Resumo Objetivo: Examinar as relações entre qualidade de vida, nutrição e fragilidade em indivíduos não institucionalizados com idade acima de 75 anos. Método: Estudo observacional, transversal e analítico realizado através da aplicação de um questionário com uma amostra de indivíduos com mais de 75 anos de idade residentes na comunidade e selecionados através de amostragem por conveniência durante o ano de 2015. Resultados: Uma proporção maior de mulheres apresentou baixa qualidade de vida em relação aos homens: 20,9% contra 9% (p<0,01). O risco de desnutrição foi associado a baixa qualidade de vida (35%) (23,4%) (p<0,000). Uma proporção maior de indivíduos fragilizados apresentou baixa qualidade de vida: 55,7% contra 17,4% (p<0.000). Conclusão: A qualidade de vida dos idosos é influenciada pela presença de sintomas de depressão, estado nutricional, sexo, fragilidade e incapacidade básica e instrumental.
AIM This study was conducted to evaluate the psychometric properties of a rubric to assess nursing student performance in medium- and low-fidelity simulation. METHOD A psychometric study was carried out. Content validity was explored by a group of experts. Internal consistency was determined by means of Cronbach’s coefficient alpha. Interrater agreement and the level of concordance were established by the kappa coefficient and intraclass correlation index. RESULTS The relevance of the dimensions and the definition of each category scored higher than 3.25 on a Likert-type scale (maximum value of 4); content validity ratio values were close to +1. The kappa index was above 0.61 (p < .001) in all dimensions, thereby indicating a good level of interrater agreement; the intraclass correlation index showed values above .82 (p < .001). CONCLUSION The rubric appears to be psychometrically sound, thus supporting its reliability.
BACKGROUND Aging produces a deterioration in the older person and this affects the neuromuscular system among others, reducing muscle mass, strength and muscle power and this generates a decrease in functional capacity in the elderly, can cause falls and disability. OBJECTIVE The aim of this study is to analyze the ability to know the functional capacity and fall risk of elderly people in nursing homes through a novel short-test using a single inertial sensor embedded in an Android device. METHODS Study participants included 47 older people (over 55 years old) resided in two nursing homes. Functional assessment with FallSkip® which includes static balance, gait analysis, lower limb power when sit to stand, test execution time and reaction time. The patients were randomly divided into two study groups, control and experimental group. The experimental group underwent individualized rehabilitation therapy based on the results obtained by the modified Timed Up and Go falls risk test. Subsequently, the results obtained between the two residences and between the experimental groups were compared. RESULTS 70% of people in nursing homes are over 75 years old, which the female participants were mostly found in the older age groups, unlike their male counterparts, who were concentrated in the younger age groups. When comparing the anthropometric variables and clinical scales for the two nursing homes no statistically significant differences appeared (p > 0.05) only on the fall risk score (p < 0.05) and the sit to stand power (p < 0.05). CONCLUSIONS The comfort of evaluating the functional status of the elderly in the nursing homes by an objective and simple functional test has allowed us to carry out individualized rehabilitation interventions for each participant; as well as to know the functional level of the people in the nursing homes.
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