3 minimum wages, multigeraicionais family arrangements with chronic diseases, high consumption of drugs and physical inactivity. The seniors who participated in this study have a high degree of dependence for instrumental activities of daily living. After construction of the basic skills they have been evaluated by experts. Block of managerial skills: level of total agreement of 80%, 16% partial agreement and disagreement 4%. Personal Competencies: level of total agreement of 88%, 8% partial agreement and partial disagreement of 4%. Technical skills: level of total agreement 80%, 12% partial agreement and disagreement 8%. Conclusion: This study showed that the elderly were mostly women, aged 60-69 years old, African descendants, no spouse, with low education, retired, earning 1-3 minimum wages, living arrangements multigeraicionais, prevalence of chronic diseases, high consumption of drugs and physical inactivity. The seniors who participated in this study have a high degree of dependence for instrumental activities of daily living. Most activities, respondents elderly can perform with assistance. Noteworthy are taking medications in correct doses and schedules, taking care of finances and perform manual labor as the most cited among the activities they can perform. The evaluation of quality of life showed that the intimacy and activities present, past and future facets scored low.
The rapid growth of the elderly population can now be considered a challenge to the National Health System is now believed that skills involving the potentiation of professional performance, increasing the use of individual and collective capacities in order to add economic value social organizations and to individuals, given the changes in society. Objectives: To characterize the aspects of quality of life and functional capacity of the elderly in a Basic Health Discuss the work of nurses to care for the elderly in Basic Health Suggest a Basic Skills Profile (PBC) for nurses to work among this group in Primary Care. Rate this Profile Basic Skills with experts. Method: This was a descriptive, exploratory, quantitative study methodology. The random sample consisted of 340 elderly. Data were collected by applying socio-demographic questionnaire, Functional Rating Scale Katz, Lawton Scale and Whoqol-Old questionnaire. Data were collected from December 2012 to March 2013. Were analyzed using descriptive statistics, Student t test and chi-square test considering a significance level of 5%. Results: Of the elderly, who participated in the study, 211 were female and 129 were male. The average age was 69.3 for men and 68.7 for women, aged 60 to 69 years, African descendants, no spouse, with low education, retired, earning 1-3 minimum wages, multigeraicionais family arrangements with chronic diseases, high consumption of drugs and physical inactivity. The seniors who participated in this study have a high degree of dependence for instrumental activities of daily living. After construction of the basic skills they have been evaluated by experts. Block of managerial skills: level of total agreement of 80%, 16% partial agreement and disagreement 4%. Personal Competencies: level of total agreement of 88%, 8% partial agreement and partial disagreement of 4%. Technical skills: level of total agreement 80%, 12% partial agreement and disagreement 8%. Conclusion: This study showed that the elderly were mostly women, aged 60-69 years old, African descendants, no spouse, with low education, retired, earning 1-3 minimum wages, living arrangements multigeraicionais, prevalence of chronic diseases, high consumption of drugs and physical inactivity. The seniors who participated in this study have a high degree of dependence for instrumental activities of daily living. Most activities, respondents elderly can perform with assistance. Noteworthy are taking medications in correct doses and schedules, taking care of finances and perform manual labor as the most cited among the activities they can perform. The evaluation of quality of life showed that the intimacy and activities present, past and future facets scored low.
Descrição
Citação
SANTOS, Gerson de Souza. Atendimento ao idoso na atenção básica e as competências do enfermeiro. 2014. São Paulo, [167] p. Tese (Doutorado em Enfermagem) - Escola Paulista de Enfermagem (EPE), Universidade Federal de São Paulo (UNIFESP), São Paulo, 2014.