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Braga C, Saad KR, Koike MK. The influence of the internet on choices about older adults' health and well-being. Rev Bras Enferm 2024; 77:e20230321. [PMID: 38747746 PMCID: PMC11095947 DOI: 10.1590/0034-7167-2023-0321] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2023] [Accepted: 12/07/2023] [Indexed: 05/18/2024] Open
Abstract
OBJECTIVES to describe the profile of older adults who access the internet to search for health information and identify the factors that can influence older adults' decisions about their health based on information collected online. METHODS 391 older adults answered an online questionnaire regarding habits and satisfaction with information about health collected on the internet. Data processing involved Logistic Regression. RESULTS higher education reduces by 44% the likelihood of an older adult following the health recommendations on internet sites. However, social activities and self-perceived health increase the possibility of following the recommendations by 83% and 71%, respectively. The belief that the internet promotes healthy habits increases by 29.2 times the probability of an older adult following the advice. FINAL CONSIDERATIONS knowing the profile of older adults who use the Internet can help professionals formulate public policies and build good information platforms on health and well-being.
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Affiliation(s)
- Cristina Braga
- Instituto de Assistência Médica ao Servidor Público Estadual de São Paulo. São Paulo, São Paulo, Brazil
| | - Karen Ruggeri Saad
- Universidade Federal do Vale do São Francisco. Petrolina, Pernambuco, Brazil
| | - Marcia Kiyomi Koike
- Instituto de Assistência Médica ao Servidor Público Estadual de São Paulo. São Paulo, São Paulo, Brazil
- Universidade de São Paulo. São Paulo, São Paulo, Brazil
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de Oliveira-Figueiredo DST, Silva MPGPC, Feitosa PYDO, Leite BC, Rocha FL, de Andrade LDF. What is the burden of multimorbidity and the factors associated with its occurrence in elderly Brazilians? Rev Bras Enferm 2024; 77:e20220809. [PMID: 38716903 PMCID: PMC11067935 DOI: 10.1590/0034-7167-2022-0809] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2023] [Accepted: 11/25/2023] [Indexed: 05/12/2024] Open
Abstract
OBJECTIVE To estimate the prevalence of multimorbidity in elderly people and its association with sociodemographic characteristics, lifestyle, and anthropometry. METHODS This was a cross-sectional study using data from the National Health Survey, 2019. A total of 22,728 elderly individuals from all 27 Brazilian states were randomly selected. Poisson regression models with robust variance were employed, and a significance level of 5% was adopted. RESULTS The prevalence of multimorbidity was 51.6% (95% CI: 50.4-52.7), with the highest estimates observed in the South and Southeast. Multimorbidity was associated with being female (aPR = 1.33; 95% CI: 1.27-1.39), being 80 years old or older (aPR = 1.12; 95% CI: 1.05-1.19), having low education (aPR = 1.16; 95% CI: 1.07-1.25), past cigarette use (aPR = 1.16; 95% CI: 1.11-1.21), insufficient physical activity (aPR = 1.13; 95% CI: 1.06-1.21), and screen use for 3 hours or more per day (aPR = 1.13; 95% CI: 1.08-1.18). CONCLUSION Multimorbidity affects more than half of the elderly population in Brazil and is associated with social, demographic, and behavioral factors.
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Sutil DV, Moreira BDS, Canever JB, Cândido LM, Danielewicz AL, Lima-Costa MF, Avelar NCPD. Association between self-perception of the neighborhood environment and sleep problems in older Brazilian adults: findings from ELSI-Brazil. CAD SAUDE PUBLICA 2024; 40:e00141623. [PMID: 38695455 PMCID: PMC11057486 DOI: 10.1590/0102-311xen141623] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2023] [Revised: 12/12/2023] [Accepted: 12/15/2023] [Indexed: 05/06/2024] Open
Abstract
This study aimed to investigate associations between neighborhood perception and sleep problems in older Brazilian adults. A cross-sectional study was conducted with 5,719 community-dwelling older adults (≥ 60 years) from the Brazilian Longitudinal Study of Aging (ELSI-Brazil, 2019-2021). The outcomes were self-reported sleep problems: poor sleep quality, daytime sleepiness, primary insomnia complaints, difficulty staying asleep, and waking up at dawn. The exposure variables were questions about the perception of participants about the physical and social environment of the neighborhood. Logistic regression was used in data analysis. Garbage, rubbish, or tall grass on the streets and the desire to move were associated with higher odds of poor sleep quality. Concern about falling due to damaged sidewalks, concern about having difficulties taking transportation, and concern about having difficulties crossing the street were associated with higher odds of all sleep problems. Sound/noise of buses and cars was associated with higher odds of some sleep problems. Perceiving the neighborhood as a good place to live was associated with lower odds of daytime sleepiness and primary insomnia complaints. Trusting most people in the neighborhood and perceiving that kids and younger people treat adults with respect were associated with lower odds of daytime sleepiness, primary insomnia complaints, and waking up at dawn. Being a good place for kids to play and raise teenagers was associated with lower odds of daytime sleepiness. These results can assist public administrators in creating urban planning policies aimed at improving neighborhood environments as a means of health promotion.
