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Abstract Background Patients with immune-mediated rheumatic diseases (IMRDs) have been prioritized for COVID-19 vaccination to mitigate the infection severity risks. Patients with rheumatoid arthritis (RA) are at a high risk of severe COVID-19 outcomes, especially those under immunosuppression or with associated comorbidities. However, few studies have assessed the safety of the COVID-19 vaccine in patients with RA. Objective To evaluate the safety of vaccines against SARS-CoV-2 in patients with RA. Methods This data are from the study “Safety and Efficacy on COVID-19 Vaccine in Rheumatic Diseases,” a Brazilian multicentric prospective phase IV study to evaluate COVID-19 vaccine in IMRDs in Brazil. Adverse events (AEs) in patients with RA of all centers were assessed after two doses of ChAdOx1 (Oxford/AstraZeneca) or CoronaVac (Sinovac/Butantan). Stratification of postvaccination AEs was performed using a diary, filled out daily and returned at the end of 28 days for each dose. Results A total of 188 patients with RA were include, 90% female. CoronaVac was used in 109 patients and ChAdOx1 in 79. Only mild AEs were observed, mainly after the first dose. The most common AEs after the first dose were pain at the injection (46,7%), headache (39,4%), arthralgia (39,4%), myalgia (30,5%) and fatigue (26,6%), and ChAdOx1 had a higher frequency of pain at the injection (66% vs 32 %, p < 0.001) arthralgia (62% vs 22%, p < 0.001) and myalgia (45% vs 20%, p < 0.001) compared to CoronaVac. The more common AEs after the second dose were pain at the injection (37%), arthralgia (31%), myalgia (23%), headache (21%) and fatigue (18%). Arthralgia (41,4% vs 25%, p = 0.02) and pain at injection (51,4% vs 27%, p = 0.001) were more common with ChAdOx1. No serious AEs were related. With Regard to RA activity level, no significant difference was observed between the three time periods for both COVID-19 vaccines. Conclusion In the comparison between the two immunizers in patients with RA, local reactions and musculoskeletal symptoms were more frequent with ChAdOx1 than with CoronaVac, especially after the first dose. In summary, the AE occurred mainly after the first dose, and were mild, like previous data from others immunizing agents in patients with rheumatoid arthritis. Vaccination did not worsen the degree of disease activity. immunemediated immune mediated (IMRDs COVID19 COVID 19 COVID-1 risks (RA outcomes comorbidities However SARSCoV2 SARSCoV SARS CoV 2 SARS-CoV- Safety Diseases, Diseases Brazil (AEs ChAdOx Oxford/AstraZeneca OxfordAstraZeneca Oxford AstraZeneca (Oxford/AstraZeneca Sinovac/Butantan. SinovacButantan Sinovac/Butantan . Sinovac Butantan (Sinovac/Butantan) diary 18 include 90 female 10 79 46,7%, 467 46,7% , 46 7 (46,7%) 39,4%, 394 39,4% 39 4 (39,4%) 30,5% 305 30 5 (30,5% 26,6%, 266 26,6% 26 6 (26,6%) 66% 66 (66 3 % 0.001 0001 0 001 62% 62 (62 22 22% 45% 45 (45 20 20% 37%, 37 37% (37%) 31%, 31 31% (31%) 23%, 23 23% (23%) 21% 21 (21% 18%. 18% (18%) 41,4% 414 41 (41,4 25 25% 0.02 002 02 51,4% 514 51 (51,4 27 27% related level summary COVID1 1 COVID- SARS-CoV (Sinovac/Butantan 9 46,7 (46,7% 39,4 (39,4% 30,5 (30,5 26,6 (26,6% (6 0.00 000 00 (4 (37% (31% (23% (21 (18% 41,4 (41, 0.0 51,4 (51, 46, (46,7 39, (39,4 30, (30, 26, (26,6 ( (37 (31 (23 (2 (18 41, (41 0. 51, (51 (46, (39, (30 (26, (3 (1 (5 (46 (39 (26

https://doi.org/10.1186/s42358-024-00397-5

Analysis of the vaccination status of older adults
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Ferreira, Pollyana Cristina dos Santos

; Oliveira, Nayara Gomes Nunes

; Tavares, Darlene Mara dos Santos

; Machado, Daniele Cristina Marques

Revista da Escola de Enfermagem da USP

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2021, Volume 55 elocation e03723

