Redes sociais e funcionalidade em pessoas idosas: evidências do estudo Saúde, Bem-Estar e Envelhecimento (SABE)

Lopes

Rev. bras. geriatr. gerontol.

et al. 2020

Resumo Os objetivos foram confirmar a validade do Guedes Tool, instrumento para avaliação do apoio social informal (ASI) para idosos, e estimar sua acurácia. Foi realizada análise fatorial confirmatória (AFC) com avaliação dos índices CFI, RMSEA e relação do qui-quadrado (X2) com graus de liberdade (gl). Para análise de acurácia foi verificada a área sob a curva ROC, valores de sensibilidade (S), especificidade (E), valor preditivo positivo (VP+), valor preditivo negativo (VP-) e o Índice J de Younder (J) para confirmar o melhor ponto de corte. A coleta de dados ocorreu com idosos de Natal e região metropolitana em 2018. Os critérios de inclusão foram: ter 60 anos ou mais, com níveis cognitivos preservados. Duzentos e seis idosos participaram do estudo de AFC e 197 participaram da análise de acurácia. As estimativas dos índices avaliados na AFC foram: X2/gl=1,33, RMSEA=0,04 (IC95% 0,025-0,054) e CFI=0,91. A curva ROC obteve área de 0,78 (IC95: 0,72-0,85; p<0,001) para a determinação de idosos com baixo ASI. O J de maior valor foi de 0,44 para pontuação ≤34, o qual tem uma S de 59,76% e E de 84,96%. O instrumento apresentou um modelo bem ajustado com quatro dimensões, segundo critérios da AFC. Apresentou boa área sob a curva ROC e boa E e S moderada para o valor de corte de 34 pontos ou menos para o diagnóstico do ASI insuficiente. Os bons indicadores de VP+ e VP- reforçaram sua acurácia desejável.

Section: Discussionmentioning

confidence: 99%

Validade e acurácia do Guedes Tool para avaliar o apoio social informal para idosos

Lopes

Rev. bras. geriatr. gerontol.

et al. 2020

Rev. bras. geriatr. gerontol.

“…a predominance of women 4,26 , who were younger than 75 1,4,18,[27][28][29][30] , cohabited with others 4,26,28,30 , had up to two diseases 4, 26-28 and were independent for BADL (85.92%). It is common, as the SABE study showed, that the development of dependence is greater for women (33.2%), the elderly (59.46%) and widowers (37.3%) 4. .…”

Section: Discussionmentioning

confidence: 99%

“…The researchers highlight that the network composed of family and friends is larger than the family network, in relation to sons and/or daughters who do not live with the elderly. Although this network is smaller, it is that which most expressively supports the elderly 4 .…”

Section: Analysis Of Information From the Nationalmentioning

confidence: 92%

“…Types of protection against the daily difficulties faced by the elderly can be created through bonds established over the years, which form spontaneous and reciprocal networks of relationships that can provide individual and collective well-being. Such relationships constitute an informal social support network in which feelings of affect, protection, security, common and mutual care, the socialization of knowledge and information are cultivated among its members [1][2][3][4][5][6][7] .…”

Section: Introductionmentioning

confidence: 99%

“…A study on the representation of old age shows that the family is a support for experiencing a positive old age and a space for exchanges and mutual help, where shelter, protection and the maintenance of health is found 19 . In this sense, the elderly not only feel that others are interested in them and will be available when they need them, but also receive satisfaction regarding existing relationships 8,19,20 , increased sociability and the creation of a possible influence on their physical, cognitive and psychological functionality 3,4,6 .…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Comparison of social support network and expectation of care among elderly persons with different home arrangements

Sant’Ana

́Elboux

2019

Objective: To compare the social support network and expectation of care among elderly persons who live alone and those who live with others. Method: A cross-sectional study with 348 elderly people living in the community in the municipal region of Várzea Grande, Mato Grosso, Brazil was performed. The elderly were interviewed using a questionnaire composed of socio-demographic issues; evaluation tools of basic and instrumental activities of daily living; and care expectation and perceived social support network. The data were submitted to descriptive and comparative statistical analysis, the chi-squared test or Fisher’s exact test at a significance level of 5%. Results: Most of the interviewees were younger elderly women. Of these,14.66% lived alone and 85.34% lived with other people, with mainly bi-generation family arrangements. The majority stated that they had fair health, had up to two diseases, were dependent in instrumental activities of daily living and independent in self-care activities. Elderly persons who lived with others relied on their family, and the expectation of care was aimed at a daughter or daughter-in-law; while those who lived alone expected to rely on neighbors or friends to help with their tasks, if needed. Conclusion: Family members are the greatest providers of support and care, and the elderly hope to count on them when they need help in carrying out basic and instrumental activities of daily living.

The “SuperAgers” construct in clinical practice: neuropsychological assessment of illiterate and educated elderly

Balduino

Melo

Silva

et al. 2019

Int. Psychogeriatr.

Introduction:The demographic transition is a global event intensified during the last decades that represents population aging. Thus, the studies directed to the elderly 80 years of age or more with preserved cognitive functions (named SuperAgers) emerges as a possible path to full comprehension of the health of those aging with acceptable levels of functionality and independency.Objective:To evaluate the cognitive performance of the elderly over 80 years old, associating the results to their educational level.Method:We evaluated 144 healthy elders with 80 years or more through the following cognitive tests Mini-Mental State Examination (MMSE), Cambridge Cognitive Examination (CAMCOG), Clock Drawing Test (CDT), and Verbal Fluency Test (VF) and compared the tests’ scores with their educational level segmented in years of formal education, being the groups ILLITR (<1 year of schooling), 1TO4 (from 1 to 4 years of schooling), and 5MORE (>5 years of schooling).Results:There was positive influence of educational level on the cognitive tests’ score, which indicates higher cognitive reserve of the elderly with higher educational levels.Conclusion:The functionality and independence of the so-called SuperAgers is determined by the cognitive reserve acquired throughout life, mainly developed by the years of formal education.