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Affiliation(s)
| | - Bruno de Souza Moreira
- Núcleo de Estudos em Saúde Pública e Envelhecimento, Fundação Oswaldo Cruz/Universidade Federal de Minas Gerais, Belo Horizonte, Brasil
| | | | | | | | - Maria Fernanda Lima-Costa
- Núcleo de Estudos em Saúde Pública e Envelhecimento, Fundação Oswaldo Cruz/Universidade Federal de Minas Gerais, Belo Horizonte, Brasil
- Programa de Pós-graduação em Saúde Pública, Universidade Federal de Minas Gerais, Belo Horizonte, Brasil
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Peixoto C, Matioli MNPDS, Takano SAF, Teixeira MS, Passos Neto CEB, Brucki SMD. Feasibility, safety, and adherence of a remote physical and cognitive exercise protocol for older women. Arq Neuropsiquiatr 2024; 82:1-9. [PMID: 38653483 PMCID: PMC11039073 DOI: 10.1055/s-0044-1785690] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/09/2023] [Accepted: 02/12/2024] [Indexed: 04/25/2024]
Abstract
BACKGROUND Population aging and the consequences of social distancing after the COVID-19 pandemic make it relevant to investigate the feasibility of remote interventions and their potential effects on averting functional decline. OBJECTIVE (1) To investigate the feasibility, safety, and adherence of a remote protocol involving physical and cognitive exercises for older women with normal cognition; (2) to examine its effects on cognitive and well-being variables. METHODS Twenty-nine women (age ≥ 60 years old) were randomized into experimental group (EG; n = 15) and control group (CG; n = 14). The EG performed a 40-minute session of cognitive and physical exercises, and CG performed a 20-minute stretching session. Both groups performed 20 sessions via videoconference and 20 on YouTube twice a week. The Mini-Mental State Examination, Verbal Fluency Test, Digit Span (direct an inverse order), Geriatric Depression Scale (GDS), and Well-being Index (WHO-5) were applied in pre- and post-interventions by phone. RESULTS Overall adherence was 82.25% in EG and 74.29% in CG. The occurrence of adverse events (mild muscle pain) was 33.3% in EG and 21.4% in CG. The EG improved verbal fluency and attention (p ≤ 0.05); both groups had improved depressive symptoms. CONCLUSION The present study met the pre-established criteria for feasibility, safety, and adherence to the remote exercise protocol among older women. The results suggest that a combined protocol has more significant potential to improve cognitive function. Both interventions were beneficial in improving the subjective perception of well-being.
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Affiliation(s)
- Cristiane Peixoto
- Universidade de São Paulo, Faculdade de Medicina, Departamento de Neurologia, São Paulo SP, Brazil.
| | | | | | - Maurício Silva Teixeira
- Universidade de São Paulo, Faculdade de Medicina, Departamento de Neurologia, São Paulo SP, Brazil.
| | | | - Sonia Maria Dozzi Brucki
- Universidade de São Paulo, Faculdade de Medicina, Departamento de Neurologia, São Paulo SP, Brazil.
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Fhon JRS, Alves N, dos Santos AP, Djinan ARFS, Laurenti AV, Lima EFC. Attitudes and perceptions about ageism among nursing students: a scoping review. Rev Lat Am Enfermagem 2024; 32:e4116. [PMID: 38511735 PMCID: PMC10959072 DOI: 10.1590/1518-8345.6851.4116] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2023] [Accepted: 11/12/2023] [Indexed: 03/22/2024] Open
Abstract
OBJECTIVE to map scientific knowledge on nursing students' attitudes and perceptions regarding ageism. METHOD scoping review according to the recommendations of the Joanna Briggs Institute. The study question was: What are scientific evidence available on the attitudes and perceptions of nursing students regarding ageism? The search was conducted in 12 databases using the Rayyan application and the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews. The studies were selected by two reviewers using a data extraction tool. RESULTS of the 4,595 files, 46 that were published between 1984 and 2022 were selected, and the quantitative method was the most used. The most commonly used instrument was the Kogan's Attitudes Toward Old People Scale. Positive, negative, mixed, neutral, and inconclusive attitudes and perceptions were identified. CONCLUSION attitudes and perceptions about ageism are diverse and not conclusive. Future intervention studies are recommended to detect changes in the behavior of nursing students in the face of ageism. BACKGROUND (1) Attitudes and perceptions about ageism are diverse and not conclusive. BACKGROUND (2) Importance of discussing ageism in the training of nursing students. BACKGROUND (3) Intervention studies to identify paradigm shifts in nursing students.
