Prevalência e fatores associados à incapacidade funcional para atividades básicas da vida diária entre idosos de um centro de saúde da família do município de Goiânia-Go
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2013-10-11
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Universidade Federal de Goiás
Resumo
NTRODUCTION: The loss of function of the body is one of the major problems of
the human aging process and it can make an elderly person totally or partially
dependent on others. Also it may affect their independence and quality of life. The
evaluation of capacity for Basic Activities of Daily Living can straight health care for
the elderly. OBJECTIVE: To investigate the prevalence and factors associated with
functional disability on the basic activities of daily life of elderly. METHODS: An
epidemiological analytical cross-sectional study, conducted with 252 elderly from the
Family Health Strategy at the Health Family Center of Vila Mutirão in Goiânia-Go,
casually selected through a random selection. All the information was taken by
structured instrument having socioeconomic and demographic facts, conditions and
health perception, and functional assessment scale for ADL / Katz adapted by the
Department of Health. To identify the issues associated with the loss of the body
function, a varied analysis was made and chi-square test was used, and when
appropriated, Fisher's exact test, with Odds Ratio as an associate measure. We
conducted multivariate logistic regression with the variables: sex, age, and those with
p < 0.10 in the varied analysis. Pauses of 95% assurance were calculated and
considered statistically significant the associations that had p < 0.05. RESULTS:
64.3% of the elderly people were female , 53.4% aged between 60 and 69 years old,
40.9% were married, 59.1% had low financial family income, 69.5% were retired,
82,9% did not have remunerated jobs . 48.0% considered their health regular, 44.0%
reported having better health than other seniors of the same age, 73% reported
having hypertension and 73.4 % reported visual weakening. 88.1% of the elderly
people show preserved functional capacity to the development of ADL revealing
autonomy and independence in the development of these activities. The occurrence
of disability was 11.9% in which 7.9 % were dependent continence, 6.4% for bathing
and 6 % to dress up. The factors related to disability in basic activities of daily living
between older adults were: being 71 years old or more (22.2 %); being male
(17.7%); having chronic disease (12.2%); be illiterate or to know how to read or write
without having attended school (14.7 %); not having a paid job ( 14.4 % ); receiving
more than minimum salary ( 20 % ); not living alone (9.1% ); hearing deficit ( 18.4 % )
and vision ( 12.8%) and state to having poor or very poor health (32 %). The
variables that remained significant for the result of functional disability in basic
activities were: being 71 years old or more; higher income than the minimum salary
and supposed poor / very poor health. CONCLUSION: The study identified the ability
of seniors to ADL and will allow the development of multidisciplinary care planning,
especially regarding the actions for improvements in quality of life of the elderly and
their family caregivers.
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SANTOS, Weslane Souza de Almeida. Prevalência e fatores associados à incapacidade funcional para atividades básicas da vida diária entre idosos de um centro de saúde da família do município de Goiânia-Go. 2013. 102 f. Dissertação (Mestrado em Saúde Coletiva) - Universidade Federal de Goiás, Goiânia, 2013.