Fatores sociodemográficos e capacidade funcional de idosos acometidos por acidente vascular encefálico

Abstract

Introduction: Diseases of old age have shown increasing prevalence in society. One of them is stroke, which can be conceptualized as the interruption of cerebral blood supply due to a leakage or blood vessel obstruction caused by clots. Objective: To verify the associations between sociodemographic factors and the functional capacity of elderly affected by stroke. Methods: This is an epidemiological, cross-sectional, and quantitative study, including 118 elderly people with paralyses due to stroke, who were registered in one of the Family Health Strategies units of Campina Grande, Paraíba, Brazil. Data were collected by means of home interviews. Two questionnaires were used, in which one was directed for assessment of sociodemographic variables and the second was called Barthel index for assessing the functional capacity of the subjects regarding the activities of daily life. The analysis was conducted using the statistical program SPSS. Results: There was a predominance of the female gender, widowed, without schooling, and with household income of up to one Brazilian minimum wage. The average age was 65 years (± 9.63). The Barthel index internal consistency was satisfactory, presenting values of Cronbach's alpha coefficient in the range of 0.897-0.918. Total correlation of corrected items was greater than 0.4, and Cronbach's alpha with a deleted item was also greater than 0.8. The activities with higher level of achievement difficulty were urination and evacuation. Association between functional capacity with race, age range, and schooling was found. Conclusion: It was seen that demographic factors might interfere with the functional capacity of elderly affected by stroke. Hence, it is believed that this investigation might have contributed to the reflection on this issue, thus supporting the promotion of these people's access to health assistance programs.

Functional capacity of diabetic older adults living in a municipality in Northeastern Brazil

“…In addition, national and international studies have found high prevalence rates of functional disability in diabetic older adults after a cerebrovascular event (Carmo et al, 2016;Dutra et al, 2017). This relationship is explained by the vascular damage caused by diabetes itself and other lifestyle factors which, when combined, predispose older adults to higher levels of systemic inflammation and damages to the integrity of the various organs, thereby compromising functional capacity (Rekeneire & Volpato, 2015).…”

Eficácia da combinação do Nintendo Wii® e fisioterapia convencional na independência funcional de indiví­duos hemiparéticos pós-acidente vascular cerebral: ensaio clí­nico randomizado

“…Este estudo teve como objetivo analisar a independência funcional dos pacientes pós-AVC que utilizam as técnicas de reabilitação cinesioterapia e RVNI. Esta análise mostra-se relevante no planejamento da reabilitação dos pacientes pós-AVC, pois observa-se prejuízo na capacidade funcional desses indivíduos [12].…”

Aspectos epidemiológicos do acidente vascular encefálico na Paraí­ba em 2016

“…Justifica-se a prevalência dos AVE em pessoas mais idosas como sendo o grupo com maior índice de hipertensão arterial, que caracteriza-se como um fator de risco para o desenvolvimento deste episódio. Desta forma, identifica-se a necessidade das estratégias voltadas à prevenção das doenças e promoção da saúde para poder obter um controle mais efetivo [13] Relacionado ao acometimento por sexo, obteve-se um valor maior no sexo feminino, outros estudos mostraram em seus resultados que em relação a este fator de risco não modificável, existe um predomínio maior nas mulheres [12,14] não foi observado diferenças discrepantes em relação ao sexo feminino ou masculino. Os autores mencionam que tal fator, colabora para confirmação de que não existe uma necessidade de elaborar políticas públicas que sejam diretamente direcionadas a subpopulação especificamente de homens e mulheres no que direciona às terapêuticas e mudanças de comportamento.…”