Abstract: Pt En Es | Text: Pt En Es | PDF: Pt | PDF: En | PDF: Es

RESUMO Objetivo: Descrever as caracteristicas sociodemograficas, a capacidade funcional e a situacao vacinal de idosos, e verificar os fatores associados a situacao vacinal incompleta e a ausencia do cartao de vacinas. Método: Estudo transversal e analitico conduzido com idosos residentes na zona urbana de Uberaba (MG). Procedeu-se as analises descritiva, bivariada e regressao logistica multinomial (p<0,05). Resultados: Participaram 576 idosos. Predominaram os idosos do sexo feminino, na faixa etaria de 70├80 anos, com companheiro, baixa escolaridade e renda, que moravam acompanhados, independentes nas atividades basicas da vida diaria e com dependencia parcial nas atividades instrumentais. O maior percentual foi para os idosos que possuiam situacao vacinal incompleta, sobretudo em relacao a ausencia da imunizacao para Hepatite B. Foram associados a situacao vacinal incompleta a renda individual mensal ≤ 1 salario minimo (p=0,002) e o arranjo de moradia unipessoal (p=0,010); e a ausencia do cartao de vacinas, a menor escolaridade (p=0,039). Conclusão: As baixas renda e escolaridade, bem como residir sozinho, sao fatores associados as situacoes vacinais inadequadas dos idosos da comunidade. Ressalta-se a necessidade de que o enfermeiro da atencao primaria desenvolva estrategias para aumentar a cobertura vacinal entre os idosos com essas caracteristicas.

ABSTRACT Objective: To describe the sociodemographic characteristics, functional capacity and vaccination status of older adults, and to verify the factors associated with the incomplete vaccination status and the absence of the vaccination card. Method: Cross-sectional and analytical study conducted with older adults living in the city of Uberaba (MG). The following analyzes were carried out: descriptive, bivariate and multinomial logistic regression (p<0.05). Results: A total of 576 older adults participated. Most of them were women, in the 70-80 age group, with partner, low education and income, living with someone, independent in basic activities of daily living and with partial dependence on instrumental activities. The highest percentage was for older adults who had incomplete vaccination status, especially regarding the absence of immunization for Hepatitis B. Individual monthly income < 1 minimum wage (p=0.002) and single-person housing arrangement (p=0.010) were associated with the incomplete vaccination status, and the absence of the vaccination card, with the lowest level of education (p=0.039). Conclusion: Low income and education, as well as living alone, are factors associated with inadequate vaccination status among older adults in the community. The need for primary care nurses to develop strategies to increase vaccination coverage among older adults with these characteristics is emphasized.

RESUMEN Objetivo: Describir las caracteristicas sociodemograficas, la capacidad funcional y la situacion vacunal de los adultos mayores y comprobar los factores asociados con la situacion vacunal incompleta y la ausencia del carnet de vacunacion. Método: Se trata de un estudio transversal y analitico llevado a cabo con adultos mayores residentes en el area urbana de Uberaba, Minas Gerais, mediante un analisis descriptivo, bivariado y de regresion logistica multinomial (p<0,05). Resultados: Participaron 576 adultos mayores. Predominaban las mujeres de edad avanzada, 70├80 anos, con pareja, bajo nivel de escolaridad e ingresos, que vivian solas, independientes en las actividades basicas de la vida diaria y parcialmente dependientes de las actividades instrumentales. El porcentaje mas alto correspondia a los adultos mayores que tenian un estado de vacunacion incompleto, especialmente en lo que respecta a la ausencia de inmunizacion contra la hepatitis B. Los ingresos mensuales individuales ≤ 1 salario minimo (p=0,002) y la disposicion de una vivienda unifamiliar (p=0,010) estaban asociados con el estado de vacunacion incompleta, y la ausencia del carnet de vacunacion, con un nivel de escolaridad bajo (p=0,039). Conclusión: Los ingresos bajos y la educacion, asi como el hecho de vivir solo, son factores que estan asociados a un estado de vacunacion inadecuado en adultos mayores de la comunidad. Es importante que el enfermero de atencion primaria desarrolle estrategias para aumentar la cobertura de vacunacion entre los adultos mayores con dichas caracteristicas.

https://doi.org/10.1590/s1980-220x2020007403723 263 downloads

APOIO SOCIAL E CONDIÇÕES DE SAÚDE DE IDOSOS BRASILEIROS DA COMUNIDADE
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Mara Dos Santos Tavares, Darlene

; Gomes Nunes Oliveira, Nayara

; Dos Santos Ferreira, Pollyana Cristina

Ciencia y enfermería

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2020, Volume 26 elocation 9

Abstract: Es En Pt | Text: Es En Pt | PDF: Es | PDF: En | PDF: Pt

RESUMEN: Objetivos: describir las características sociodemográficas y de salud de personas mayores de la comunidad; medir el apoyo social a las personas mayores y verificar la asociación entre las condiciones de salud y el mejor nivel de apoyo social. Material y Método: Estudio transversal desarrollado en la zona urbana de la microrregión de salud de Uberaba, Minas Gerais, con 962 personas mayores de la comunidad. La recolección de datos, a través de una entrevista directa, realizada en domicilio de los ancianos, desde mayo de 2017 hasta junio de 2018, se desarrolló utilizando los siguientes instrumentos: Escala de Depressão Geriátrica Abreviada, Versão Brasileira de la Short Physical Performance Battery, Cuestionario Brasilero de Evaluación Funcional y Multidimensional, Componentes de fenotipo de fragilidade propuestos por Fried, Cuestionario de Estudio Salud Bienestar y Envejecimiento y Escala de Apoyo social. Resultados: La mayoría eran mujeres, de 70 a 80 años de edad, 1 a 5 años de estudio, vivía con un compañero, una renta individual mensual de hasta un salario mínimo, un desempeño físico moderado / bueno, pre-frágil, sin problemas para dormir, con cinco o más morbilidades autorreferidas y sin indicativo de síntomas depresivos. El porcentaje de personas mayores hospitalizadas y que reportaron la ocurrencia de caídas, en los últimos 12 meses, fue el 17 y el 28,3%, respectivamente. El promedio de la puntuación de apoyo social fue de 88,14 (± 16,81). Se asociaron al mejor nivel de apoyo social a la no ocurrencia de caídas en los últimos 12 meses (β=0,064; p=0,045) y ausencia del indicativo de síntomas depresivos (β=0,254; p<0,001). Conclusiones: Las personas mayores con menores escores de síntomas depresivos y que no tuvieron caídas presentaron mejor nivel de apoyo social.