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Affiliation(s)
| | - Natalia Alves
- Universidade de São Paulo, Escola de Enfermagem, São Paulo, SP, Brazil
- Scholarship holder at the Programa Unificado de Bolsas da Universidade de São Paulo, São Paulo, SP, Brazil
| | | | - Alice Regina Felipe Silva Djinan
- Universidade de São Paulo, Escola de Enfermagem, São Paulo, SP, Brazil
- Scholarship holder at the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), Brazil
| | - Anaclara Viggiano Laurenti
- Universidade de São Paulo, Escola de Enfermagem, São Paulo, SP, Brazil
- Scholarship holder at the Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), Brazil
| | - Eveline Fontes Costa Lima
- Universidade de São Paulo, Escola de Enfermagem, São Paulo, SP, Brazil
- Scholarship holder at the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), Brazil
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Decker SRDR, Pittol LD, Rosa RG, Rover MM. Invasive Versus Conservative Management of NSTEMI Patients Aged ≥ 75 Years: Commentary. Arq Bras Cardiol 2024; 120:e20230364. [PMID: 38451612 PMCID: PMC11021121 DOI: 10.36660/abc.20230364] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2023] [Revised: 06/21/2023] [Accepted: 06/21/2023] [Indexed: 03/08/2024] Open
Affiliation(s)
- Sérgio Renato da Rosa Decker
- Hospital Moinhos de VentoPorto AlegreRSBrasilServiço de Medicina Interna – Hospital Moinhos de Vento, Porto Alegre, RS – Brasil
| | - Luiza Duarte Pittol
- Hospital Moinhos de VentoPorto AlegreRSBrasilServiço de Medicina Interna – Hospital Moinhos de Vento, Porto Alegre, RS – Brasil
| | - Regis Goulart Rosa
- Hospital Moinhos de VentoPorto AlegreRSBrasilServiço de Medicina Interna – Hospital Moinhos de Vento, Porto Alegre, RS – Brasil
| | - Marciane Maria Rover
- Hospital Moinhos de VentoPorto AlegreRSBrasilServiço de Medicina Interna – Hospital Moinhos de Vento, Porto Alegre, RS – Brasil
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Madeira ES, Souza PAD, Amaral A. Remote activities of cognitive stimulation for older adults during the COVID-19 pandemic: a systematic review. CAD SAUDE PUBLICA 2024; 40:e00081923. [PMID: 38422247 PMCID: PMC10896484 DOI: 10.1590/0102-311xen081923] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2023] [Revised: 12/22/2023] [Accepted: 01/02/2024] [Indexed: 03/02/2024] Open
Abstract
Cognitive stimulation activities for older adults are generally carried out in face-to-face workshops. However, during the COVID-19 pandemic, these activities and consultations became remote due to social isolation, enabling care to continue safely. This study aims to analyze the remote cognitive stimulation and/or telerehabilitation activities for older people that were carried out as an intervention during the COVID-19 pandemic. This is a systematic review study with five selected articles, conducted according to the PRISMA statement methodology. Among the main results, the feasibility and acceptance of remote cognitive stimulation activities using technologies during the pandemic stand out, reflecting on future and expanded use for different realities and cultures. the studies reviewed also indicate the stabilization and improvement of the cognitive state and of depressive and anxious feelings, as well as the maintenance of independence of these participants, with an increase in scores on scales applied before and after the interventions. In conclusion, the activities carried out in cognitive stimulation and/or telerehabilitation therapies for older adults as an intervention during the COVID-19 pandemic had an average of 47 participants; the technologies used for the activities were tablet and personal computer; pre-installed programs were the most used strategy; and the interventions lasted from 1 to 3 months, with activities 2 to 3 times per week. The reinvention of techniques aimed at stimulating and rehabilitating the cognitive health of the older adults, via technologies as a strategy to replace or complement face-to-face activities, promotes the cognitive and mental health and independence of the older population.
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Affiliation(s)
- Etiene Souza Madeira
- Programa de Pós-graduação em Enfermagem, Universidade Federal do Estado do Rio de Janeiro, Rio de Janeiro, Brasil
| | | | - Anderson Amaral
- Programa de Pós-graduação em Enfermagem, Universidade Federal do Estado do Rio de Janeiro, Rio de Janeiro, Brasil
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Silva RS, Barbosa LC, Brandão MAG, Carneiro RDS, Félix NDDC, Alves MB. Geropalliative Caring Model analysis and assessment according to Fawcett's criteria. Rev Esc Enferm USP 2024; 57:e20230288. [PMID: 38411456 PMCID: PMC10890787 DOI: 10.1590/1980-220x-reeusp-2023-0288en] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2023] [Accepted: 11/28/2023] [Indexed: 02/28/2024] Open
Abstract
OBJECTIVES To analyze and assess Lee Geropaliative Caring Model according to Fawcett's criteria. METHOD A theoretical-reflective study about the Geropaliative Caring Model. The analysis resulted in a detailed review of the scope, context and content of a situation-specific theory, in order to determine aspects related to nursing practice and research, and assessment addressed the concrete concepts developed in theory, their significance, internal consistency, parsimony, testability and empirical and pragmatic adequacy in nursing as a discipline. RESULTS Based on the analysis, a situation-specific theory was used based on the science of care and aimed at caring for older adults undergoing palliation and their families, structured into four fields, namely: (1) aligning care; (2) keeping safe; (3) comforting body/mind/spirit; and (4) facilitating transitions. FINAL CONSIDERATIONS The analyzed and assessed theory leads to a structure that includes well-defined, delimited and interrelated concepts, based on the science of care as a grand theory that allowed Geropaliative Care Model derivation.
