Apoio social e síndrome da fragilidade em idosos residentes na comunidade

Amaral, Fabienne Louise Juvêncio dos Santos; Guerra, Ricardo Oliveira; Nascimento, Aline Freire Falcão; Maciel, Álvaro Campos Cavalcanti

doi:10.1590/s1413-81232013000600034

Cited by 28 publications

(24 citation statements)

References 35 publications

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“…Evaluating the characteristics of care, caregivers living in areas of high social vulnerability received less material and emotional help, which corroborates findings in a study carried out in the Municipality of Natal (Rio Grande do Norte state) with 300 elderly people, where the elderly presented a weak support network, often only offered by some neighbors (20) . Another study identified that elderly people living in regions of high vulnerability have a large social network; however, only a few members play a functional role, that is, providing or receiving support (21) .…”

Section: Discussionsupporting

confidence: 83%

Elderly caregivers living in urban, rural and high social vulnerability contexts

Pavarini

Néri

Brígola

et al. 2017

Rev. esc. enferm. USP

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OBJECTIVE Comparing the differences in the sociodemographic, care and health profiles of elderly caregivers of the elderly living in urban, rural, and high social vulnerability contexts. METHOD A cross-sectional study developed with elderly caregivers enrolled in the Family Health Units of a municipality in the interior of São Paulo. Household interviews and evaluations were conducted on: Activities of Daily Living (ADL), self-reported pain, frailty, cognition, life satisfaction, family functionality, burden, stress and hope. RESULTS A total of 343 elderly caregivers of elderly individuals participated in the study, of which 55.1% lived in an urban context, 23.6% in rural areas, and 21.3% in a context of high social vulnerability. The majority of elderly caregivers were women across the three contexts, with a median age of 67 years and caring for their spouse. Caregivers from regions of high social vulnerability had lower education level, received less emotional and material help to care, were less satisfied with life, more fragile, in more cognitive decline, had worse family functionality and a lower level of hope when compared to caregivers of urban and rural contexts (p≤0.05). However, caregivers from areas of high vulnerability were more independent for ADL. CONCLUSION Professionals working in Primary Care should consider these differences when planning interventions aimed at the specific group of caregivers.

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Section: Discussionsupporting

confidence: 83%

Elderly caregivers living in urban, rural and high social vulnerability contexts

Pavarini

Néri

Brígola

et al. 2017

Rev. esc. enferm. USP

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show abstract

“…(11) In addition, the elderly with low educational level may present mental health problems, chronic conditions, in addition to social exclusion, less access to information, and unfavorable socioeconomic conditions. (21) Regarding the current occupation, there was a predominance of retired elderly, of which 137 (55.4%) were found in this study. Retirement, pensions, and government benefits are the main sources of income and support for the elderly in the Brazilian population.…”

Section: Discussionmentioning

confidence: 47%

Fragilidade de idosos em vulnerabilidade social

et al. 2017

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Objective: To identify the relationship between frailty, sociodemographic characteristics, and social vulnerability of the elderly enrolled in a primary care service. Methods: This was an exploratory, comparative, and cross-sectional study with a quantitative research approach performed with 247 elderly people enrolled in a primary care service, in a city in the interior of São Paulo. A questionnaire was used for socio-demographic characterization of the participants, and the Edmonton Frail Scale was used to evaluate frailty. Vulnerability was classified according to the Paulista Index of Social Vulnerability. Data were analyzed in a descriptive and inferential manner. All ethical recommendations were met. Results: There was a prevalence of frail elderly women, with a mean age of 68.5 (SD=7.3) years, low education, who were retirees. There was a statistically significant difference between frailty and the number of diseases reported (p<0.001). Frailty correlated negatively with social vulnerability (r=-0.043). Conclusion: These results should receive attention from public administrators to understand frailty of the elderly in a context of social vulnerability. ResumoObjetivo: Identificar a relação entre fragilidade, características sociodemográficos e vulnerabilidade social de idosos cadastrados em um serviço de atendimento primário. Métodos: Trata-se de um estudo exploratório, comparativo e transversal, com abordagem quantitativa de investigação realizado com 247 idosos cadastrados em um serviço de atendimento primário, em um município do interior paulista. Utilizou-se questionário para caracterização sócio demográfica dos participantes e Escala de Fragilidade de Edmonton, para avaliar a fragilidade. A vulnerabilidade foi classificada segundo Índice Paulista de Vulnerabilidade Social. Os dados foram analisados de forma descritiva e inferencial. Todas as recomendações éticas foram respeitadas. Resultados: Houve prevalência de idosos frágeis pertencentes ao gênero feminino, com média de idade de 68,5 (dp=7,3) anos, baixa escolaridade e aposentados. Houve diferença estatisticamente significativa entre fragilidade e número de doenças relatadas (p<0,001). A fragilidade se correlacionou negativamente com a vulnerabilidade social (r=-0,043). Conclusão: Os resultados encontrados devem suscitar atenção aos gestores públicos para a necessidade de conhecer a fragilidade de idosos em contexto de vulnerabilidade social.

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“…A classificação da fragilidade encontrada no presente estudo apresentou-se próxima das demais pesquisas relacionadas (Amaral et al, 2013;Espinoza et al, 2010;Freiheit et al, 2011). Vieira e colaboradores (2013) identificaram que os idosos pré-frágeis e frágeis apresentaram, respectivamente, maiores e crescentes razões de chances para dependência em atividades instrumentais de vida diária; restrição em atividades avançadas de vida diária; utilização de dispositivos auxiliares da marcha; comorbidades; quedas; sintomas depressivos; menor autoeficácia para prevenir quedas; hospitalização e idade avançada.…”

Section: Discussionunclassified