Objetivo: verificar a prevalência de depressão e as variáveis sociodemográficas e clínicas associadas a esse transtorno nos idosos atendidos na Atenção Primária à Saúde (APS) em região metropolitana do Distrito Federal.Métodos: estudo transversal realizado entre janeiro e agosto de 2018, com idosos atendidos na Unidade Básica de Saúde da Granja do Torto, em Brasília, DF. Foi aplicado instrumento versando sobre variáveis sociodemográficas, comportamentais e clínicas. Para a avaliação dos sintomas depressivos, foi utilizada a Escala de Depressão Geriátrica, versão reduzida (EDG-15). Na análise dos dados, foi realizada a estatística descritiva e a aplicação do teste qui-quadrado para associação das variáveis categóricas, com nível de significância de 5% (p≤ 0,05).Resultados: a amostra constituiu-se de 70 idosos. Foi encontrada prevalência de 41,4% de sintomas depressivos nos idosos estudados, 35,7% com indicativo de depressão leve e 5,7% de depressão grave. No grupo com sintomas depressivos, houve predomínio do sexo feminino, idade entre 70 a 79 anos, casados, católicos, analfabetos, aposentados, de baixa renda e com duas ou mais pessoas com grau de parentesco vivendo na mesma residência. Foi identificado, no grupo com depressão, associação significativa com escolaridade (p=0,05), nível de instrução (p=0,04), renda mensal (p=0,006), condições clínicas como osteoporose (p=0,02) e artrite/artrose (p=0,03), quedas (p=0,03) e uso de antidepressivos (p=0,02), sendo, nessa classe, escitalopram o mais utilizado (p=0,004).Conclusão: foi evidenciada alta prevalência de depressão entre os idosos da APS da região metropolitana do Distrito Federal do sexo feminino com idades entre 70 e 79 anos. Variáveis como escolaridade, nível de instrução, renda mensal, osteoporose, artrite/artrose, quedas e uso de antidepressivos apresentaram diferenças estatisticamente significativas naqueles com depressão. Assim, é fundamental o rastreio precoce dos sintomas depressivos, mais precisão no diagnóstico e no tratamento desse transtorno, com intervenções não farmacológicas e farmacológicas, executadas por equipe multidisciplinar especializada, capacitada para assistir aos idosos da rede de APS, evitando os efeitos deletérios na qualidade de vida dos indivíduos desse grupo.
The study aimed to verify the efficacy of expressive therapies (ET) in sleep disorders in hyperfrequent elderly (HE) of Primary Health Care (PHC). Quasi-experimental study, with 69 elderly people assisted at PHC in a metropolitan region of the Midwest, divided into two groups: intervention (elderly with high attendance) and control (low-frequency elderly). Sleep questionnaires were used: Pittsburgh Sleep Quality Index (PSQI), Epworth Sleepiness Scale (ESS), Insomnia Severity Index (ISI) and STOP-bang (SB), in addition to the investigation of sociodemographic variables, anthropometric and health service-related. For data analysis, chi-square tests, multivariate analysis of variance and Wilks' Lambda test were used, considering p ≤ 0.05. The intervention group (IG) showed a decrease in PSQI scores (p = 0.003), ESE (p = 0.006), IGI (p <0.001), SB (p = 0.002) with significant differences between groups. ET were effective in the female and male IG, attenuating sleep disorders. Thus, by reducing sleep disorders in the group of HE people with the use of non-pharmacological intervention in PHC, it is possible to improve sleep quality and, consequently, reduce the use of health services, reducing financial costs for the health system public.
O objetivo do presente estudo foi avaliar a prevalência de transtornos do sono em idosos usuários de álcool e drogas ilícitas, atendidos em centro de tratamento especializado. Foi estudada uma amostra composta por 50 idosos e verificou-se que 96% dos idosos apresentavam sono de má qualidade e que 54% tinham insônia moderada ou grave. Acredita-se que o diagnóstico adequado de transtornos do sono em idosos usuários de álcool e drogas possa contribuir, de modo bastante efetivo, para o envelhecimento bem-sucedido desta população.
The Brazilian population ages in an accelerated and progressive way. Evaluative studies that seek to trace the sociodemographic and clinical profile of the elderly in Home Physiotherapy programs of a given region is of great relevance as an indicator for the implementation of public and private services, avoiding unnecessary expenses, adequate resources and providing essential information for the direction of actions in home care. The objective of this research was to characterize the sociodemographic and clinical profile of the elderly people in home physiotherapy programs. This is an analytical study and cross-sectional design with elderly people from the public and private sectors using the Elderly Person's Health Handbook. The studied population was of 241 elderly with predominantly females in the two groups (average of 70.4%). The age ranged from 60 to 106 years, with a mean of 81.7 in the public sector and 82.5 in the private sector. Significant differences were found between the public and private service sector in the variables marital status (p<0.001), schooling (p<0.001), monthly income (p<0.001) and in the following diseases listed in ICD-10: Symptoms, signs and abnormal findings (p<0.001), Eye disease and (p<0.001), Nervous system disorders (p<0.001), Mental and behavioral disorders (p=0.032) and neoplasms (p=0.004). Evaluative studies in Home Physiotherapy Programs are fundamental, as it is possible to know the specificities of the elderly minimizing hospitalizations, reducing morbidity and mortality, minimizing functional disabilities providing continuous care in a dignified and humanized way guaranteeing increased longevity with quality of life.
Background: Sleep disorders have multifactorial causes affecting 25 to 30%of the adult population, which can consist of primary or secondary conditions, representing a serious risk to public health. They are risk factors for the elderly population, estimating that 50% of this age group have symptoms related to sleep. Objectives: to verify the efficacy of expressive therapies (ET) in sleep disorders in hyperfrequent elderly (HE) of Primary Health Care (PHC). Methods: Quasi-experimental study, with 69 elderly people assisted at PHC in a metropolitan region of the Midwest, divided into two groups: intervention (hyperfrequent elderly) and control (non-hyperfrequent). The sleep questionnaires were used: Pittsburgh sleep quality index (PSQI), Epworth sleepiness scale (ESE), Insomnia severity index (ISI) and STOP-Bang (SB), in addition to the investigation of sociodemographic and anthropometric variables. and related to health services. For data analysis, chi-square tests, multivariate analysis of variance and Wilks’ Lambda test were used, considering p ≤ 0.05. Results: The intervention group (IG) showed a decrease in the scores of PSQI (p = 0.003), ESE (p = 0.006), ISI (p <0.001), SB (p = 0.002) with significant differences between groups. Conclusions: Expressive therapies were effective in hyperfrequent elderly, mitigating sleep disorders. Thus, by reducing sleep disorders in the group of hyperfrequent elderly people using non-pharmacological intervention in PHC, it is possible to improve sleep quality and, consequently, decrease the use of health services, reducing financial costs for the public health system.
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