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Affiliation(s)
- Rudval Souza Silva
- Universidade do Estado da Bahia, Colegiado de Enfermagem, Senhor do Bonfim, BA, Brazil
- Universidade Federal da Bahia, Programa de Pós-graduação em Enfermagem e Saúde, Salvador, BA, Brazil
| | - Larissa Coelho Barbosa
- Universidade Federal da Bahia, Programa de Pós-graduação em Enfermagem e Saúde, Salvador, BA, Brazil
| | | | | | | | - Manuela Bastos Alves
- Universidade do Estado da Bahia, Colegiado de Enfermagem, Senhor do Bonfim, BA, Brazil
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Martins RBM, Torres JL, Moreira BDS, Lima-Costa MF, Ygnatios NTM. [Sociodemographic characteristics associated with underweight and overweight in adults aged 50 years and over (ELSI-Brasil): differences between sexes]. CAD SAUDE PUBLICA 2024; 40:e00037023. [PMID: 38324866 PMCID: PMC10841375 DOI: 10.1590/0102-311xpt037023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2023] [Revised: 09/01/2023] [Accepted: 09/18/2023] [Indexed: 02/09/2024] Open
Abstract
The objective were to describe the prevalence of underweight and overweight, assessed by body mass index (BMI), stratified by sex and age group, and to analyze the sociodemographic characteristics associated with BMI in older women and men. This is a cross-sectional analysis of 8,974 participants aged ≥ 50 years from the baseline of the Brazilian Longitudinal Study of Aging (ELSI-Brasil, 2015-2016). BMI was classified as underweight, eutrophy, and overweight according to the participant's age. A multinomial logistic regression model was used, considering the sociodemographic characteristics of women and men. The results showed a higher prevalence of overweight in women compared to men (64.1% vs. 57.3%). In both sexes, the prevalence of underweight was higher in the longest-lived individuals, while overweight was lower. In women, the chance of underweight was higher than the chance of eutrophy in those who were single/widowed/divorced (OR = 1.95; 95%CI: 1.42-2.66) and in those living in rural areas (OR = 1.58; 95%CI: 1.01-2.49), while the chance of being overweight was lower than the chance of being eutrophy in those living in rural areas (OR = 0.78; 95%CI: 0.62-0.97) and in all geographic macro-regions related to the South Region. For men, the chance of being overweight was lower than the chance of being eutrophy among single/widowed/divorced individuals (OR = 0.58; 95%CI: 0.48-0.69). The richest had a lower chance of being underweight (OR = 0.59; 95%CI: 0.38-0.90), as well as a higher chance of being overweight (OR = 1.52; 95%CI: 1.20-1.92). In conclusion, the sociodemographic characteristics associated with BMI differed between the sexes.
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Affiliation(s)
| | - Juliana Lustosa Torres
- Núcleo de Estudos em Saúde Pública e Envelhecimento, Fundação Oswaldo Cruz/Universidade Federal de Minas Gerais, Belo Horizonte, Brasil
- Departamento de Medicina Preventiva e Social, Universidade Federal de Minas Gerais, Belo Horizonte, Brasil
| | - Bruno de Souza Moreira
- Núcleo de Estudos em Saúde Pública e Envelhecimento, Fundação Oswaldo Cruz/Universidade Federal de Minas Gerais, Belo Horizonte, Brasil
| | - Maria Fernanda Lima-Costa
- Núcleo de Estudos em Saúde Pública e Envelhecimento, Fundação Oswaldo Cruz/Universidade Federal de Minas Gerais, Belo Horizonte, Brasil
- Departamento de Medicina Preventiva e Social, Universidade Federal de Minas Gerais, Belo Horizonte, Brasil
- Instituto René Rachou, Fundação Oswaldo Cruz, Belo Horizonte, Brasil
| | - Nair Tavares Milhem Ygnatios
- Centro Universitário Santa Rita, Conselheiro Lafaiete, Brasil
- Núcleo de Estudos em Saúde Pública e Envelhecimento, Fundação Oswaldo Cruz/Universidade Federal de Minas Gerais, Belo Horizonte, Brasil
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dos Santos PHF, Stival MM, de Lima LR, Volpe CRG, Funghetto SS. ICNP® terminological subset for preventing falls in the elderly in primary care. Rev Esc Enferm USP 2024; 57:e20220483. [PMID: 38315801 PMCID: PMC10843324 DOI: 10.1590/1980-220x-reeusp-2022-0483en] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2023] [Accepted: 12/08/2023] [Indexed: 02/07/2024] Open
Abstract
OBJECTIVE Build and validate a terminological subset of ICNP® for the prevention of falls in the elderly in the context of primary health care, in light of the Self-Care Deficit Theory. METHOD Methodological study developed in accordance with ICN recommendations and the Brazilian method for constructing terminological subsets, in two stages: 1) construction of ICNP® statements of nursing diagnoses, outcomes, and interventions; 2) content validation of statements by specialist nurses. RESULTS A total of 182 diagnoses/outcomes and 321 nursing interventions were constructed, which were subjected to content validation by 28 experts, being validated with a Content Validity Index ≥ 0.80. After validation, the statements were organized according to self-care requirements and the majority of diagnoses/outcomes (51.6%) and interventions (52.7%) were classified under health deviation requirements. CONCLUSION It was possible to construct and validate a terminological subset of ICNP® with a predominance of statements related to health deviation requirements, standing out for being the first terminological subset for the prevention of falls in the elderly in the context of primary care.