ABSTRACT: Objectives: to describe the sociodemographic and health characteristics of the elderly population in the community; to measure the social support of the elderly and to verify the association between health conditions and the best level of social support. Material and Method: Cross-sectional study carried out in the urban area of health micro-region of Uberaba, State of Minas Gerais, with 962 elderly people from the community; data collection, through direct interview, carried out at the elderly’s home, from May 2017 to June 2018, was developed using the following instruments: Abbreviated Geriatric Depression Scale, Brazilian Version of the Short Physical Performance Battery, Brazilian Functional and Multidimensional Assessment Questionnaire, Frailty Phenotype Components proposed by Fried, Health Well-Being Study Questionnaire and Aging and Social Support Scale. Results: Most were female, 70-80 years of age, had 1 to 5 years of schooling, lived with partner, single monthly income of up to one minimum wage, moderate / good physical performance, pre-frail, no problems for sleep, with five or more self-reported morbidities and no indication of depressive symptoms. The percentage of hospitalized elderly who reported falls in the last 12 months was 17% and 28.3%, respectively. The mean social support score was 88.14 (± 16.81). The absence of falls in the last 12 months (β=0.064, p=0.045) and absence of the indicative of depressive symptoms (β=0.254, p<0.001) were associated with the best level of social support. Conclusions: The elderly with lower scores of depressive symptoms and who did not have falls presented a better level of social support.

RESUMO: Objetivos:descrever as características sociodemográficas e de saúde de idosos da comunidade; mensurar o apoio social dos idosos e verificar a associação entre as condições de saúde e o melhor nível de apoio social dos idosos. Material e Método: Estudo transversal desenvolvido na zona urbana da Microrregião de Saúde de Uberaba, Minas Gerais, com 962 idosos da comunidade; a coleta dos dados, por meio de entrevista direta, realizada no domicílio do idoso, de maio 2017 a junho 2018, foi desenvolvida por meio dos seguintes instrumentos: Escala de Depressão Geriátrica Abreviada, Versão Brasileira do Short Physical Performance Battery, Questionário Brasileiro de Avaliação Funcional e Multidimensional, Componentes do fenótipo de fragilidade propostos por Fried, Questionário do Estudo Saúde Bem-estar e Envelhecimento e a Escala de Apoio Social. Resultados: A maioria era do sexo feminino, com 70-80 anos de idade, 1-5 anos de estudo, morava com companheiro, renda individual mensal de até um salário mínimo, desempenho físico moderado/bom, pré-frágil, sem problemas para dormir, com cinco ou mais morbidades autorreferidas e sem indicativo de sintomas depressivos; o percentual de idosos hospitalizados e que relataram a ocorrência de quedas, nos últimos 12 meses foi 17 e 28,3%, respectivamente; a média do escore de apoio social foi de 88,14 (±16,81); associaram-se ao melhor nível de apoio social a não ocorrência de quedas nos últimos 12 meses (β=0,064; p=0,045) e ausência do indicativo de sintomas depressivos (β=0,254; p<0,001). Conclusões: Os idosos com menores escores de sintomas depressivos e que não tiveram quedas apresentaram melhor nível de apoio social.

https://doi.org/10.29393/ce26-2asdm30002 928 downloads

Excesso de peso em idosos rurais: associação com as condições de saúde e qualidade de vida
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Tavares, Darlene Mara dos Santos

; Bolina, Alisson Fernandes

; Dias, Flavia Aparecida

; Ferreira, Pollyana Cristina dos Santos

; Santos, Nilce Maria de Freitas

Ciência & Saúde Coletiva

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mar 2018, Volume 23 N. 3 Pages 913 - 922

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Resumo O objetivo deste estudo é verificar a associação do excesso de peso com a incapacidade funcional, morbidades autorreferidas e qualidade de vida (QV) de idosos residentes em área rural. Trata-se de um inquérito domiciliar e transversal realizado na área rural de um município do Sudoeste do Brasil. Foram avaliados 370 idosos sem excesso de peso e 192 com, por meio dos instrumentos: semiestruturado, escalas Katz e Lawton e, World Health Organization Quality of Life – BREF e World Health Organization Quality of Life Assessment for Older Adults. O excesso de peso associou às morbidades: artrite/artrose, hipertensão arterial sistêmica (p < 0,001), varizes (p = 0,009), problemas cardíacos (p = 0,028), diabetes mellitus (p = 0,001), acidente vascular encefálico (p = 0,044) e incontinência urinária (p = 0,032). Não identificou associação entre a incapacidade funcional e o excesso de peso (p = 0,729). Os idosos com excesso de peso apresentaram menores escores no domínio físico (p = 0,005) e maiores nas relações sociais (p = 0,033) comparados aos sem essa condição. Os resultados remetem à necessidade do acompanhamento do estado nutricional de idosos rurais na prevenção de comorbidades e na melhoria da qualidade de vida.

