O presente estudo tem como objetivo identificar o perfil epidemiológico e avaliar a ocorrência de tonturas e risco de queda em idosos do município de Serra Talhada, Pernambuco, Brasil. Para tanto, foi realizado um estudo epidemiológico quantitativo, descritivo e transversal realizado com idosos com queixa de tontura e usuários da rede de Atenção Básica de Serra Talhada, de agosto de 2017 a agosto de 2018. Utilizou-se questionários acerca do perfil epidemiológico, história médica pregressa e ocorrência de tonturas. O risco de quedas foi avaliado pelo teste Timed Up and Go (TUG) com regressão logística da variável dicotomizada (presença ou ausência de dependência). Foram avaliados 101 indivíduos, com predominância para o sexo feminino, pardos, com ensino fundamental I incompleto, casados, aposentados e sedentários. A idade média foi de 71,1. As principais comorbidades foram Hipertensão Arterial Sistêmica, deficiências visuais e artrite. A média do TUG foi de 15,9 segundos, não havendo relação estatística significativa com o sexo, ocorrência de tonturas, atividade física ou autopercepção de saúde. Houve relação direta entre a dependência e a idade e a presença de diabetes mellitus e inversa com a presença de HAS. Constatou-se, através da análise do perfil epidemiológico e da identificação das variáveis que melhor contribuem para a ocorrência probabilística de dependência segundo os critérios do TUG, infere-se fatores de risco associados à queda, permitindo uma abordagem rápida e efetiva que poderá diminuir a sua ocorrência.
The COVID-19 pandemic has been a worldwide problem, causing considerable repercussions on the physical and mental health of many people. This impact has a significant prevalence on the mental health of pregnant women, especially women in early pregnancy and younger. In this context, this study sought to discuss the various impacts caused by the COVID-19 pandemic on the mental health of pregnant women. This study is an integrative review that aims to answer the following guiding question “What is the latest information on the impacts of the COVID-19 pandemic on the mental health of pregnant women?”. The search was performed in the Medline, LILACS and SciELO databases, including complete clinical trials published in the last 5 years, in Portuguese, English and Spanish. Eleven articles were selected, making up this review's final sample. As a result, it was noted that the mental health of pregnant women was significantly impaired during the pandemic phase, increasing the occurrence of mental suffering, fear, depression, anxiety and stress. All these conditions were related to direct and indirect impacts of the pandemic, such as difficulty in accessing prenatal care, insecurities about an unpredictable virus, possibility of vertical transmission, decline in professional status and reduced income. Furthermore, it was found that high-quality sleep, higher levels of resilience, low screen time and physical exercise acted as protective factors against symptoms of anxiety and depression. It is concluded, therefore, that the COVID-19 pandemic is related to an increase in the prevalence of anxiety, depression and worsening of previous mental disorders in pregnant women, showing the need for public intervention to improve perinatal mental health during the period affected by the new coronavirus.
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