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Inoue LH, Baccon WC, Pesce GB, Pereira ND, Silva IVTC, Salci MA, Vissoci JRN, Facchini LA, Carreira L. Prevalence and factors associated with the death of older people hospitalized due to Covid-19 in the state of Paraná. Rev Esc Enferm USP 2024; 57:e20230036. [PMID: 38265117 PMCID: PMC10807406 DOI: 10.1590/1980-220x-reeusp-2023-0036en] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2023] [Accepted: 11/14/2023] [Indexed: 01/25/2024] Open
Abstract
OBJECTIVE To estimate the prevalence and to analyze the factors associated with the death of older people hospitalized due to Covid-19 in the state of Paraná. METHOD Cross-sectional study conducted with secondary data from older people with a positive diagnosis of Covid-19 living in the State of Paraná, collected from March 1, 2020 to August 31, 2021. Prevalence ratios were obtained by adjusting the regression model. RESULTS A total of 16,153 deaths of older people hospitalized in the State of Paraná were analyzed. The adjusted model revealed an association between death and some factors such as: belonging to the age group of 75 to 84 years (PR = 1.28; CI95% = 1.24-1.32) and 85 years or over (PR = 1.52; CI95% = 1.45-1.59); male (PR = 1.17; CI95% = 1.13-1.21); obesity (PR = 1.23; CI95% = 1.16-1.29); other morbidities (PR = 1.25; CI95% = 1.20-1.30); and having used ventilatory support (PR = 2.60; CI95% = 2.33-2.86). Older people vaccinated against influenza had a probability of death reduced by 11% (PR = 0.89; CI95% = 0.86-0.93). CONCLUSION The association of age, sex, and diagnosis of previous comorbidities with unfavorable outcomes from Covid-19 was identified. Having received the flu vaccine provided protection to elderly people who contracted SARS-CoV-2.
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Queiroz BL, do Nascimento CQ, de Souza TOM, Bádue GS, Bueno NB, Vasconcelos SML, Mello CS, Ribeiro-Andrade M, Ataíde TDR, Barros-Neto JA. Effects of SARS-CoV-2 infection on health and functional capacity in institutionalized older adults. Rev Esc Enferm USP 2023; 57:e20230128. [PMID: 38131441 PMCID: PMC10744536 DOI: 10.1590/1980-220x-reeusp-2023-0128en] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2023] [Accepted: 10/18/2023] [Indexed: 12/23/2023] Open
Abstract
OBJECTIVE To assess the effect of SARS-CoV-2 infection on the health conditions and functional capacity of older adults living in long-term care units in Maceió City - Alagoas State. METHODS A prospective cohort was conducted with institutionalized older adults of both sexes. Older adults were assessed for clinical conditions (diagnosis of chronic diseases and biochemical tests), functional capacity, and nutritional status. All assessments were repeated on two occasions, maintaining a 6-month interval between them. RESULTS The sample was composed of 289 older adults. Of the total, 98 (33.9%) were positive for COVID-19 and eight died (2.8%). Men were more likely to have COVID-19 (OR = 3.50; p < 0.01). It was observed that the disease contributed to increasing the frequency of dependent older adults after six months (OR = 1.38; p-interaction < 0.01). It was also observed that after six months of positive diagnosis for COVID-19, there was greater weight loss (p < 0.01), reduced BMI (p < 0.01), increased mean SBP (p = 0.04), and DBP (p = 0.03). CONCLUSION Effects of COVID-19 in institutionalized older adults go beyond acute complications and compromise blood pressure control, functional capacity, and favor weight loss.
