Os achados reforçam a necessidade da avaliação do medo de cair entre os idosos que residem no próprio domicílio, assim como o desenvolvimento e a utilização de estratégias pelos profissionais voltadas para os fatores modificáveis,de modo a reduzir as quedas e melhorar o estado de saúde, o que pode contribuir para a diminuição do medo de cair entre os idosos.

The present study aims to investigate how different levels of spirituality and religiousness (high spirituality and high religiousness –S/R, high spirituality and low religiousness –S/r, low spirituality and high religiousness s/R and low spirituality and low religiousness – s/r) are associated with quality of life, depressive symptoms, anxiety, optimism and happiness among adults. A cross-sectional study was carried out among 1,046 Brazilian adults. Concerning the different levels of spirituality and religiousness, 49.2% had s/r, 26.5% S/R, 17.2% S/r and 7.1% s/R. Participants with S/R had better outcomes as compared to those with s/r and those with S/r in WHOQOL Psychological, Social Relationship and Environment, Optimism and happiness. Participants with s/R had better outcomes as compared to those with s/r in WHOQOL Psychological and Social Relationship, Optimism and happiness. Participants with S/r were different from those with s/r, with higher levels of WHOQOL Environment and happiness but also anxiety. The results revealed that, having higher levels of both spirituality and religiousness were more correlated to better outcomes than having just one of them or none of them. Likewise, having higher levels of religiousness in detriment of higher levels of spirituality was also associated with better outcomes in comparison to others.

Objectives: to evaluate the older adults' perceptions of their quality of life (QoL) in two long-stay care facilities in Pouso Alegre and Santa Rita in Sapucaí, in the State of Minas Gerais, Brazil, and to identify the sociodemographic and health variables which interfere in this perception. Method: a cross-sectional epidemiological study of 77 older adults resident in institutions. The instruments used were: personal characterization; WHOQOL-bref and WHOQOL OLD. Result: the highest average obtained in the instruments was: the "Social Relationships" domain in the WHOQOL-bref (68%) and the "Sensory abilities" aspect in the WHOQOL-OLD (73.7%). The variables age, sex, physical activity and level of schooling have a significant correlation with the WHOQOL-bref and the variables sex and leisure have the same with the WHOQOL OLD. Conclusion: older adults who are younger, with higher levels of schooling and who undertake physical and leisure activity have, on average, better perceptions of their QoL. The older adults' QoL in this study had higher rates than that reported in the literature and was similar to that in the community. The results suggest the need to train those involved with older adults in institutions so that they may develop strategies which promote the adaptation, adjustment and maintenance of QoL.Descriptors: Quality of Life ; Aging; Aged ; Homes for the Aged. Paper extracted from Master's Thesis "Qualidade de vida e coping religioso/espiritual de idosos institucionalizados", presented to Escola Paulista Calidad de vida de mayores en institución de larga permanenciaObjetivos: evaluar la percepción de la calidad de vida de los mayores de dos instituciones de larga permanencia de Pouso Alegre y Santa Rita do Sapucaí, MG; Brasil e identificar los variables sociodemográficos y de salud que interfieren en esta percepción. Método: se trata de un estudio epidemiológico transversal con 77 mayores institucionalizados. Los instrumentos utilizados fueron: caracterización personal; WHOQOL-bref y WHOQOL OLD. Resultados: la mayor media lograda en los instrumentos fue: WHOQOL-bref en el dominio "relaciones sociales" (68%) y WHQOL-OLD en la faceta "funcionamiento sensorial"(73,7%). Los variables edad, sexo, actividad física y escolaridad presentaron correlación significante con WHOQOLbref y las variables sexo y ocio con el WHOQOL OLD. Conclusión: los mayores más jóvenes con mayor escolaridad que realizan actividad física y de ocio presentaron en media mejor percepción en la CV. La CV de los mayores de este estudio presentó mayores índices que los relatados en la literatura y fueron semejantes a los de la comunidad. Los resultados sugieren la necesidad de capacitar los envueltos con los mayores institucionalizados para que desarrollen estrategias que favorezcan la adaptación, ajustamiento y mantenimiento de la CV.

Objectives: to compare the perceptions of quality of life (QOL) and to identify factors associated with QOL among seniors living in the community in Porto Alegre, RS and institutionalized seniors from the countryside of Minas Gerais, Brazil. Method: this study used secondary data from two cross-sectional epidemiological studies. The sample consisted of 288 seniors living in the community and 76 institutionalized seniors. An instrument addressing socio-demographic data and the WHOQOL-BREF were administered. Results: bivariate analysis showed that age, gender, schooling, self-reported health, and leisure presented statistically significant differences between institutionalized and non-institutionalized seniors. The Psychological and Social Relationships domains also presented statistically significant differences. The variables that presented significant correlation in multivariate analysis in relation to the Psychological domain were education, assessments of health, leisure and in relation to the Social domain, education and age. Conclusion: being institutionalized did not influence the older adults' perceptions of QOL, but the socio-demographic characteristics and self-assessments of health did. Calidad de vida de los ancianos de la comunidad y en instituciones de larga estancia: estudio comparativoObjetivos: comparar la percepción de la calidad de vida (CV) entre ancianos de la comunidad en Porto Alegre / RS y ancianos institucionalizados en Minas Gerais e identificar factores asociados a la calidad de vida entre esos ancianos. Método: en esa investigación, se utilizaron datos secundarios a partir de dos estudios epidemiológicos transversales. La muestra fue de 288 ancianos de la comunidad y 76 institucionalizados. Se utilizaron instrumentos de caracterización sociodemográfica y WHOQOL-BREF para evaluación de la CV. Resultados: en el análisis bivariado, se evidenció que edad, sexo, escolaridad, auto evaluación de la salud y recreación mostraron diferencias estadísticamente significativas entre ser institucionalizado o no. Los dominios de CV Psicológico y Relaciones Sociales presentaron asociación. En el análisis multivariado, las variables que permanecieron con correlación en el Dominio Psicológico: escolaridad, evaluación de salud, recreación y, en el Dominio Relaciones Sociales, escolaridad, edad. Conclusión: ser institucionalizado no influyó en la percepción de la CV de los ancianos, mientras las características sociodemográficas y de salud influyeron.

