Fragilidade de idosos em vulnerabilidade social

Jesus, Isabela Thaís Machado de; Santos-Orlandi, Ariene Angelini dos; Grazziano, Eliane da Silva; Zazzetta, Marisa Silvana

doi:10.1590/1982-0194201700088

Cited by 32 publications

(41 citation statements)

References 20 publications

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“…(8,13,14) A study involving elderly from five Social Service Referral Centers in the city of São Paulo (Brazil), located in regions considered vulnerable, evidenced that about 38.3% had one to four years of study and presented frailty. (20) The low educational level of the respondents was due to the time when the elderly were in the In relation to income, most of the elderly reported a family income from one to three minimum wages, which corroborates the profile of the elderly in another study. (14) Education and family income are social determinants that may interfere in frailty, the socioeconomic condition being related to individuals' style and quality of life.…”

Section: Discussionsupporting

confidence: 78%

“…Nevertheless, elder elderly present the highest prevalence of frailty. (20) Also, in a longitudinal study in Germany, increasing age was associated with frailty. (21) In this study, 83.3% of elder elderly presented frailty while, in the elderly under 80 years old, this condition was present in 58.5%.…”

Section: Discussionmentioning

confidence: 98%

“…Findings from Brazilian (8,24) and international studies (7) support this finding. Studies show that the greater number of elderly women when compared to the number of men is a reality, which is called feminization of old age, (20,(25)(26)(27) and deserves special attention. One cannot interpret that the fact that women live longer means that they have a good quality of life and desirable health conditions.…”

Section: Discussionmentioning

confidence: 99%

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Níveis de fragilidade de idosos e sua associação com as características sociodemográficas

et al. 2018

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Resumo Objetivo Verificar a associação da fragilidade de idosos com as características sociodemográficas. Métodos Estudo transversal de base populacional, com 555 idosos adscritos as Estratégias Saúde da Família da área urbana de um município do noroeste do Estado do Rio Grande do Sul/ Brasil. Os dados foram coletados de abril a dezembro de 2015, por entrevista com caracterização sociodemográficas e avaliação da fragilidade conforme critérios de Fried: perda de peso não intencional no último ano, força de preensão; velocidade da marcha, nível de atividade física e fadiga autorreferida. Utilizou-se estatística descritiva e analítica. Resultados Evidenciou-se que nos idosos mais velhos e do sexo feminino a prevalência de fragilidade é maior. Observou-se associação entre estado civil e moradia quando analisado em relação ao sexo; também, quando observado os componentes da fragilidade a fadiga mostrou associação com o sexo. Na análise bivariada e multivariada, relacionando fragilidade com as variáveis sociodemográficas constata-se que a idade influencia na fragilização. Ainda, destaca-se que a prevalência de fragilidade na população do presente estudo está acima de trabalhos de referencia nacional. Conclusão Resultados apontam para questões relativas ao cuidado, apoio e suporte ao idoso por seus familiares, tão necessários com o avanço da velhice. Não obstante da importância de que isso seja incorporado na rotina das equipes de saúde para todos os idosos adstritos a área de cobertura de Estratégia de Saúde da Família com base em nossos resultados idosos mais velhos, do sexo feminino, e que residem sozinhos devem ser priorizados na atenção básica.

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Section: Discussionsupporting

confidence: 78%

Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

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Níveis de fragilidade de idosos e sua associação com as características sociodemográficas

et al. 2018

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“…A study carried out with elderly people attending basic care equipment in the interior of São Paulo interviewed 363 elderly people, of whom 27.3% presented frailty at some level (17) . Another study carried out with 247 elderly in the community in the interior of São Paulo obtained that 36.8% were frail, and the majority were married women (13) .…”

Section: Discussionmentioning

confidence: 98%

“…The greater prevalence of frailty in women stems from the fact that they live longer. Moreover, they are more economically dependent, are influenced by conditions marked by sexual issues and have restricted social life (13) . There was a predominance of elderly people with low educational level, an indicator of risk to negatively impact the health of the elderly and cause adverse effects.…”

