Factors associated with the functional capacity of elderly individuals with hypertension and/or diabetes mellitus

Abstract

Objective: To identify the association of sociodemographic and clinical factors with the functional capacity of elderly individuals with hypertension and/or diabetes mellitus. Method: An outpatient, non-probabilistic cross-sectional study, performed in two Health Units in a city from the inland of Bahia, Brazil, with a population of 100 elderly individuals monitored through the HIPERDIA Program. Data was collected using a questionnaire covering socio-demographic data, the Katz index and the Mini Mental State Examination. Results: The analysis showed that 45% of the respondents had some degree of dependence. In the multivariate analysis it as observed that the elderly individuals aged 70 years old or more presented 1.9 times more chances to develop some degree of dependence in relation to those under 70 years old. Considered the same age group, it was shown that those with concomitant comorbidities (hypertension and diabetes) were 1.7 times more likely to develop some dependence compared to those who only had hypertension. Conclusion and implications for practice: It was possible to conclude that functional capacity as a multifactorial condition in this population was determined by age and by the presence of comorbidities (hypertension and diabetes). Identifying these disability-conditioning factors allows for a better planning of nursing care based on promoting a healthy, independent and autonomous aging process.

Autocuidado de usuários com doenças crônicas na atenção primária à luz da teoria de Orem

“…En cuanto a la variable "género", se observó que la mayoría de los participantes eran del sexo femenino (87.5%). Resultados similares fueron encontrados en un estudio reciente realizado con 100 ancianos con ECNT, que mostró que la mayoría eran mujeres (22) . Otro estudio, que abordó acciones de autocuidado apoyadas en la atención primaria en relación a la hipertensión arterial, concluyó que 76.2% de los participantes también eran del sexo femenino (23) .…”

Factors Associated With Positive Self-Rated Health: Comparing Older Adults in Brazil and in Portugal

“…Women are the majority in the older adult population in all regions of the world. It is estimated that they live, on average, 5 to 7 years longer than men (73). However, along their lives, women accumulate disadvantages such as violence, discrimination, lower wages than men, double shifts, low level of education, loneliness due to widowhood, poverty and dependence on external resources (74).…”

Estratégias de Educação em Saúde a pacientes com Diabetes mellitus em insulinoterapia: revisão integrativa/ Health education strategies for patients with Diabetes mellitus in insulin therapy: integrative review

“…Em vista do grande número de idosos com diabetes, é preciso adaptar-se às demandas dessa população, pois algumas limitações e dependências para a realização das atividades rotineiras podem comprometer a capacidade funcional e a manutenção da autonomia, tornando complexa a gestão do autocuidado (24) . Dessa forma, deve-se fazer a verbalização do conhecimento de modo mais lento e pausado; devem-se evitar termos técnicos; e devem-se realizar repetições do assunto.…”