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Affiliation(s)
| | | | | | | | | | | | | | - Müller Ribeiro-Andrade
- Universidade Federal de Alagoas, Instituto de Ciências Biológicas e da Saúde, Maceió, AL, Brazil
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Romero DE, Groisman D, Maia LR. [Support for family caregivers of older people during the COVID-19 pandemic]. CAD SAUDE PUBLICA 2023; 39:e00072423. [PMID: 38126418 PMCID: PMC10727031 DOI: 10.1590/0102-311xpt072423] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2023] [Revised: 08/18/2023] [Accepted: 08/21/2023] [Indexed: 12/23/2023] Open
Abstract
This study aims to identify the type of support received by family caregivers of older people during the COVID-19 pandemic, as well as the associated socioeconomic health and care-related factors. Data from CUIDA-COVID study, an online questionnaire conducted from august to november 2020 (n = 4,820) were used. Three multiple models were built, with the following outcome: contracted support, family support, and lack of support. Independent variables related to socioeconomic, health, and care aspects were converted into dichotomous categories. Family support was the most common (48.6%), followed by lack of support (38.3%), and contracted support (13.1%). No significant associations were observed between race/skin color, poverty status, chronic back pain and negative mood with any type of support. Factors strongly associated (adjustedPR > 2.0) with contracted support were: the non-sharp decrease in income during the pandemic; non-dedication to full-time care; self-rated good/excellent health; and the high degree of dependence of the older individual. For family support, the main associations were: the non-marked increase in the effort to care during the pandemic, the non-dedication to full-time care and the sharp decrease in income during the pandemic. The characteristics associated with lack of support were: living with the older person; dedication to full-time care; living in households with 1 or 2 people; and report a sharp increase in effort to care during the pandemic. Overall, caregivers with contracted support had the best socioeconomic, care and health conditions. Lack of support was related to worse health and care conditions, while family support was related to worse socioeconomic conditions.
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Affiliation(s)
- Dalia Elena Romero
- Instituto de Comunicação e Informação Científica e Tecnológica em Saúde, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil
| | - Daniel Groisman
- Escola Politécnica de Saúde Joaquim Venâncio, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil
| | - Leo Ramos Maia
- Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil
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Sangaleti CT, Lentsck MH, da Silva DC, Machado A, Trincaus MR, Vieira MCU, Pelazza BB, Colombo FMC. Polypharmacy, potentially inappropriate medications and associated factors among older adults with hypertension in primary care. Rev Bras Enferm 2023; 76Suppl 2:e20220785. [PMID: 38088658 PMCID: PMC10704688 DOI: 10.1590/0034-7167-2022-0785] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2023] [Accepted: 08/14/2023] [Indexed: 12/18/2023] Open
Abstract
OBJECTIVE to identify the prevalence and associations of polypharmacy and potentially inappropriate medication use among older adults with hypertension treated in primary care. METHODS a cross-sectional study carried out with older adults with hypertension treated at a Family Health Strategy unit. Data collection included analysis of medical records, interviews and multidimensional assessment of older adults. Socio-demographic information and clinical variables were collected. Statistical analysis was performed by multiple logistic regression. RESULTS polypharmacy prevalence was 38.09%, and potentially inappropriate medication (PIM), 28.57%. There was a significant association between polypharmacy and PIM use, altered sleep and ethnicity. PIM use was associated with polypharmacy, worse family functioning, and absence of a caregiver. Cognitive decline reduces the prevalence of these medications. CONCLUSIONS polypharmacy and PIM use among older adults with hypertension represent a problem in this population, especially among the most vulnerable.
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Furtado IQCG, Velloso ISC, Galdino CS, Carrieri ADP. Care for older adults with disabilities in Long Term Care Facility. Rev Bras Enferm 2023; 76Suppl 2:e20220767. [PMID: 38088657 PMCID: PMC10704689 DOI: 10.1590/0034-7167-2022-0767] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2023] [Accepted: 07/11/2023] [Indexed: 12/18/2023] Open
Abstract
OBJECTIVE to analyze the constitution of care offered to older adults with disabilities, from Long Term Care Facility professionals' perspective. METHODS this is a discourse analysis based on the post-structuralist framework. Participants in this study are professionals involved in the care for older adults, totaling 14 respondents, 13 women and one man. RESULTS from professionals' perspective, there is a fine line between caring for older adults with disabilities and maintaining their autonomy. Care in which autonomy is restricted predisposes older adults to a process of dependency. FINAL CONSIDERATIONS caring for older adults with disabilities constitutes the challenge between caring and maintaining independence. Thus, older adult-centered care should be taken as a premise so that their individualities are respected.
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da Cunha AN, Zanetti ML, Santos JLF, Rodrigues RAP. Frailty Syndrome and sarcopenia in older adults with and without type 2 diabetes mellitus in the municipality of Sinop, Mato Grosso: an epidemiological study. Rev Lat Am Enfermagem 2023; 31:e4076. [PMID: 38055592 PMCID: PMC10695296 DOI: 10.1590/1518-8345.6677.4076] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2023] [Accepted: 09/06/2023] [Indexed: 12/08/2023] Open
Abstract
OBJECTIVE to relate Frailty Syndrome and sarcopenia in older adults with and without type 2 diabetes mellitus and identify potential risk factors for frailty and sarcopenia. METHOD this descriptive epidemiological study was conducted with 140 older adults in the municipality of Sinop, Mato Grosso, Brazil. The frailty phenotype was used for the assessment of Frailty Syndrome, and a physical assessment questionnaire with calf circumference measurement was used for the assessment of sarcopenia. RESULTS regarding Frailty Syndrome, a higher percentage was observed in older adults with type 2 diabetes mellitus compared to those without the disease (p = 0.00). Concerning the presence of sarcopenia, older adults with and without type 2 diabetes mellitus showed similar values, with no statistical significance (p = .74). Frailty Syndrome was associated with physical inactivity (95%CI: 3.29-56.55), age over 75 years (95%CI: 3.30- 27.82), low family income (95%CI: 1.80-50.98), and comorbidities (95%CI: 4.90-5.40). However, sarcopenia was associated with the presence of physical inactivity (95%CI: 1.26-10.44), low weight/ eutrophic (95%CI: 3.32-26.76), and malnutrition/nutritional risk (95%CI: 1.30-7.70) for older adults with and without type 2 diabetes mellitus. CONCLUSION older adults with diabetes have a higher vulnerability to develop Frailty Syndrome, necessitating the adoption of preventive measures in primary healthcare.
