Dor crônica em residentes das instituições de longa permanência para idosos de uma metrópole da região centro-oeste
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2013-05-09
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Universidade Federal de Goiás
Resumo
Chronic pain afflicts people of all ages, however in the elderly, as scholars agree,
there are still gaps of knowledge on the standard in which such experience occurs.
The main goal of this paper was to assess the prevalence of chronic pain,
characteristics, as well as the associated factors in the elderly living in nursing home.
This is a cross-sectional study, carried out in seven out of nine nursing home
registered in the Municipal Council for the Elderly and in the Municipal Health Office,
in Goiânia, Brazil. We included in this study the individuals with highest scores ≥13 in
the Mini Mental State Examination (MMSE), with visual, auditory and speech
capacity sufficient to participate in the interviews and with age ≥ 60 years , 159
elderly people total. Chronic pain was considered as existing for six months or more.
The main pain ( the one most uncomfortable for the elderly) was characterized
according to its intensity (through the Verbal Rating Scale, of five points, with the
following categories: “none”, “mild”, “moderate”, “severe”, “worst pain ever”) and
localization , through body diagrams, with back and front. The variables of exposure
included sociodemographic and clinical ones. Self-perception of health was assessed
through the following Verbal Rating Scale: “great”, “good”, “bad”, “awful”), For statistic
analysis we used the SPSS software version 20.0 and STATA 12.0. Associations
were investigated through the Test Kolmogorov-Smirnov, Kruskal Wallis, Odds Ratio
and Univariate Logistic Regression. P values ≤ 0.05 were considered significant.
From 159 elderly people, the majority was over 70 years of age (81.1%), up to 4
years of education (68.8%), retired (86.0%), with children (64.2%), without a partner
(77.2%), and living in the LSIE for less than 5 years (61.8%). Prevalence of chronic
pain was of 49.1% [CI (95%): 41.5%-57.9%]. The parts of the body with highest
prevalence were the lower limbs (47.4%), low back (44.9%), and upper
limbs/shoulders (42.3%). The intensity of pain was considered mild (10.4%),
moderate (35.1%), severe (32.5%), and worst pain ever for 22.1%, appearing mainly
after movement (42.1%) and described as always present (34.2%). Among the
elderly reporting self-perception of health as bad and awful, 60.9% had pain. Chronic
pain was highly associated with gender, self-perception of bad health, practice of
physical activity, reporting cataract, osteomuscular diseases, osteoporosis and
stroke. The prevalence of chronic pain among elderly people living in nursing home is
high, similarly to the findings of other studies carried out in Brazil, and this points to
the need to include the evaluation of this experience as routine in nursing home, in
order to provide early treatment and prevention of diseases in this population.
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PESSOA, Ana Paula da Costa. Dor crônica em residentes das instituições de longa permanência para idosos de uma metrópole da região centro-oeste 2013. 114 f. Dissertação (Mestrado em Enfermagem) - Universidade Federal de Goiás, Goiânia, 2013.