Section: Discussionmentioning

confidence: 99%

Frailty and social support of the elderly in contexts of social vulnerability

2018

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Objective: to analyze the relationship between of frailty and the family social relationships of the elderly in a context of social vulnerability. Methods: a cross-sectional study with elderly people enrolled in five Reference Centers for Social Assistance. Sample for convenience composed of 247 elderly. For data collection, a sociodemographic questionnaire, Edmonton Frailty Scale, Genogram and Eco-maps were used. Social vulnerability characterized according to Social Vulnerability Index. Results: of the respondents, 41.7% did not present frailty, 21.5% were apparently vulnerable and 36.8% frail. There was no significant difference between frailty and family relationship. There was significant difference between frailty and external attachment (p=0.010), indicating that elderly individuals with frailty at some level had a limited external link. Conclusion: elderly people who have a close relationship with family members, did not present frailty, while the majority of the elderly who do not have external ties, presented some level of frailty. Descriptors: Frail Elderly; Social Support; Social Vulnerability.Objetivo: analisar a relação entre o nível de fragilidade e as relações familiares e sociais de idosos em contexto de vulnerabilidade social. Métodos: estudo transversal, realizado com idosos cadastrados em cinco Centros de Referência de Assistência Social. Amostra por conveniência composta por 247 idosos. Para coleta de dados, utilizou-se questionário sociodemográfico, Escala de Fragilidade de Edmonton, Genograma e Ecomapa. A vulnerabilidade social foi caracterizada segundo Índice de Vulnerabilidade Social. Resultados: dos respondentes, 41,7% não apresentaram fragilidade, 21,5% estavam aparentemente vulneráveis e 36,8% estavam frágeis. Não houve diferença significativa entre fragilidade e relação familiar. Houve diferença significativa entre fragilidade e vínculo externo (p=0,010), indicando que idosos com algum nível de fragilidade em apresentaram fragilidade, enquanto que a maior parte dos idosos que não possuem vínculos externos, apresentou algum nível de fragilidade.

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Evaluating the implementation of user embracement in the healthcare system of Jaboatão dos Guararapes city, Brazil

Barros

Diniz

Brito

et al. 2022

Health Planning & Management

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Background The advent of the Family Health Strategy required healthcare teams to strengthen bonding and accountability towards users. In this sense, humanisation has been the key to a successful care provision and to the acceptance of interventions that can meet demands. Our study aimed to evaluate the implementation of user embracement in Family Health Units of Jaboatão dos Guararapes, Pernambuco, Brazil. Methods The studied population belonged to 48 Family Health teams. Eighty‐five healthcare workers with higher education answered the questionnaire, and the registration forms of 272 users were examined, from which sociodemographic information was gathered. These data were analysed according to the degree of vulnerability. Questionnaire results were collected and tabulated using the HCMaps software. Dimensions were analysed through a Likert‐type grading scale ranging from 1 to 5. This is an evaluative, cross‐sectional study with a quantitative approach, considering the dimensions proposed in the RE‐AIM framework. Results User embracement was considered unsatisfactory, as were Reach and Adoption. The Effectiveness, Implementation, and Maintenance dimensions yielded satisfactory results. The main ones were the perception of user embracement as a screening process, and the delimitation of open slots and/or schedules. Conclusions The study shows that user embracement has been effective in strengthening bonds, reducing queues, and solving demands. However, the potential user embracement sustainability and implementation have been hampered by factors related to the Adoption of the intervention.

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Fragilidade de idosos em vulnerabilidade social

Cited by 32 publications

References 20 publications

Níveis de fragilidade de idosos e sua associação com as características sociodemográficas

Níveis de fragilidade de idosos e sua associação com as características sociodemográficas

Frailty and social support of the elderly in contexts of social vulnerability

Evaluating the implementation of user embracement in the healthcare system of Jaboatão dos Guararapes city, Brazil

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