Prevalência e fatores associados ao cuidado domiciliar a idosos

Abstract

OBJECTIVE:To estimate the prevalence of home care among older adults and to identify associated factors. METHODS:Population-based cross-sectional study including 598 individuals aged ≥ 60 years. Subjects were selected through a two-stage cluster sampling strategy in the city of Pelotas, Southern Brazil, between 2007 and 2008. Home care was defi ned as a positive answer to the following question: "Do you have someone here in your home to take care of you?" Data on potential associated factors for home care were collected using a standardized questionnaire. Poisson regression models with robust variance were used in the crude and in the adjusted analyses. The analysis took into account the clustering of the sample. RESULTS:The prevalence of home care was 49.5% (95%CI: 44.5;54.5). Among those who have a caretaker, 39.5% reported to be cared for by their spouse, while 4.7% of subjects reported having a professional caretaker. In the adjusted analysis, home care was positively associated with male sex, having a partner, increased age and disability for instrumental activities of daily living. Home care was inversely associated with schooling and physical activity levels. CONCLUSIONS:The high prevalence of home care observed may overburden family members responsible for the most of the care provided. These fi ndings are important for the planning of health interventions aimed the assistance of the elderly and their families. Particular attention should be paid to individuals with advanced age, low educational level and with disability for activities instrumental to daily living.

Perceptions of pharmaceutical services among elderly people on polymedication

“…No significant difference was observed between the mean age of men and women. This has been observed in other studies of the elderly who are receiving home care, with prevalent ages between 60 and 69 years old (17) .…”

Dependência funcional e fatores associados em idosos corresidentes

“…A manutenção da capacidade funcional deve, em conjunto com a necessidade de autonomia, cuidado e participação social, nortear o bojo das discussões no que tange à elaboração das políticas públicas voltadas para a pessoa idosa 10 . Sendo assim, os órgãos de saúde devem ter como metas na assistência à saúde do idoso manter e recuperar a autonomia, prevenir e diminuir a mortalidade por causas previsíveis e promover atenção curativa, visto que é impossível desacelerar o processo de envelhecimento 11 .…”

Autoavaliação da saúde por idosos atendidos em um centro ambulatorial de referência

“…A ocorrência frequente de quedas na população idosa é umas das principais preocupações relacionadas à saúde, pois faz com que os indivíduos acometidos necessitem, em muitos casos, de cuidado permanente e continuado. 28 As quedas no idoso estão relacionadas a fatores intrínsecos, como o uso de medicamentos, diminuição da força muscular e do equilíbrio, instabilidade da marcha, doenças agudas e crônicas, como a osteoporose e fatores extrínsecos, como ambientes com pouca luz, tapetes soltos, escadas sem corrimão, pisos escorregadios e móveis dispostos inadequadamente. 29 A prevalência de queda encontrada neste estudo foi inferior se comparada aos resultados apresentados por outros estudos realizados no Brasil.…”