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Affiliation(s)
| | - Maria Lucia Zanetti
- Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, Centro Colaborador de la OPS/OMS para el Desarrollo de la Investigación en Enfermería, Ribeirão Preto, SP, Brasil
| | | | - Rosalina Aparecida Partezani Rodrigues
- Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, Centro Colaborador de la OPS/OMS para el Desarrollo de la Investigación en Enfermería, Ribeirão Preto, SP, Brasil
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Kinalski SDS, Beuter M, Benetti ERR, Leite MT, Venturini L, Brandão MAG. Nursing microtheory in the prevention of delirium in older adult in the intensive care unit. Rev Lat Am Enfermagem 2023; 31:e4070. [PMID: 38055590 PMCID: PMC10695289 DOI: 10.1590/1518-8345.6707.4070] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2023] [Accepted: 09/04/2023] [Indexed: 12/08/2023] Open
Abstract
OBJECTIVE to describe a microtheory for nursing care in the prevention of delirium in older adult in the intensive care unit. METHOD prescriptive theoretical research, based on substruction. Roy's Adaptation Model constructs were deduced and data from the phenomenon of nursing care in the prevention of delirium in older adult in intensive care were induced, based on an integrative literature review. RESULTS the microtheory has a theoretical and operational system and a model of care. In the theoretical system, Roy's focal and contextual stimulus constructs were used. From them, the concepts of focal and contextual care and the variable adaptive response to prevention were elaborated. From the relational statements, four axioms, two postulates, eight propositions and an epistemic assumption were elaborated. TWO EMPIRICAL INDICATORS WERE ESTABLISHED IN THE OPERATING SYSTEM the Confusion Assessment Method for Intensive Care Units and the demographic/clinical history of the older adult. Subsequently, two transformational statements, four hypotheses and the model of care represented in figure were produced. CONCLUSION the microtheory produced prescribes care in the prevention of delirium in older adult in intensive care, through a construct of interest to nursing, and allows interceptions for the development of instruments that guide nursing activities.
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Affiliation(s)
| | - Margrid Beuter
- Universidade Federal de Santa Maria, Santa Maria, RS, Brasil
| | | | | | - Larissa Venturini
- Universidade Federal de Santa Maria, Hospital Universitário de Santa Maria, Santa Maria, RS, Brasil
| | - Marcos Antônio Gomes Brandão
- Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brasil
- Becario del Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), Brasil
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Ramírez JGM, Hernández EAT, Guerrero-Castañeda RF. Implementation of a nursing strategy for self-transcendence in older adults: an experience report. Rev Bras Enferm 2023; 76:e20220745. [PMID: 38018620 PMCID: PMC10680396 DOI: 10.1590/0034-7167-2022-0745] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2023] [Accepted: 06/20/2023] [Indexed: 11/30/2023] Open
Abstract
OBJECTIVES to report the experience of implementing a nursing strategy to promote self-transcendence in older adults attended at a Primary Health Care center. METHODS an experience report on the implementation of a strategy addressing the Theory of Self-Transcendence by nursing to older adults in a primary health unit, in San Luis Potosí, Mexico, from October to November 2022. RESULTS fourteen older adults and three nurses participated. From the expression of feelings, speeches about self-transcendence, spirituality and physical activity promotion, the strategy was satisfactory. Emotional, cognitive and spiritual changes were observed in the different dimensions of the Theory of Self-Transcendence. FINAL CONSIDERATIONS the nursing strategy on self-transcendence made it possible to identify significant moments that helped to identify the key points in which older adults were; it helped to intervene from a person-to-person care perspective.
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Góes RP, Pedreira LC, Tavares JPDA, Oliveira SDS, Souza EDO, dos Santos FC. Validation of the hospital resources assessment scale for the preservation of urinary continence in the elderly. Rev Bras Enferm 2023; 76:e20220805. [PMID: 38018621 PMCID: PMC10680382 DOI: 10.1590/0034-7167-2022-0805] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2023] [Accepted: 06/20/2023] [Indexed: 11/30/2023] Open
Abstract
OBJECTIVES to validate the internal structure of the Hospital Resources Assessment Scale for the Preservation of Urinary Continence in the Elderly. METHODS validation study of the internal structure of a scale constructed based on the Donabedian conceptual model and an integrative review, with prior content validation. The scale was applied to the target population, and 124 nurses responded to the questionnaire. Exploratory Factor Analysis was performed using the FACTOR software, employing multiple techniques. RESULTS a factorial model with 11 items organized into two dimensions (support for human resources and material resources) was obtained. The "physical structure" dimension was removed from the initial model and adopted as a complementary checklist to the instrument, as it was not possible to obtain a factorable model with this dimension. CONCLUSIONS we provide a valid scale that can measure indicators, identifying weaknesses and/or strengths related to hospital resources for the preservation of urinary continence in the elderly.