Abstract This study aimed to verify the association of overweight with functional disability, self-reported morbidities and quality of life (QoL) among rural elderly dwellers. This is a domestic and cross-sectional survey conducted in the rural region of a municipality of Southeast Brazil. Three hundred seventy non-overweight elderly people and 192 overweight elderly people were evaluated with the following tools: semi-structured; Katz and Lawton and scales; World Health Organization Quality of Life – BREF and World Health Organization Quality of Life Assessment for Older Adults. Overweight was associated with morbidities arthritis/osteoarthritis (p = 0.002), systemic arterial hypertension (p < 0.001), varicose veins (p = 0.009), heart problems (p = 0.028), diabetes mellitus (p = 0.001), cerebrovascular accident (p = 0.044) and urinary incontinence (p = 0.032). Overweight elderly had lower scores in the physical realm (p = 0.005) and higher scores in social relationships (p = 0.033) compared to those without this condition. Results point to the importance of monitoring the nutritional status of rural elderly to prevent comorbidities and improve the quality of life.

https://doi.org/10.1590/1413-81232018233.25492015 3829 downloads

Excesso de peso em idosos rurais: associação com as condições de saúde e qualidade de vida
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Tavares, Darlene Mara dos Santos

; Bolina, Alisson Fernandes

; Dias, Flavia Aparecida

; Ferreira, Pollyana Cristina dos Santos

; Santos, Nilce Maria de Freitas

Ciência & Saúde Coletiva

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mar 2018, Volume 23 N. 3 Pages 913 - 922

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

https://doi.org/10.1590/1413-81232018233.25492015 398 downloads

Cross-sectional study on the association between frailty and violence against community-dwelling elderly people in Brazil
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Belisário, Mariane Santos

; Dias, Flavia Aparecida

; Pegorari, Maycon Sousa

; Paiva, Mariana Mapelli de

; Ferreira, Pollyana Cristina dos Santos

; Corradini, Fabrício Anibal

; Tavares, Darlene Mara dos Santos

Sao Paulo Medical Journal

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feb 2018, Volume 136 N. 1 Pages 10 - 19

Abstract: En | Text: En | PDF: En

ABSTRACT BACKGROUND: The physical, emotional and cognitive limitations that may be present in the aging process, coupled with family unpreparedness, may lead to greater dependence among the elderly. This favors development of frailty syndrome and greater levels of violence against the elderly. The objective here was to analyze the association between violence against the elderly and frailty; and the geographic distribution of violence against the elderly according to the presence of frailty syndrome. DESIGN AND SETTING: Cross-sectional study on 705 community-dwelling elderly people in Uberaba (MG), Brazil. METHODS: The Fried frailty phenotype and conflict tactics scale were used. Data were analyzed using descriptive statistics, the chi-square test and a logistic regression model. The intensity of the events and the relationship between clusters of violence and frailty status were assessed by means of kernel estimation. RESULTS: The adjusted analysis indicated that pre-frailty and frailty were associated with physical and verbal aggression (odds ratio, OR = 1.51; 95% confidence interval, CI: 1.04-2.19; OR = 2.12; 95% CI: 1.29-3.47), frailty was associated with physical aggression (OR = 2.48; 95% CI: 1.25-4.94) and pre-frailty and frailty were associated with verbal aggression (OR = 1.48; 95% CI: 1.03-2.15; OR = 2.15; 95% CI: 1.31-3.52), respectively. Regardless of frailty status and its relationship with violence, clusters of occurrences were larger in similar regions in the southeastern part of the municipality; but superimposition of overlays relating to aggression showed that for frail individuals the clusters were smaller than for non-frail and pre-frail individuals. CONCLUSIONS: The condition of frailty was associated with greater chances of violence against the elderly.

https://doi.org/10.1590/1516-3180.2017.0203290817 1385 downloads

Aspectos sociodemográfícos e desempenho cognitivo de idosos residentes na zona rural
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dos Santos Tavares, Darlene Mara

; dos Santos Ferreira, Pollyana Cristina

; Dias, Flavia Aparecida

; de Morais Souza, Letycia

; Ribeiro Luiz Gonçalves, Jurema

; Resende Rodrigues, Leiner

Avances en Enfermería

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dec 2017, Volume 35 N. 3 Pages 275 - 283

