Análise do estado de funcionalidade de idosos residentes em unidades de longa permanência

Josino, Jeanne Batista; Costa, Rachel Belarmino; Vasconcelos, Thiago Brasileiro de; Domiciano, Bruno Ricarth; Brasileiro, Ismênia Carvalho

doi:10.5020/18061230.2015.p351

Cited by 4 publications

(6 citation statements)

References 31 publications

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“…4±28.6 (Calero-García, Calero, Navarro, Ortega, & Campos, 2016). These data differ from those of other studies, which show means of 121.6 points for institutionalized senior patients, and 69.35 for elderly individuals who went home after fractures, which may reinforce the fact that hospitalization reduces the elderly's functionality significantly (Silva, Rojas, & Marzuca-Nassr, 2015;Josino, Costa, Vasconcelos, Domiciano, & Brasileiro, 2015).…”

Section: Discussioncontrasting

confidence: 97%

Functional independence of the elderly in multiprofessional home care

Carvalhal¹,

Losso²,

Boava

et al. 2019

Acta Sci. Health Sci.

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Functional evaluation is one of the pillars of elderly home care for planning of interventions targeting the autonomy of this population. To verify Functional Independence Measure (FIM) in senior patients on a home care program. Retrospective quantitative study with elderly patients assisted by a home care service in the city of Curitiba, from August 2012 to December 2016. The following information was collected: gender, age, clinical diagnosis, and mean FIM scores at admission and discharge. Inclusion and exclusion criteria were met, descriptive statistics was used and, for association of variables, Wilcoxon’s and Spearman’s tests were applied. 1,614 patients were included, with predominance of women (n = 953; 59.53%), mean age of 78.7 ± 9.2 years, clinical diagnoses of diseases mostly affecting the central nervous system (CNS), the respiratory system, the joint and musculoskeletal system, and the circulatory system. The initial mean FIM was 50.56 points, while the final one was 55.36 points, with significant difference – Z = -5.09, p = 0.0001. Most seniors presented maximum to moderate dependence; however, a significant improvement in FIM after the health care provided in their homes was observed in patients with minimum dependence or modified independence.

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Section: Discussioncontrasting

confidence: 97%

Functional independence of the elderly in multiprofessional home care

Carvalhal¹,

Losso²,

Boava

et al. 2019

Acta Sci. Health Sci.

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“…It is known that functional capacity tends to decrease over the years, especially over 70 years of age. We observed that there were negative correlations between age and functional performance, where for each increase in years lived, the results of performance tests were worse, corroborating studies already carried out [26][27][28].…”

Section: Discussionsupporting

confidence: 89%

“…In this study, the influence of pain on physical performance and the fear of falling in older residents in LSIs was observed, showing that the higher the pain scores, the worse the results of gait speed, balance, time to sit and stand and greater is the fear of falling. The presence of these results can be explained by the characteristics of institutionalized older people [26], in which the majority presented as low education, female, with advanced ages and without a spouse (widowed/single), which are risk factors for the development of disabilities [26][27][28].…”

Section: Discussionmentioning

confidence: 99%

“…It should be noted, therefore, that the institutionalized population has a high risk of impairment in functional capacity, both because of its social and clinical characteristics, and because of the institutionalization itself, which imposes on the individual, in most cases, a monotonous, dependent and sedentary routine [28]. The loss of functional capacity is associated with a predisposition to frailty, an increased risk of falls and death, reduced mobility and dependence, generating high-cost care and impairing the quality of life of the older population [29,30].…”

Section: Discussionmentioning

confidence: 99%

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Relationship between Pain, Fear of Falling and Physical Performance in Older People Residents in Long-Stay Institutions: A Cross-Sectional Study

Fernandes

Sales

Tavares

et al. 2022

IJERPH

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Introduction: To analyze the relationship between pain, the fear of falling and functional performance in older people living in a long-stay institution (LSI) in the interior of northeastern Brazil. Methods: A cross-sectional study was conducted with 133 older residents in an LSI in the State of Paraíba. The instruments used for data collection were the Geriatric Pain Measure (GPM), the Falls Efficacy Scale-International (FES-I) and the Short Physical Performance Battery (SPPB). Results: Pain was reported by 57.5% of those evaluated, 48% being classified as chronic pain and presenting an average of 25.2 in the GPM. As for physical performance, assessed using the SPPB, the 133 older residents showed moderate to poor performance, with an average of 6.43 (±2.96) on the scale. By correlating the adjusted GPM values with the FES-I, a weak and statistically significant positive correlation was obtained (ρ = 0.31: p < 0.001). Conclusions: It can be concluded that those who reported pain had a worse performance in the applied tests, in addition to having higher scores on the scale referring to a fear of falling.

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“…O uso desse processo metodológico não é obrigatório, o que contribui para que estudos demonstrem outras metodologias de ligação, como o consenso e o nível de concordância entre avaliadores 61,62,78 . Porém, a não explicitação do método de ligação limita a reprodutibilidade do estudo, o que ocorreu nos estudos de Nickel et al 44 , Carvalho et al 34 , Josino et al 40 , Philbois et al 56 , Gomes et al 57 e Moura et al 54 . Dois estudos de revisão sobre a aplicação da CIF no Brasil identificaram Neurologia, Ortopedia e Reumatologia como os contextos mais frequentes 12,14 assim como os achados do presente estudo.…”

Section: Quadro 2 Continuaçãounclassified

Instrumentos da prática clínica com versão em português e a abrangência de seus conteúdos usando a CIF como referência: uma revisão sistemática

et al. 2020

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RESUMO A prática clínica tem sido subsidiada por instrumentos que permitem acessar e registrar informações de funcionalidade e saúde dos indivíduos. Uma forma de conhecer qual conteúdo da Classificação Internacional de Funcionalidade, Incapacidade e Saúde (CIF) os instrumentos contemplam é usá-la como referência para auxiliar o profissional na escolha do mais adequado para acessar informações biopsicossociais. O objetivo foi identificar instrumentos da prática clínica em saúde que tiveram seu conteúdo ligado com a CIF e a existência de versão na língua portuguesa deles. Para tanto foi realizada uma revisão sistemática nas bases de dados SciELO Brasil, Lilacs e PubMed com os descritores “CIF”, “questionário” e “regra de ligação” em português e inglês. Três pesquisadores independentes realizaram a seleção, e o nível de concordância foi obtido pelo coeficiente Kappa. Os critérios de elegibilidade foram: estudos primários de ligação de conteúdo de questionários, escalas, índices e checklists com a CIF publicados após 2001 em língua portuguesa ou inglesa. Foram incluídos 61 artigos, sendo 19 de origem brasileira. Dos 250 instrumentos ligados à CIF, 158 (63,2%) apresentaram versão em português sendo que dos 37 que mais se repetiram nos estudos, dois não apresentam essa versão. O coeficiente Kappa mostrou concordância entre moderada e boa (p<0,001). Este estudo apresentou um panorama da ligação de conteúdo de instrumentos da prática clínica à CIF identificando quais têm versão em língua portuguesa, o que contribuirá para o potencial fortalecimento da abordagem biopsicossocial dos profissionais de saúde.

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Análise do estado de funcionalidade de idosos residentes em unidades de longa permanência

Cited by 4 publications

References 31 publications

Functional independence of the elderly in multiprofessional home care

Functional independence of the elderly in multiprofessional home care

Relationship between Pain, Fear of Falling and Physical Performance in Older People Residents in Long-Stay Institutions: A Cross-Sectional Study

Instrumentos da prática clínica com versão em português e a abrangência de seus conteúdos usando a CIF como referência: uma revisão sistemática

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