the educational intervention is an effective and viable strategy for older adults' caregivers.

Resumo O objetivo deste artigo é analisar as características e os desafios vivenciados pelos cuidadores formais de idosos dependentes no domicílio. Estudo qualitativo multicêntrico, realizado em 6 cidades brasileiras, com cuidadores formais de idosos dependentes. As entrevistas foram realizadas mediante utilização de um roteiro semiestruturado, no domicílio, nos meses de maio a agosto de 2019, com duração média de 60 minutos. Participaram 27 cuidadores formais com idade média de 46 anos, predominantemente do sexo feminino, com tempo médio de cuidado ao idoso de 2 anos e 6 meses, sem formação profissional de cuidador. A análise e a interpretação das falas conduziram à formulação de três categorias temáticas: Condições de trabalho e de saúde do cuidador formal; Perfil e modos de cuidar; e Desafios para cuidar. É necessário conhecer as características e as demandas dos cuidadores formais de idosos dependentes domiciliados para que políticas públicas e intervenções eficazes possam ser desenvolvidas, levando-se em consideração as necessidades apresentadas por esses profissionais.

Submissão : 23-11-2012 aprovação: 24-11-2012 ReSUmeN Se objetivó hacer una explanación sobre la interface del cuidado de enfermería con las políticas de atención al anciano. Presenta-se el envejecimiento como una realidad mundial y una victoria de la sociedad moderna; la situación de las personas ancianas en España y las consecuencias sociales del envejecimiento en España; dependencia y necesidades de asistencia; situación de las personas ancianas en Brasil; comparación entre España y Brasil; niveles de dependencia; las soluciones que suministran las enfermeras y atención domiciliaria como base de un mejor futuro. Las consideraciones apuntadas son: La atención a la dependencia debe ser abordada de inmediato, considerar los fracasos en otros países, para no caer en los mismos errores, instar a la población mayor al mantenimiento de su independencia con promoción de la salud. Palabras clave: Envejecimiento; Anciano; Enfermería de Atención Primaria. ReSUmOObjetivou-se fazer uma explanação sobre a interface do cuidado de enfermagem com as políticas de atendimento ao idoso. Apresenta-se o envelhecimento como uma realidade mundial e uma vitória da sociedade moderna; a situação das pessoas anciãs e as consequências sociais do envelhecimento na Espanha; a dependência e necessidades de assistência; a situação das pessoas anciãs em Brasil; comparação entre a Espanha e o Brasil; níveis de dependência; as soluções que as enfermeiras fornecem e o atendimento domiciliário como base de um melhor futuro. As considerações apontadas são: o atendimento à dependência deve ser abordada de imediato, considerar os fracassos em outros países, para não cair nos mesmos erros, instar a população de idosos à manutenção de sua independência com promoção da saúde. descritores: Envelhecimento; Idoso; Enfermagem de Atenção Primária. aBStRaCtThe objective was to make an explanation on the interface of nursing care with the elder care policies. It is presented the aging phenomenon as a global reality and a victory of modern society; the situation of elderly people and the social consequences of aging in Spain; the dependence and assistance needs; the situation of elderly people in Brazil; comparison between Spain and Brazil; dependency levels; and the solutions that nurses provide and home care as a basis for a better future. The considerations given are: meeting the dependency must be addressed immediately, considering the failures in other countries, to avoid the same mistakes, and to urge the elder population to maintain their independence with health promotion.

Objective: Describe the knowledge and practices of the Primary Health Care nurse on sarcopenia screening in the elderly. Methods: Qualitative study conducted with 24 Primary Health Care nurses. The data was collected through semi-structured interviews, recorded and later transcribed. The speeches were grouped in thematic categories, later analyzed, supported by Paulo Freire’s reference. Results: The findings showed that the primary care nurses’ knowledge of sarcopenia screening in the elderly was incipient and fragile. This reality is reflected in a gap in practice, although some instruments already require the registration of characteristics indicative of sarcopenia, such as the evaluation of the calf circumference. Final Considerations: The need to train nurses to perform sarcopenia screening and to implement a promotional and preventive care plan, which will result in improving the quality of life of the elderly assisted in Primary Care, was highlighted.

