RESUMOObjetivo: Observar as possíveis diferenças na gravidade da queda entre idosos jovens e longevos. Métodos: Foram identificados todos os idosos jovens (60 a 79 anos) e longevos (80 anos ou mais) atendidos por queda no ano de 2010, em duas unidades de atendimento de Urgência e Emergência Hospitalar em Porto alegre, rS. Mediante revisão dos boletins de atendimento, foram extraídos dados referentes ao idoso, dentre eles, as consequências da queda, classificadas pelo índice proposto por Caberlon e Bós (2015). as médias da gravidade da queda foram comparadas entre os dois grupos etários e testada pelo teste t de Student. a relação entre o gênero, faixa etária e o grau de gravidade foi testado pelo Qui-quadrado. Resultados: a maioria dos atendidos era do sexo feminino (72%), entre as quais 24% eram longevas. a percentagem de longevas foi significativamente maior que o de longevos (19%, p<0,001). a média do índice de gravidade geral foi de 5,7. Longevos apresentaram um índice de 6,5±5,45 enquanto os idosos mais jovens apresentaram um índice menor de 5,5±6,39 (p<0,001). as mulheres apresentaram maior frequência de gravidade severa. Conclusão: Concluímos que idosos longevos apresentam maior gravidade das quedas. Essa conclusão também é válida para o sexo feminino que, além de caírem com maior frequência apresentam maior gravidade das quedas principalmente no número de fraturas nas faixas etárias avaliadas (idosos jovens e longevos). Também concluímos ser possível utilizar um instrumento de avaliação da qualidade da queda que poderá ser utilizada em investigações futuras, a fim de contribuir para a realização de uma vigilância epidemiológica mais eficaz e resolutiva.Palavras-chave: Envelhecimento; Idoso; Idoso de 80 anos ou mais; acidentes por Quedas; Gravidade do Paciente. ABSTRACT Objective:To observe the possible differences in the severity of the decline among elderly young and the oldest old. Methods: We identified all elderly young (60-79 years) and oldest old (80 or older) admitted to fall in 2010, in two Urgent Care Units and Emergency Hospital in Porto alegre. Upon review of the service bulletins, data were extracted for the elderly, among them, the fall of the consequences, classified by the index proposed by Caberlon and Bos (2015). The mean decrease in severity were compared between the two age groups and tested by Student's t test. The relationship between gender, age and the degree of severity has been tested by chi-square. Results: Most attended were female (72%), among which 24% were long-lived. The percentage of long lifetime was significantly higher than the oldest (19%, p<0.001). The overall average severity score was 5.7. Oldest old showed an index of 6.5±5.45 while the elderly young had a lower rate of 5.5±6.39 (p<0.001). Women showed a higher frequency of severe gravity. Conclusion: We conclude that the oldest old have higher severity of falls. This conclusion also applies to the female sex, and fall more often have higher severity of falls mainly in the number of fractures in the evaluated age ...
Objective: to evaluate the expression of coercion, confidence and satisfaction with the use of telecare. Method: a cross-sectional study was carried out of prevalent cases with elderly residents in the city of Porto Alegre, Rio Grande do Sul, Brazil, who had already used telecare services. The sociodemographic variables used were: gender, age, schooling and marital status. In order to evaluate the perception of coercion, the Perceived Coercion Scale was applied in relation to the use of telecare and those responsible for deciding to use the technology. Confidence in the use of telecare technology and the satisfaction associated with its use were evaluated. Quantitative data analysis was performed using descriptive and inferential statistical measures. Means and standard deviations were used. Differences were assessed by analysis of variance, with a significance level of 5% (p<0.05). Results: the sample consisted of 25 elderly people who used telecare. When evaluating the distribution of the answers obtained, it was found that 11 (44%) of those interviewed did not perceive any coercion associated with their decision. The others had varying perceptions, with an average of 23%. Respondents expressed high confidence and satisfaction with telecare. Conclusion: the decision-making process associated with the use of telecare had a low perception of coercion, combined with high confidence and satisfaction with the use of the technology.
O objetivo do estudo foi investigar a relação entre cognição e facilidade em desempenhar atividades cotidianas e funcionais entre nonagenários e o impacto das atividades investigadas sobre a cognição, ajustando para sexo, idade, escolaridade e sintomas depressivos. Trata-se de estudo transversal e analítico. Foram selecionados nonagenários residentes em Porto Alegre, RS em 2016, através de amostragem por conglomerados. Foram variáveis do estudo: o Mini-Exame do Estado Mental (MEEM), variáveis sociodemográficas (sexo, escolaridade e faixa etária) e clínicas (escala de depressão geriátrica (GDS) e o grau de facilidade em executar 12 atividades funcionais e cotidianas). O grau de facilidade na realização de cada uma das atividades teve sua relação com o MEEM testada pelo teste de qui-quadrado e regressão linear simples ajustada para as características sociodemográficas e clínicas. Participaram 208 nonagenários, 71% mulheres. Tanto na análise simples quanto na análise ajustada maior facilidade na execução de cada uma das atividades foi relacionada significativamente com maiores escores no MEEM. Sexo masculino, mais que 5 anos de estudo, menores sintomas depressivos e menos que 95 anos de idade foram variáveis relacionadas com maiores relatos de facilidade para realização das atividades cotidianas e funcionais. Houve relação no desempenho das atividades funcionais e cotidianas com melhor desempenho cognitivo nos nonagenários, principalmente entre as atividades cotidianas relacionadas ao autocuidado. Os achados sugerem que o estímulo para a realização dessas atividades entre os longevos poderia trazer benefícios cognitivos, o que pode ser favorecido por meio de adaptação ambiental através de tecnologias assistivas, por exemplo.
