This descriptive and cross-sectional study was aimed at classifying elderly patients admitted to the medical clinic of a tertiary hospital, according to socio-demographic variables, and identifying their frailty. Data collection was carried out in the period between October 2010 and March 2011, through a questionnaire with socio-demographic data and the Edmonton Frail Scale. Eightyfour elderly patients with an average age of 73.8 participated in the study; 60.7% were male, 44.0% married and 32.1% widowers/ widows; 75.0% were retired; 54.8% possessed between one and four years of formal education. Regarding the identification of frailty, 42.9% presented severe, 33.3% mild and 19.0% moderate frailty. Among the elderly who presented severe frailty, 63.6% were women, 63.0% were over 80 years of age, 53.1% lived without a partner and 75.8% considered their health poor. It is believed that identifying the frailty of elderly patients helps healthcare professionals in planning and implementing care actions for the elderly. DESCRIPTORS:Aging. Hospitalization. Frail elderly. FRAGILIDADE DE IDOSOS INTERNADOS NA CLÍNICA MÉDICA DA UNIDADE DE EMERGÊNCIA DE UM HOSPITAL GERAL TERCIÁRIORESUMO: Este estudo objetivou caracterizar os idosos internados na clínica médica de um hospital terciário, segundo variáveis sociodemográficas, e identificar a fragilidade nos mesmos. Estudo descritivo e transversal. A coleta de dados foi realizada no período de outubro de 2010 a março de 2011, utilizando-se um instrumento contendo questionário sociodemográfico e a Edmonton Frail Scale. Participaram 84 idosos, média de idade 73,8 anos; 60,7% eram homens, 44,0%, casados e 32,1%, viúvos; 75,0%, aposentados; 54,8% estudaram entre um e quatro anos. Quanto à identificação da fragilidade, 42,9% apresentaram fragilidade severa, 33,3%, leve e 19,0%, moderada. Dentre os idosos que apresentaram fragilidade severa, houve predomínio de mulheres (63,6%), de idosos com 80 anos ou mais (63,0%), dos que viviam sem companheiro(a) (53,1%) e dos que descreveram sua saúde como ruim (75,8%). Acredita-se que identificar a fragilidade em idosos hospitalizados auxilia os profissionais da saúde no planejamento e na implementação da assistência ao idoso. DESCRITORES:Envelhecimento. Hospitalização. Idoso fragilizado. FRAGILIDAD EN EL ADULTO MAYOR INTERNADOS EN LA CLÍNICA MÉDICA DE LA UNIDAD DE EMERGENCIA DE UN HOSPITAL GENERAL TERCIARIO RESUMEN:Este estudio objetivó caracterizar a adultos mayores en la clínica médica de un hospital terciario, según variables sociodemográficas e identificar la fragilidad de ellos. Estudio descriptivo y transversal. La colecta de datos fue realizada en el periodo de octubre 2010 a marzo 2011; se utilizó un instrumento conteniendo cuestionario socio-demográfico y Edmonton Frail Scale. Participaron 84 adultos mayores, con edad media de 73,8 años; 60,7% eran hombres, 44.0% casados y 32,1% viudos; 75,0% jubilados; 54,8% estudiaron entre 1 a 4 años. En relación a identificación de la fragilidad, 42.9% presentaron fragilidad severa habie...
Objective: to analyze the relationship between the distress of the family caregiver and the presence of neuropsychiatric symptoms in elderly patients with Alzheimer's disease or mixed dementia.Method: a descriptive, cross-sectional study conducted in the Geriatric and Dementias Clinic of a general tertiary hospital, with 96 elderly people with Alzheimer's disease or mixed dementia and their family caregivers. Questionnaires to characterize the elderly and caregivers, and the Neuropsychiatric Inventory were used. Descriptive statistics and Pearson correlation test were performed. Results: 68.7% of the elderly were women, average age 80.8 years, 56.2% had Alzheimer's disease and 43.7%, mixed dementia. Among caregivers, 90.6% were women, average age 56, 70.8% took care of parents and 64.6% lived with the elderly. There was a strong (r = 0.82) and significant (p <0.01) correlation between the total score on the Neuropsychiatric Inventory and the total score on the Neuropsychiatric Inventory-Distress and strong (r = 0.80) and significant (p <0 01) correlation between the total score on the Neuropsychiatric Inventory Distress and the number of neuropsychiatric symptoms, i.e., the higher the number, frequency and severity of these symptoms in the elderly, the more intense is the caregiver distress. Conclusion: the presence of neuropsychiatric symptoms in the elderly was related to increased distress in caregivers.
RESUMO Objetivo: identificar a presença, frequência e gravidade dos sintomas neuropsiquiátricos em idosos com demência, identificar o desgaste do cuidador familiar e analisar os fatores relacionados ao desgaste do cuidador. Método: estudo transversal, descritivo, exploratório e correlacional, realizado com 54 cuidadores familiares de idosos com demência, atendidos em um ambulatório de geriatria de alta dependência de um Hospital Geral Terciário. Utilizaram-se questionário de caracterização dos cuidadores, o Inventário Neuropsiquiátrico e o Inventário Neuropsiquiátrico Desgaste. Resultados: a maioria (85,2%) dos cuidadores familiares era de mulheres, média de idade de 51,2 anos e residia com o idoso (74,1%). A média de sintomas neuropsiquiátricos foi 4,5; o mais presente foi apatia/indiferença (74,1%), seguido de disforia/depressão (46,3%); o mais frequente foi o comportamento motor aberrante (75,1%), seguido de agitação/agressividade (52,9%). Quanto à gravidade dos sintomas, a moderada foi a mais prevalente. Observou-se correlação forte positiva entre o escore total dos questionários aplicados (r=0,82, p=<0,001) e entre o escore total do Inventário Neuropsiquiátrico-Desgaste e o número de sintomas neuropsiquiátricos, apresentados pelos idosos com demência (r=0,83, p=<0,001); correlação fraca positiva entre o escore total do Inventário Neuropsiquiátrico-Desgaste e o número de dias na semana dedicado ao cuidado (r=0,28, p=0,042) e entre problemas de saúde do cuidador e o escore total do Inventário neuropsiquiátrico Desgaste (r=0,29, p=0,034), com significância estatística. Conclusão: os resultados encontrados mostram a necessidade de investimentos na assistência ao binômio idoso/cuidador com vistas ao melhor manejo dos sintomas neuropsiquiátricos e à redução do desgaste do cuidador.
Objective:to analyze the relation between resilience and demographic variables, quality of life and symptoms of depression in elderlies attended at a Geriatric Outpatient Clinic.Method:analytical cross-sectional study, conducted with 148 elderlies, with a questionnaire of sociodemographic and health characterization, the Resilience Scale, the World Health Organization Quality of Life Bref, the World Health Organization Quality of Life Old, and the Center for Epidemiologic Survey - Depression Scale. Descriptive statistics, Student’s t-test and Pearson correlation were used for data analysis.Results:there was a positive correlation between resilience and schooling (r = 0.208; p = 0.010), income (r = 0.194; p = 0.017), the World Health Organization Quality of Life Bref (r = 0.242; p = 0.003), and the World Health Organization Quality of Life Old (r = 0.522; p <0.001), and negative correlation regarding symptoms of depression (r = -0.270; p = 0.001).Conclusion:Resilience presented relation to schooling, income, quality of life and symptoms of depression in the elderly. These results are expected to help the multidisciplinary team plan actions aimed at developing resilience towards the promotion of health and good quality of life in old age.
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