Abstract: Es En Pt | Text: Es En Pt | PDF: Es | PDF: En | PDF: Pt

Resumen Objetivo: Comparar las variables sociodemográficas con el porcentaje de errores en los ítems del Mini Examen del Estado Mental (MEEM) entre adultos mayores con y sin deterioro cognitivo. Metodología: Estudio analítico y de corte transversal, el cual se realizó con 955 adultos mayores residentes en la zona rural de un municipio de Minas Gerais, Brasil. Se llevó a cabo un análisis descriptivo y se aplicó la prueba chi-cuadrado (p < 0,05). Resultados: No se encontró asociación entre el sexo y la presencia de deterioro cognitivo, el cual, a su vez, se relacionó con un mayor grupo etario, un menor nivel educativo y la viudez. En cuanto al MEEM, los ítems más afectados fueron Atención y cálculo, Capacidad constructiva visual y Memoria de evocación. Conclusión: El estudio pone de relieve la necesidad de desarrollar acciones de salud enfocadas en prevenir el deterioro cognitivo y en mejorar las funciones relacionadas con la cognición de los afectados.

Abstract Objective: To compare sociodemographic variables to error rate in categories of Mini-Mental State Examination (MMSE) among elderly adults both with and without cognitive impairment. Methodology: This is an analytical, cross-sectional study, conducted with 955 elderly adults living in rural areas of Minas Gerais municipality, Brazil. A descriptive analysis was carried out and the chi-square test was applied (p < 0.05). Results: No association was found between sex and cognitive impairment. For its part, cognitive impairment was associated with a wider age range, a lower educational level, and widowhood. With regard to MMSE, categories most affected were Attention and Calculation, Visual Capacity Building and Memory Recall. Conclusion: The results from our study put emphasis on the need to carry out health activities in order to prevent cognitive impairment, and to improve functions related to patients' cognitive performance.

Resumo Objetivo: Comparar as variáveis sociodemográficas e o percentual de erros nos itens do Mini-Exame do Estado Mental (MEEM) entre idosos com e sem declínio cognitivo. Metodologia: Estudo analítico, transversal, realizado com 955 idosos residentes na zona rural de um município de Minas Gerais, Brasil. Realizou-se uma análise descritiva e aplicou-se o teste qui-quadrado (p < 0,05). Resultados: Não houve associação entre sexo e declínio cognitivo; o declínio cognitivo foi associado a maior faixa etária, menor grau de instrução, e viuvez. Os itens mais impactados no MEEM foram Atenção e cálculo, Capacidade construtiva visual e Memória de evocação. Conclusão: Evidencia-se a necessidade de desenvolvimento de ações de saúde para a prevenção do declínio cognitivo e a melhoria dos aspectos cognitivos em indivíduos já acometidos.

https://doi.org/10.15446/av.enferm.v35n3.61789 752 downloads

Frailty syndrome and socioeconomic and health characteristics among older adults
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dos Santos Tavares, Darlene Mara

; de Freitas Corrêa, Thais Aline

; Dias, Flavia Aparecida

; dos Santos Ferreira, Pollyana Cristina

; Sousa Pegorari, Maycon

Colombia Médica

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sep 2017, Volume 48 N. 3 Pages 126 - 131

Abstract: Es En | Text: Es En | PDF: Es | PDF: En

Resumen Objetivo: Investigar la asociación del síndrome de fragilidad con variables socioeconómicas y de salud de los adultos mayores. Métodos: encuesta domiciliaria transversal, observacional y analítico realizado con una muestra de 1,609 personas mayores urbano. Fueron utilizados: cuestionario semi-estructurado, escalas (Katz, Lawton y depresión geriátrica acortado) y Fragilidad Fried fenotipo. Se realizaron los siguientes análisis: descriptivo, bivariado y modelo de regresión logística multinomial (p <0.05). Resultados: La prevalencia de la condición pre-fragilidad fue del 52.0% y la fragilidad correspondió a 13.6%. Los factores asociados a la prefragilidad y fragilidad fueron, respectivamente: a los intervalos de edad de 70-79 años y ≥80 años; una a cuatro morbilidades y cinco o más categorías de morbilidad; incapacidad funcional para actividades básicas e instrumentales de la vida diaria y indicativo de depresión; en cuanto que la ausencia de compañero y ingreso y el género femenino se asociaron a la prefragilidad. Conclusión: Las condiciones de los niveles previos a la fragilidad y la fragilidad fueron elevados con efectos negativos sobre la salud de los ancianos.

Abstract Objective: To investigate the association of frailty syndrome with socioeconomic and health variables among older adults. Methods: This is a cross-sectional, observational and analytical household research conducted with a sample of 1,609 urban elderly. We used: semi-structured questionnaire, scales (Katz, Lawton and shortened version of Geriatric Depression Scale) and Fragility Phenotype proposed by Fried. Descriptive analysis was performed along with a bivariate and multinomial logistic regression model (p <0.05). Results: The prevalence of pre-frailty condition was 52.0% and the fragility corresponded to 13.6%. Pre-frailty and frailty associated factors were, respectively: age range between 70-79 years and ≥80 years; one to four morbidities and five or more morbidities categories; functional disability for basic and instrumental activities of daily life and depression indicative; whilst lack of a companion or income and female gender were only associated to pre-frailty. Conclusion: The conditions of pre-frailty and frailty levels were elevated with negative effects on the health of the elderly.