OBJECTIVES: Describe the sample of elderly, who use teleassistance, as well as personal, family and sociodemographic variables. METHODS: This is a cross-sectional study of the type of prevalent cases. Made in the home of the participants, aged over 60 years, living in the city of Porto Alegre and users of teleassistance. RESULTS: The sample consisted of 25 elderly. The mean age of the group was 82.24 years. Most of the participants were women (92%), widows (60%), who live alone (84%), with a mean educational level of 13.58 years. The size of families varied from one individual to 14 people, with an average of 7.3 individuals per family. CONCLUSIONS: The participants of this study, all users of teleassistance, although they have relatives, live alone. The option of using assistive technologies, such as teleassistance, may be ensuring greater security and independence for these people.
Aims: To verify the possible relation between urinary incontinence and lower limbs strength and resistance indicators and the sex influence in this relation.Methods: Cross-sectional and analytical study with nonagenarians and centenarians from “Multiprofessional Attention to the oldest-old” project. Presence of incontinence, the ease to walking and climbing stairs, Timed up and Go test, sex, age, marital status and depression symptoms were the study variables. Descriptive and analytical analysis (chi-square tests, analysis of variance and univariate and sex-adjusted logistic regression) were performed accepting p<0.05.Results: We evaluated 238 oldest-old, 174 women. The ease of walking 400 meters and stand up from a chair and the time during the Timed Up and Go were significant indicators of muscle strength and resistance in the correlation between incontinence and muscle strength and resistance adjusted by sex (respectively, RC=0.832, p=0.011, RC=0.846, p=0.012 and RC=0.352, p=0.002). Sex was the most significantly related to incontinence (RC=0.349, p=0.001) and its presence in the complete model decreased the significance of other variables. Depressive symptoms increase the chance of presenting incontinence in men.Conclusions: Incontinence can be associated with strength and resistance in lower limbs, mainly in women. Strength and resistance exercises focus on lower limbs can be added to traditional and recognized prevention programs to incontinence.
As the rapid growth of aging populations in both developed and developing countries, public long-term care policies become increasingly important. Much of long-term care is provided informally. As needs expand and expenses rise, understanding the role of informal care in meeting this escalating demand becomes crucially important. To develop and refine long-term care policies, we investigate the substitutability of informal for formal care. We set up the theoretical framework according to the work of Van Houtven and Norton (2004, 2008). We use latest three waves of Chinese Longitudinal Healthy and Longevity Survey (CLHLS 2005(CLHLS , 2008(CLHLS and 2011 Previous research in the area of healthcare workers has demonstrated associations between job satisfaction and psychosocial conditions of work. Psychosocial conditions of work include co-worker/supervisor support, bullying, job flexibility, and job demands and control. There is a growing body of literature in the aging and work domain that points to the unique factors of the psychosocial work environment that are valued distinctly by different generations. Despite the strong foundations of these two bodies of literature, there is relatively less empirically-driven research about the ways in which job satisfaction is associated with psychosocial working conditions for different age groups. From this lack of information, the research question arises: Is job satisfaction driven by different psychosocial working conditions or work organizational factors depending on the worker's age?All data have been collected and analyses are forthcoming. We will use data from a cross-sectional study of 1,596 patient care workers at two large East Coast hospitals. Linear regression models will examine associations between several psychosocial work characteristics (peopleoriented culture, work flexibility, supervisor/co-worker support, workplace harassment, and job demands and control) and job satisfaction, and then we will test for statistical interaction between these work characteristics and worker age. We will then stratify analyses by age group to test whether the direction, magnitude, and significance of predictors of job satisfaction is different for younger, middle-aged, and older workers. Based on findings, participants will have a basis for understanding methods for optimizing job satisfaction and managing and retaining an age-diverse workforce. Background and Purpose: With the growing aging population, osteoporosis has become an increasing public health problem. White and Asian women are at greater risk of developing osteoporosis/low bone mineral density comparing to black women. This study is to explore: 1) differences of Osteoporosis Preventive Behaviors and 2) Bone Mineral Density (BMD) among non-Hispanic White and Asian Women Age 50 and over. SESSION 505 (POSTER)CHRONICMethods: 2816 subjects from Louisiana Osteoporosis Study are included in this study. Bivariate analysis is used to examine differences of osteoporosis relevant behaviors and BMD. Multiple linear reg...
AIMS: To verify the impact of self-perceived health on the chance of developing urinary incontinence in very-old.METHODS: This is a cross-sectional and analytical study with elderly individuals aged 90 years and over. The statistical and analytical variables (sex, marital status, continence, age, depressive symptoms, cognition, comorbidities and ability to perform activities) were analyzed analytical and descriptive statistics (frequencies, mean and standard deviation, univariate and health self-perception adjusted logistic regression analysis).RESULTS: There were 182 participants, 71% women. The previous diagnosis of depression, the score of depressive symptoms and the percentage of ease for functional and basic activities were related to self-perception of health (p<0.05). The loss of urine, however, was not related to self-perceived health. The self-perception of health influenced the effect of the variables previous diagnosis of depression, number of depressive symptoms, Mini-Mental State Examination score and number of comorbidities on the chance of urinary incontinence in thepresence of these variables. Males, widowhood and ease of performance of basic and functional activities were significantly related to urinary incontinence regardless of the adjustment of health self-perception.CONCLUSIONS: There was no relationship between urinary incontinence and health self-perception. However, health self-perception influenced the effect of sociodemographic and clinical variables on the chance of having urinary incontinence.
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