This is an inquiry that seeks to understand the meaning of experiencing a spinal cord injury for hospitalized Brazilian and Portuguese patients. A quailtative study was achieved in two care services to spinal cord injury in Fortaleza-Brazil and Lisboa-Portugal. The subjects were 30 patients with complete spinal cord injury. The findings were obtained through a semi-structured interview, which took place at different times and it was used the following guiding question: What does it mean for you to experience a spinal cord injury? The data were organized by Bardin technique and analysis based on the assumptions of the theory of Jean Watson’s care. The speeches of the patients show a diversity of meanings such as: to lose the freedom of going and coming, sexuality and to become dependent on others. It is concluded that this situation of loss overbalances the person’s existence, which is expressed by feelings of sadness, grief, discontent, isolation, anxiety, crying, pain and emotional suffering. These feelings were expressed by the two groups despite being from different cultures. The research enabled the description of multiple dimensions of the meaning of spinal cord injury. It fills the theoretical gap, not yet sufficiently addressed to the practice of caring people with spinal cord injury.

Objective: to analyze prevalence and the factors associated with locomotive syndrome in community-dwelling older adults. Method: a cross-sectional study, developed in a municipal center for the care of older adults in Teresina, Piauí, Brazil. The sample was for convenience and comprised 204 older adults aged 60 years or more, of both genders and with preserved cognitive capacity, according to parameters of the Mini Mental State Examination. Data collection occurred from March to November 2018, by applying a form for sociodemographic, clinical and falls occurrence characterization and the 25-item Geriatric Locomotive Function Scale. To measure the strength of the associations between the variables, odds ratios and 95% confidence intervals were adopted. The statistical significance level was set at 5% for the analyses. Results: the prevalence of locomotive syndrome found was 37.2%. The factors associated with the presence of locomotive syndrome were individual monthly income (p=0.005); existence of one of the following comorbidities: systemic arterial hypertension (p=0.039), osteoporosis (p=0.016), arthrosis (p<0.001) or obesity (p=0.014); and history of hospitalization in the last year (p=0.007). Conclusion: the prevalence of locomotive syndrome found in this study was low and presented higher levels in older adults, with an individual monthly income of two to three minimum wages; who reported having hypertension, osteoporosis, arthrosis or obesity; and with a history of hospitalization in the last year. The health condition investigated showed to be related to aging, with significant repercussions on functionality.

Objective: To translate and culturally adapt to Portuguese the Ferrans and Powers Quality of Life Index Spinal Cord Injury -Version III and characterize the sample in relation to sociodemographic and clinical aspects. Method: A methodological study with view to cross-cultural adaptation, following the particular steps of this method: initial translation, translation synthesis, back-translation (translation back to the original language), review by a committee of judges and pretest of the final version. The pretest was carried out with 30 patients with spinal cord injury. Results: An index of 74 items divided into two parts (satisfaction/importance) was obtained. The criteria of semantic equivalence were evaluated as very adequate translation, higher than 87%, and vocabulary and were grammar higher than 86%. Idiomatic equivalence was higher than 74%, experimental greater than 78% and conceptual was greater than 70%. Conclusion: After cross-cultural adaptation, the instrument proved semantic, idiomatic, experimental and conceptual adequacy, in addition to helping the evaluation of the quality of life of people with spinal cord injury.

La Ley 39/2006 contempla en el Sistema de Autonomía y Atención a la Dependencia, en cuanto a promover la autonomía personal y garantizar la atención y protección a las personas en situación de dependencia cuestión que no se cumple, ya que la potenciación de los recursos domiciliarios en la mayoría de las autonomías del estado Español es muy inferior a las necesidades reales de la población, Así pues, el trabajo afronta de forma holística un nuevo paradigma con la elaboración de un algoritmo de atención en la visita domiciliaria, y el posterior desarrollo de un programa de cuidados informatizado, que permitirá unificar y estandarizar la actuación de los profesionales de enfermería, proporcionando coherencia al resto del equipo socio-sanitario. Este tipo de actuaciones incidirá de manera decisiva en el coste del servicio y en la correcta asignación de los recursos adecuados a los niveles de dependencia de los usuarios, haciendo que la atención domiciliaria holística no se limite a cubrir las demandas de salud de forma paliativa, y convertirse en una filosofía de trabajo integradora de todos y cada uno de los problemas socio-sanitarios que presenten los demandantes, buscando soluciones y entendiéndose como un cambio en la estrategia actual de los servicios socio-sanitarios fomentando la autonomía personal.