https://doi.org/10.25100/cm.v48i3.1978 1122 downloads

Qualidade de vida e autoestima de idosos na comunidade
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Tavares, Darlene Mara dos Santos

; Matias, Thaís Gabriela Cruz

; Ferreira, Pollyana Cristina dos Santos

; Pegorari, Maycon Sousa

; Nascimento, Janaina Santos

; Paiva, Mariana Mapelli de

Ciência & Saúde Coletiva

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nov 2016, Volume 21 N. 11 Pages 3557 - 3564

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Resumo Objetivou-se verificar a associação entre os escores de qualidade de vida e autoestima em idosos na comunidade. Inquérito domiciliar, transversal, observacional e analítico, conduzido com 1.691 idosos residentes em área urbana de um município no interior de Minas Gerais. Foram utilizados os instrumentos World Health Organization Quality of Life Bref (Whoqol-Bref), World Health Organization Quality of Life Old (Whoqol-Old) e a Escala de Autoestima de Rosenberg. Procedeu-se à análise estatística descritiva e modelo de regressão linear (p < 0,05). Constatou-se que o domínio relações sociais (71,19) e a faceta morte e morrer (74,30) apresentaram os maiores escores médios entre os idosos; enquanto os menores foram observados no domínio meio ambiente (60,39) e na faceta participação social (63,06). Os escores de autoestima apresentaram média de 9,36 ± 4,09. Os menores escores de qualidade de vida em todos os domínios do Whoqol-Bref e das facetas do Whoqol-Old (exceto morte e morrer) associaram-se com os piores níveis de autoestima (p < 0,001). Os resultados encontrados fornecem informações para a elaboração de ações em saúde a partir da compreensão dos aspectos que influenciam na QV de idosos devido à redução da autoestima.

Abstract This study sought to investigate the association between the scores for quality of life (QoL) and self-esteem among the elderly in an urban community. A cross-sectional, quantitative and analytical household survey was conducted with 1,691 elderly persons resident in an urban area in a county in Minas Gerais state. The World Health Organization Quality of Life BREF (WHOQOL-BREF), the World Health Organization Quality of Life OLD (WHOQOL-OLD) questionnaires and the Rosenberg Self-Esteem Scale were used in this study. A descriptive statistical analysis and a linear regression model (p < 0.05) were conducted. The results revealed that the social relationships domain (71.19) and the topic of death and dying (74.30) had the highest mean scores among the elderly; while the lowest mean scores were the environment domain (60.39) and the topic of social participation (63.06). The self-esteem scores showed an average of 9.36 ± 4.09. Associations were evident for the lower scores of quality of life in all the WHOQOL-BREF domains and WHOQOL-OLD aspects (except death and dying) with lower levels of self-esteem (p <0.001). The results provide data that contribute to a better understanding of the aspects that influence the QoL of the elderly due to reduced self-esteem, thus providing information for the development of health strategies.

https://doi.org/10.1590/1413-812320152111.03032016 988 downloads

10.

Qualidade de vida e autoestima de idosos na comunidade
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Tavares, Darlene Mara dos Santos

; Matias, Thaís Gabriela Cruz

; Ferreira, Pollyana Cristina dos Santos

; Pegorari, Maycon Sousa

; Nascimento, Janaina Santos

; Paiva, Mariana Mapelli de

Ciência & Saúde Coletiva

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nov 2016, Volume 21 N. 11 Pages 3557 - 3564

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

https://doi.org/10.1590/1413-812320152111.03032016 17255 downloads

11.

Cardiovascular risk factors associated with frailty syndrome among hospitalized elderly people: a cross-sectional study
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Tavares, Darlene Mara dos Santos

; Colamego, Camila Gigante

; Pegorari, Maycon Sousa

; Ferreira, Pollyana Cristina dos Santos

; Dias, Flávia Aparecida

; Bolina, Alisson Fernandes

Sao Paulo Medical Journal

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oct 2016, Volume 134 N. 5 Pages 393 - 399

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

RESUMO CONTEXTO E OBJETIVO: A identificação da síndrome de fragilidade em idosos hospitalizados em interface com fatores de risco cardiovascular é relevante, pois pode contribuir para a ampliação do conhecimento sobre essa relação no nível de serviço terciário. Este estudo objetivou avaliar os fatores de risco cardiovascular associados à síndrome de fragilidade em idosos hospitalizados. TIPO DE ESTUDO E LOCAL: Estudo observacional transversal em hospital público de ensino. MÉTODOS: Participaram idosos internados nas clínicas médica e cirúrgica. Os fatores de risco cardiovascular avaliados foram: índice de massa corporal (IMC), circunferência abdominal, hipertensão arterial sistêmica (HAS), glicemia, colesterol total, lipoproteínas de alta densidade (HDL), lipoproteínas de baixa densidade (LDL) e triglicérides. Para identificar a síndrome de fragilidade, utilizou-se o método proposto por Fried. Os dados foram analisados por estatística descritiva, teste qui-quadrado (P < 0,10) e regressão logística multinomial (P < 0,05). RESULTADOS: Foram incluídos 205 indivíduos. Constatou-se que 26,3% (n = 54) dos idosos eram frágeis, 51,7% (n = 106) pré-frágeis e 22% (n = 45) não frágeis. A análise bivariada preliminar (P < 0,10) para o modelo de regressão indicou associações da fragilidade com as variáveis IMC (P = 0,016), colesterol LDL (P = 0,028) e triglicérides (P = 0,093). Entretanto, no modelo multivariado final, apenas a variável excesso de peso permaneceu associada à condição de pré-fragilidade (odds ratio, OR = 0,44; intervalo de confiança, IC 95% = 0,20-0,98; P = 0,045). CONCLUSÃO: Os estados de fragilidade apresentaram-se elevados em ambiente hospitalar. A condição de pré-fragilidade foi inversamente associada ao excesso de peso.

