Objective: To know the vulnerability of the elderly to the HIV infection in the context of preventive practices. Method: Exploratory qualitative study, lead from December 2012 to May 2013, with 37 nursing Coexistence Groups in João Pessoa - Paraiba. The Focus Group was elected as the research technique, and the empirical material obtained was subjected to a Content Analysis Technique, thematic modality. Results: The elderly recognize the importance of preventive practices, but they face difficulties in its use when their emotional relationships with their partners do not favor preventive behavior, resulting in vulnerability. The elderly showed the population groups most vulnerable to HIV and do not recognize themselves as such. Conclusion: The complexity of the various contexts experienced by the elderlies of this study indicate the need for more research that allows advances in the understanding of subjectivity imposed in relations that underlie the aging process and the experience of sexuality in this age group.
Objective: To identify common mental disorders and resilience in homeless persons. Method: Cross-sectional study with 49 homeless persons, assisted in the Casa da Acolhida Adulta and the Specialized Reference Center in a municipality in the Northeast of Brazil. Data collection performed between February and March 2018, using SRQ20 scales for common mental disorders and another for Resilience. Kruskal Wallis test, Student's T-test and Chi-Square test were used. Results: In the study, 61.2% (30) participants have poor sleep; 69.4% (34) feel nervous, tense or worried; 71.4% (35) feel unhappy; 63.3% are unable to play a useful role in their lives; 71.4% (35) have common mental disorders, and 44.9% (22) presented low resilience. Resilience influences common mental disorders, which, in turn, are influenced by gender and age. Conclusion: Professionals who assist homeless persons need to have a look directed at common mental disorders and resilience. RESUMO Objetivo: Rastrear transtornos mentais comuns e a resiliência de pessoas em situação de rua. Método: Estudo transversal com 49 pessoas em situação de rua, assistidas na Casa de Acolhida e Centro de Referência Especializado em município do Nordeste do Brasil. Coleta realizada entre fevereiro e março de 2018, utilizando escalas SRQ20 para transtornos mentais comuns e outra de Resiliência. Utilizaram-se os testes de Kruskal Wallis, t e Qui Quadrado. Resultados: 61,2% (30) dormem mal, 69,4% (34) sentem-se nervosos, tensos ou preocupados, 71,4% (35) tristes, 63,3% são incapazes de desempenhar um papel útil na sua vida, em 71,4% (35) rastreou-se transtornos mentais comuns e em 44,9% (22) baixa resiliência. A resiliência influencia os transtornos mentais comuns, os quais são influenciados pelo gênero e a idade. Conclusão: Os profissionais que assistem pessoas em situação de rua necessitam ter um olhar direcionado aos transtornos mentais comuns e resiliência. Descritores: Transtornos Mentais; Resiliência Psicológica; Pessoas em Situação de Rua; Saúde Mental; Enfermagem. RESUMENObjetivo: Identificar los trastornos mentales comunes y la resiliencia en personas en situación de calle. Método: Estudio transversal realizado con 49 personas en situación de calle, que recibían asistencia en la Casa de Acogida y Centro de Referencia Especializado, en un municipio del Nordeste de Brasil. La recolección de datos ocurrió entre febrero y marzo de 2018, siendo utilizado el SRQ-20 para los trastornos mentales comunes, y otro cuestionario para la resiliencia. Se utilizaron las pruebas de Kruskal-Wallis, t y de Qui-cuadrado. Resultados: El 61,2% (30) de los participantes duermen mal, el 69,4% (34) se sienten nerviosos, tensos o preocupados, el 71,4% (35) tristes, el 63,3% son incapaces de desempeñar un papel útil en la vida, el 71,4% (35) presentan trastornos mentales comunes y el 44,9% (22) tienen baja resiliencia. La resiliencia influye en los trastornos mentales comunes, que son influenciados por el género y la edad. Conclusión: Los profesionales que asisten a personas en situación de call...
