Quality of life and the health status of elderly persons: a population-based study in the central sertão of Ceará

Abstract

Introduction: Healthy aging and quality of life has become a major desire of contemporary society. Understanding the profile of this population will allow the creation of more appropriate policies and actions for the promotion of health and quality of life. Objective: To map aspects related to health and quality of life as perceived by elderly residents of the city of Canindé, in the central sertão region of the state of Ceará. Method: A quantitative, cross-sectional, household-based study was performed. From a population of 5,214 elderly persons, proportional stratified sampling resulted in a sample of 372 individuals. A characterization questionnaire addressing sociodemographic characteristics and health status and the abbreviated version of WHOQOL were used. SPSS version 16.0 was used for descriptive and inferential statistics, adopting a significance level of 5%. Results: Most elderly individuals were female, married, brown skinned, aged 60 to 69 years old, with an incomplete primary education and an income of up to one minimum wage. Most of the elderly persons had attended 1-3 consultations/admissions in the last 12 months, and reported a high prevalence of hypertension, diabetes, osteoporosis, anxiety and cardiovascular diseases, despite describing their health and quality of life as "good". In terms of quality of life, the psychological domain had the highest, and the environmental domain had the lowest mean score. Conclusions: The prevalent diseases/comorbidities belonged to the chronic non-communicable diseases group. The environmental domain negatively influenced overall quality of life, indicating the importance of environments that provide health promotion and quality of life for elderly people from rural regions.

Biopsychosocial Determinants of Quality of Life in the Elderly at Tresna Werdha Social Nursing Home, Yogyakarta

“…Penelitian ini sejalan dengan penelitian yang dilakukan oleh Pereira, Nogueira, & Silva (2015) tentang "Quality of Life and The Health Status of Elderly Persons: A Population-Based Study in The Central Sertao of Ceara", yang dilakukan pada lanjut usia yang tinggal di Caninde, Ceara, Brazil. Hasil penelitian menunjukkan bahwa ada hubungan antara status kesehatan dengan kualitas hidup lanjut usia di Caninde, Ceara, Brazil, khususnya pada domain psikologis.…”

Economic Evaluations in Health from the Perspective of the Costs Associated with Diabetes Mellitus Treatment

“…A reduction of 1% in A1c values reduces the risk of amputation by 43%, the risk of acute myocardial infarction by 14% and microvascular complications by 37% [23,35]. It is noteworthy that many patients become incapacitated as a result of the severity of DM complications, which leads to an increase in indirect costs for the health system [21,43]. The WHO estimates that the costs of loss of productivity of DM patients can exceed up to five times the direct costs of this disease [20,36].…”

“…It is noteworthy that many patients become incapacitated as a result of the severity of DM complications, which leads to an increase in indirect costs for the health system [21,43]. The WHO estimates that the costs of loss of productivity of DM patients can exceed up to five times the direct costs of this disease [20,36].…”

Transtorno Depressivo Maior Em Idosos Não Institucionalizados Atendidos Em Um Centro De Referência

“…Em menos de 40 anos, o Brasil passou de um perfil de morbimortalidade de enfermidadesinfectocontagiosas para o perfil epidemiológico com doençascrônicas,peculiar das faixas etárias mais avançadas (4) . O aumento das doenças crônicas provocou a necessidade de adequações das políticas sociais voltadas para atender às crescentes demandas nas áreas da saúde, previdência e assistência social (5)(6) .Além disso, com o aumento da expectativa de vida torna-se fundamental prover à população uma longevidade com qualidade de vida e um envelhecimento saudável, permitindo que aspirem a uma vida sem preocupação com limitações, incapacidades e dependências, próprias do envelhecimento (7)(8) .…”

“…Do ponto de vista neurofisiológico, a depressão é caracterizada por umaalteração bioquímica no cérebro, causada por déficit no metabolismo de serotonina, aqual é considerada o principal neurotransmissor responsável pelo equilíbrio do humor e da sensação de bem-estar do indivíduo (12) . É nesse cenário que entra as mudanças vivenciadas pelo idoso como, perda de entes familiares, doenças, dependência física e/ou econômica, institucionalização, podendo atuar como ponto de partida da desestruturação psíquica característica da depressão (8) . Tendo em vista a relevância do tema abordado e o universo em que a população de idosos está inserida, este estudo buscou analisar a prevalência de transtorno depressivo maiorem idosos atendidos em um centro de referência em saúde do idoso no norte de Minas Gerais, bem como relacionar com a doença fatores de risco sociodemográficos.…”