ABSTRACT CONTEXT AND OBJECTIVE: Identification of frailty syndrome and its relationship with cardiovascular risk factors among hospitalized elderly people is important, since this may contribute towards broadening of knowledge regarding this association within tertiary-level services. This study aimed to evaluate the cardiovascular risk factors associated with frailty syndrome among hospitalized elderly people. DESIGN AND SETTING: Observational cross-sectional study in a public teaching hospital. METHODS: The participants were elderly patients admitted to clinical and surgical wards. The cardiovascular risk factors assessed were: body mass index (BMI), waist circumference, systemic arterial hypertension (SAH), blood glucose, total cholesterol, high-density lipoproteins (HDL), low-density lipoproteins (LDL) and triglycerides. To identify frailty syndrome, the method proposed by Fried was used. The data were analyzed through descriptive statistics, chi-square test (P < 0.10) and multinomial logistic regression (P < 0.05). RESULTS: A total of 205 individuals were evaluated. It was found that 26.3% (n = 54) of the elderly people were frail, 51.7% (n = 106) were pre-frail and 22% (n = 45) were non-frail. The preliminary bivariate analysis (P < 0.10) for the regression model showed that frailty was associated with BMI (P = 0.016), LDL cholesterol (P = 0.028) and triglycerides (P = 0.093). However, in the final multivariate model, only overweight remained associated with the pre-frail condition (odds ratio, OR = 0.44; 95% confidence interval, CI = 0.20-0.98; P = 0.045). CONCLUSION: States of frailty were highly present in the hospital environment. The pre-frail condition was inversely associated with overweight.

https://doi.org/10.1590/1516-3180.2016.0028010616 2621 downloads

12.

Enfermedades autoreportadas en el adulto mayor: diferencias entre las áreas urbana y rural
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dos Santos Tavares, Darlene Mara

; Fernandes Bolina, Alisson

; Aparecida Dias, Flavia

; dos Santos Ferreira, Pollyana Cristina

Revista Cubana de Enfermería

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jun 2016, Volume 32 N. 2 Pages 226 - 236

Abstract: Es | Text: Es | PDF: Es

13.

Homens idosos residentes na zona rural: aspectos relacionados à qualidade de vida
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Tavares, Darlene Mara dos Santos

; Arduini, Ariana Barbosa

; Dias, Flavia Aparecida

; Ferreira, Pollyana Cristina dos Santos

; Oliveira, Elimar Adriana de

Revista Enfermagem UERJ

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jun 2016, Volume 24 N. 3 elocation e3785

Abstract: En Es Pt | Text: En Es Pt | PDF: En | PDF: Es | PDF: Pt

ABSTRACT Objective: to ascertain the socioeconomic and health-related factors associated with quality of life (QOL) of elderly men in rural areas. Method: quantitative, descriptive study based on an analytical home survey of 449 elderly rural men. Data were collected between June 2010 and March 2011 in Uberaba, Minas Gerais, using the following questionnaires: structured, Katz Index, Lawton and Brody Scale, World Health Organization Quality of Life (BREF) and World Health Organization Quality of Life Assessment for Older Adults. Descriptive analysis and multiple linear regression were performed (p<0.05). Results: the lowest QOL domains and facet scores show different socioeconomic and health predictors, viz.: functional disabilities; use of support equipment; dissatisfaction with leisure; income of less than one minimum wage; and lack of a companion. Conclusion: priority should be given to measures to minimize impact on QOL related to socioeconomic factors and disabilities.

RESUMEN Objetivo: evaluar la calidad relacionada con la salud socio-económico y de vida (QOL) de los hombres mayores. Método: estudio analítico de 449 ancianos del campo. Los datos fueron recolectados en el período junio 2010 hasta marzo 2011 en Uberaba-MG. Resultados: se utilizaron cuestionarios: estructura, índice de Katz, Lawton y Brody escala, Calidad Mundial de la Salud Organización de la Vida - BREF y la Organización Mundial de la Salud de Calidad de la Evaluación de la Vida de los Adultos Mayores. Se realizó un análisis descriptivo y de regresión lineal múltiple (p<0,05). Resultados: las puntuaciones más bajas de dominios y facetas QV tienen diferentes predictores socioeconómicos y de salud, a saber: la incapacidad funcional; el uso de equipos de apoyo; la insatisfacción con el ocio; menos de un salario mínimo, y; ningún compañero. Conclusión: deben ser priorizadas acciones que minimicen el impacto en la QOL relacionada con factores socioeconómicos y la discapacidad.