Objective: To analyze the occurrence of falls in institutionalized elderly addressing the risks, consequences and antecedents. Method: Cross-sectional study carried out with 45 older adults in Long-Term Care Facilities for the Older adult in João Pessoa, Brazil, in June and July 2016. A socio-demographic questionnaire and the Berg Balance Scale were applied, classifying as risk of fall scores lower than 45. Descriptive statistics and tests were conducted: independent t-test, Anova (Tukey), Chi-square, Mann Whitney. Statistically signifi cance was p <0.05. Data were processed in SPSS version 19.0. Results: A total of 66.7% (30) falls occurred, 20% (9) of them in the external area, with 66.7% (30) of the participants having hypertension as a previous disease and, as consequence, the fracture was highlighted with 11.2% (5). The Berg Scale had different scores when compared to the falls suffered by the elderly and previous diseases infl uenced the occurrence of falls (p <0.05). Conclusion: It is necessary to implement public fi nancing policies or partnerships that allow environments adaptations aiming at reducing the risks of falls. Descriptors: Accidental Falls; Homes for the Aged; Risk; Aged; Nursing. RESUMO Objetivo: Analisar a ocorrência de quedas em idosos institucionalizados quanto aos riscos, consequências e antecedentes. Método: Estudo transversal, realizado com 45 idosos em Instituições de Longa Permanência para Idosos em João Pessoa/PB, Brasil, em junho e julho de 2016. Aplicou-se questionário sociodemográfi co e Escala de Equilíbrio de Berg classifi cando risco de quedas quando escore inferior a 45. Realizou-se estatística descritiva e testes: t independente, Anova (Tukey), Qui-quadrado, Mann Whitney. Considerado signifi cativamente estatístico p < 0,05 e processados no SPSS versão 19.0. Resultados: As quedas ocorreram em 66,7% (30), sendo 20% (9) na área externa, 66,7% (30) com doença prévia hipertensão e como consequência destacou-se fratura com 11,2% (5). A Escala de Berg avaliou pontuações diferentes (p < 0,05) quando comparadas às quedas sofridas pelos idosos, e as doenças prévias infl uenciaram ocorrência de quedas (p < 0,05). Conclusão: Neces sita-se implementar políticas públicas de fi nanciamento ou parcerias que possibilitem adaptação dos ambientes visando a redução dos riscos de quedas. Descritores: Acidentes por Quedas; Instituição de Longa Permanência para Idosos; Risco; Idoso; Enfermagem. RESUMEN Objetivo: Analizar los riesgos, consecuencias y antecedentes de caídas en personas mayores institucionalizadas. Método: Se trata de un estudio transversal, realizado entre 45 personas mayores e internadas en Instituciones de Cuidado a Largo Plazo en João Pessoa, Paraíba, Brasil, entre junio y julio de 2016. Se aplicó el cuestionario sociodemográfi co y la Escala de Equilibrio de Berg clasifi cando el riesgo de caídas cuando la puntuación era inferior a 45. Se utilizó la estadística descriptiva y las pruebas: t de Student independiente, Anova (Tukey), distribución de Pearson (Ji-Cuadrado), ...
Objective: assess the knowledge of sex workers about HIV/AIDS and its influence on sexual practices. Method: Ninety women participated in the study. The Scientific Knowledge Test about HIV/AIDS and sexual practices was used. The Wald test was applied to verify the relationship between knowledge and sexual practices with statistical significance of p<0.05. Results: the score of 61.7% of correct answers in all three dimensions stands out; 72.2% have sexual intercourse without a condom in exchange for a large amount of money; 53.3% have sex during the menstrual period; 62.2% have sexual intercourse with drug users; 75.6% have sex with clients showing lesions on the penis or anus. The B coefficient (-0.19) showed that the higher the knowledge about HIV/AIDS, the lower the practice of risky sexual behaviors. Conclusion: the influence of knowledge about HIV/AIDS on sexual practices was not statistically significant, but the sexual practices and insufficient knowledge about prevention, physiological and behavioral attributes were observed.
Objective: To analyze conditions of depression, self-concept, future expectations and hope in people with HIV/AIDS. Method: Cross-sectional survey of 108 individuals living with HIV/AIDS, carried out in a reference hospital for the treatment of infectious diseases in Northeast Brazil. The following instruments were employed: sociodemographic data, and questionnaires for ascertaining participants’ emotions, including scales for self-concept, hope, depression (HAMD-D), and future expectations. Descriptive statistics using the following tests were performed: Mann–Whitney, Kruskal–Wallis, chi-square, and t-test—considered significant when p ≤ 0.05. Results: 31.5% presented mild depression and 21.3% presented moderate depression; 63% reported difficulty in obtaining decent employment; 52.8% considered life a failure; 52.8% felt worthless. Fear, guilt and loneliness influenced self-concept (p ≤ 0.05). Loneliness influenced hope (p ≤ 0.05). Conclusion: It is necessary to raise the attention of nursing professionals and healthcare managers to the importance of providing health services that consider the mental health of people with HIV/AIDS, contributing to treatment adherence and well-being.
Objetivo: Investigar a prevalência, causas e consequências relacionadas à ocorrência de quedas entre idosos institucionalizados. Métodos: Estudo descritivo, com abordagem quantitativa, realizado com 15 idosos que residem e foram vítimas de quedas em uma instituição de longa permanência no municipio de João Pessoa-PB. Utilizado um instrumento com indagações sociodemográficas e perguntas referentes a quedas. A pesquisa foi aprovada pelo Comitê de Ética em Pesquisa, CAAE34521414200005176. Resultados: Dos idosos 80%(12) tinham sofrido três ou mais quedas, a principal causa de queda (46,7%) fraqueza/distúrbios de equilíbrio e marcha; 60% apresentaram ferimentos graves, 40% fraturas e 93,3% estavam sozinhos no momento da queda. Conclusão: Os resultados obtidos corroboram para o desenvolvimento de ações educativas quanto aos riscos de quedas no intuito de sanar os fatores existentes. Descritores: Envelhecimento; Idoso; Acidentes por quedas; Prevenção de acidentes.
Objective: investigating the association between fragility in the elderly and the clinical variable functional status. Method: a field research, of a quantitative nature, attended by 22 seniors. Data were collected through the Edmonton Frail Scale (EFS), the Katz Index and the Lawton scale and analyzed using SPSS for Windows. The research was approved by the Committee of Ethics in Research, under CAAE 0031.0.470.000-11. Results: there was demonstrated that many elderly people had some sort of weakness (63,7%) and presented a good functional ability to performing activities of daily living (41,8%). However, 59% presented some kind of dependence or need for help to the improvement of daily instrumental activities. Conclusion: there is a need for a qualified assistance and turned to improvement of quality of life and independence of frail elderly, including in long-stay institutions
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