Negative SRC was associated with depressive symptoms in FCs of pediatric cancer patients. Health professionals must be aware of the use of Negative SRC strategies in oncology care.

Background: Management strategies that incorporate spirituality and religiosity (S/R) have been associated with better health status in clinical populations. However, few data are available for patients with chronic obstructive pulmonary disease (COPD) to improve the traditional disease-model treatment. Aims:The objectives of this study were to evaluate the association between S/R and physical and psychological status in patients with stable COPD.Design: This is a cross-sectional study.Methods: Religiosity, spiritual well-being and S/R Coping were measured. Physical status was evaluated with the activity of daily living, dyspnoea and the impact of the disease. Psychological status was assessed with anxiety and depression symptoms and quality of life. Spearman correlation coefficients were calculated, multivariate linear regression was applied in the analyses. This study is reported following the STROBE recommendations.Results: Seventy-two patients with stable COPD (male 58%, aged 68 ± 9 years, forced expiratory volume in 1s (FEV 1 ) of 49.2 ± 19.6% predicted) were included. There was no association between S/R and activity of daily living. However, higher spiritual wellbeing and lower Negative S/R Coping was associated with reduced dyspnoea and burden of the disease. Increased S/R and lower Negative S/R Coping was also associated with less anxiety, depression and better quality of life. Multivariate linear regression showed that S/R variables explained the physical and psychological health status in people with stable COPD. Conclusions: Higher spirituality and less negative S/R Coping are associated with reduced dyspnoea, the burden of the disease, anxiety and depression symptoms, and better quality of life in patients with stable COPD.Relevance to clinical practice: Understanding how religiosity and spirituality are associated with physical and psychological features in patients with COPD may contribute to the long-term management of this patient population.

Background Although mental distress and quality of life (QoL) impairments because of the pandemic have increased worldwide, the way that each community has been affected has varied. Aims This study evaluated the impact of social distancing imposed by coronavirus disease-2019 (COVID-19) on Brazilians’ mental health and QoL. Method In this cross-sectional community-based online survey, data from 1156 community-dwelling adults were gathered between 11 May and 3 June 2020. We examined independent correlates of depression, anxiety and QoL, including sociodemographic and clinical characteristics, optimism/pessimism and spiritual/religious coping. Dependent variables were assessed using the 9-item Patient Health Questionnaire for depressive symptoms, the 7-item Generalized Anxiety Disorder Scale for anxiety symptoms, and the World Health Organization Quality of Life-BREF for QoL. Correlates of depressive and anxiety disorder were estimated using logistic regression. Results There were high levels of depressive symptoms (41.9%) and anxiety symptoms (29.0%) in participants. Negative spiritual/religious coping was positively correlated with depressive disorder (odds ratio (OR) = 2.14 95% CI 1.63–2.80; P < 0.001) and with anxiety disorder (OR = 2.46 95% CI 1.90–3.18; P < 0.001), and associated with worse social and environmental QoL (P < 0.001). Healthcare professionals were less likely to have depressive symptoms (OR = 0.71, 95% CI 0.55–0.93; P < 0.001). Participants with friend/family with COVID-19 scored lower on psychological and environmental QoL (P < 0.05). Participants with a longer duration of social isolation were less likely to experience anxiety disorder (OR = 0.99, 95% CI 0.98–0.99; P = 0.004). Conclusions We found high levels of depressive and anxiety symptoms and low levels of QoL in Brazil, which has become a pandemic epicentre. Several characteristics were associated with negative mental health symptoms in this study. This information may contribute to local health policies in dealing with the mental health consequences of COVID-19.

The purpose of this study was to investigate the relationship between spiritual/religious coping (SRCOPE) strategies and quality of life (QoL) in institutionalized older adults. This is a cross-sectional, correlational study, with a sample of 77 older adults in Brazil. The present study found long-term care patients use religious and spiritual coping strategies to deal with their chronic health conditions. Positive SRCOPE and Total SRCOPE have positive correlations with most QoL domains from the WHOQOL-OLD and WHOQOL-BREF. On the other hand, Negative SRCOPE strategies correlated negatively with the facets of "death and dying" from the WHOQOL-OLD. These results suggest the need for an integrative approach for long-term care patients, considering the positive and negative aspects of coping.