RESUMO Objetivo: verificar os fatores socioeconômicos e de saúde associados à qualidade de vida (QV) de homens idosos rurais. Método: estudo descritivo, quantitativo com inquérito domiciliar e analítico realizado com 449 homens idosos da zona rural. Os dados foram coletados no período de junho de 2010 a março de 2011, em Uberaba-MG. Utilizaram-se os questionários: estruturado, Índex de Katz, Escala de Lawton e Brody, World Health Organization Quality of Life – BREF e World Health Organization Quality of Life Assessment for Older Adults. Realizou-se análise descritiva e regressão linear múltipla (p<0,05). Resultados: os menores escores nos domínios e facetas de QV apresentam diferentes preditores socioeconômicos e de saúde, a saber: as incapacidades funcionais; o uso de equipamentos de apoio; a insatisfação com o lazer; a renda inferior a um salário mínimo, e; a ausência de companheira. Conclusão: devem ser priorizadas ações que minimizem o impacto à QV relacionada aos fatores socioeconômicos e incapacidades.

https://doi.org/10.12957/reuerj.2016.3785 5 downloads

14.

Qualidade de vida e adesão ao tratamento farmacológico entre idosos hipertensos
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Tavares, Darlene Mara dos Santos

; Guimarães, Michelle de Oliveira

; Ferreira, Pollyana Cristina dos Santos

; Dias, Flavia Aparecida

; Martins, Nayara Paula Fernandes

; Rodrigues, Leiner Resende

Revista Brasileira de Enfermagem

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feb 2016, Volume 69 N. 1 Pages 134 - 141

Abstract: En Es Pt | Text: En Es Pt | PDF: En | PDF: Es | PDF: Pt

ABSTRACT Objective: to compare variables obtained in adherence and non-adherence to drug treatment for hypertension, according to socioeconomic situation, time of diagnosis, self-reported morbidities, indicative of depression and quality of life. Method: cross-sectional analytical study of 524 elderly with adherence and 505 non-adherence to the treatment. A descriptive analysis, Chi-square test and Student t test (p < 0.05) were held. Results: there was higher proportion of older subjects, indicative of morbidity and depression among those with adherence. Non-adherence subjects had lower scores in all domains and quality of life facets. Conclusion: actions favoring the adherence to pharmacological treatment should be recommended, to minimize the impact of comorbidities and improve quality of life.

RESUMEN Objetivo: comparar las variables obtenidas en el estado de cumplimiento y la no adhesión a al tratamiento farmacológico de la hipertensión, de acuerdo con las condiciones socioeconómicas, momento del diagnóstico, morbilidades auto-reporte, indicativo de la depresión y la calidad de vida. Método: estudio transversal con 524 miembros y 505 ancianos no. Una prueba de la t análisis descriptivo, prueba de Chi-cuadrado y Student (p <0,05). Resultados: se observó entre los abonados mayor proporción de sujetos de edad avanzada, indicativos de la morbilidad y la depresión. No conforme con puntajes más bajos en todas las áreas y facetas de la calidad de vida. Conclusíon: se debe promover acciones que favorezcan el más alto es el tratamiento farmacológico para reducir al mínimo el impacto de las comorbilidades y mejorar la calidad de vida.

RESUMO Objetivo: comparar as variáveis obtidas em situação de adesão e não adesão ao tratamento farmacológico para hipertensão arterial sistêmica, segundo condições socioeconômicas, tempo de diagnóstico, morbidades autorreferidas, indicativo de depressão e qualidade de vida. Método: estudo transversal realizado com 524 idosos aderentes e 505 não. Realizou-se análise descritiva, testes Qui-quadrado e t-Student (p<0,05). Resultados: observou-se entre os aderentes maior proporção de idosos mais velhos, morbidades e indicativo de depressão. Aqueles não aderentes obtiveram escores inferiores em todos os domínios e facetas de qualidade de vida. Conclusão: devem-se preconizar ações que favoreçam a maior adesão ao tratamento farmacológico, visando minimizar o impacto das comorbidades e melhorar a qualidade de vida.

https://doi.org/10.1590/0034-7167.2016690118i 3 downloads

15.

Qualidade de vida e adesão ao tratamento farmacológico entre idosos hipertensos
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Tavares, Darlene Mara dos Santos

; Guimarães, Michelle de Oliveira

; Ferreira, Pollyana Cristina dos Santos

; Dias, Flavia Aparecida

; Martins, Nayara Paula Fernandes

; Rodrigues, Leiner Resende

Revista Brasileira de Enfermagem

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feb 2016, Volume 69 N. 1 Pages 134 - 141

Abstract: Pt En Es | Text: Pt En Es | PDF: Pt | PDF: En | PDF: Es

https://doi.org/10.1590/0034-7167.2016690118i 13553 downloads

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