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Affiliation(s)
| | | | | | | | - Elaine de Oliveira Souza
- Universidade Federal da Bahia. Salvador, Bahia, Brazil
- Universidade do Estado da Bahia. Salvador, Bahia, Brazil
| | - Fernanda Cajuhy dos Santos
- Universidade Federal da Bahia. Salvador, Bahia, Brazil
- Empresa Brazileira de Servicos Hospitalares, Hospital Universitário Professor Edgard Santos. Salvador, Bahia, Brazil
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Mazzini LR, Aquino JLBD, Camargo JGTD, Leandro-Merhi VA. IS CALF CIRCUMFERENCE ASSOCIATED WITH CLINICAL AND NUTRITIONAL OUTCOME IN OLDER PATIENTS? Arq Bras Cir Dig 2023; 36:e1773. [PMID: 37971026 PMCID: PMC10642954 DOI: 10.1590/0102-672020230055e1773] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/30/2023] [Accepted: 09/02/2023] [Indexed: 11/19/2023]
Abstract
BACKGROUND Previous studies have shown a relationship between calf circumference (CC) and outcomes in hospitalized patients. AIMS To investigate the relationship between CC and clinical and nutritional outcomes in older in-patients (OiP) in a surgery ward. METHODS This was a cross-sectional study with 417 OiP in a surgery ward. Clinical variables, anthropometry, and nutritional screening instruments such as subjective global assessment (SGA), mini nutritional assessment (MNA), and nutritional risk screening (NRS) were used in the investigation. The tests Pearson's chi-square, Mann-Whitney, Kruskal-Wallis, and Spearman's coefficient, and multiple linear regression analyses were used to review the factors associated with CC. RESULTS Lower CC values were found in the age group 80 years and over (p<0.0001), presence of complications (p=0.0269), NRS (p<0.0001), SGA (p<0.0001), and MNA (p<0.0001). Gender (p=0.0011; partial R2=0.01151), age (p=0.0002; partial R2=0.06032), body mass index (p≤0.0001; partial R2=0.40820), and arm circumference (p≤0.0001; partial R2=0.11890) are variables that together were associated with CC. There was also a relationship between SGA (p=0.0166; partial R2=0.00605) and absence of complications during hospitalization (p=0.0047; R2=0.01154) with CC. CONCLUSIONS Gender, age, body mass index, and arm circumference were jointly associated with CC, in addition to SGA and absence of complications. The CC is a relevant indicator for OiP in the clinical practice.
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Affiliation(s)
- Lucas Rosasco Mazzini
- Pontificia Universidade Católica de Campinas, School of Medicine - Campinas (SP), Brazil
| | - José Luis Braga de Aquino
- Pontificia Universidade Católica de Campinas, School of Medicine - Campinas (SP), Brazil
- Pontificia Universidade Católica de Campinas, Postgraduate Program in Health Sciences - Campinas (SP), Brazil
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Canever JB, Cândido LM, Moreira BDS, Danielewicz AL, Cimarosti HI, Lima-Costa MF, Avelar NCPD. A nationwide study on sleep complaints and associated factors in older adults: ELSI-Brazil. CAD SAUDE PUBLICA 2023; 39:e00061923. [PMID: 38018640 PMCID: PMC10642241 DOI: 10.1590/0102-311xen061923] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2023] [Revised: 06/13/2023] [Accepted: 07/13/2023] [Indexed: 11/30/2023] Open
Abstract
Sleep problems, such as difficulty falling asleep, staying asleep, early awakening with failure to continue sleep, and altered sleep-wake cycle, are common in the general population. This cross-sectional study with 6,929 older adults (≥ 60 years) aimed to estimate the prevalence of different types of sleep problems, their associated factors, and the population-attributable fraction of associated factors among older adults. The outcome variables consisted of self-reported sleep problems: insomnia (initial, intermediate, late, and any type of insomnia), poor sleep quality, and daytime sleepiness. The independent variables were sociodemographic and behavioral characteristics and health conditions. The prevalence proportions were initial insomnia (49.1%), intermediate insomnia (49.2%), late insomnia (45.9%), any type of insomnia (58.6%), poor sleep quality (15.6%), and daytime sleepiness (38.4%). Female sex, presence of two or more chronic diseases, not eating the recommended amount of fruits and vegetables, and regular and bad/very bad self-rated health were positively associated with the sleep problems investigated. Consuming alcohol once a month or more was inversely associated with initial insomnia. Population attributable fraction estimates ranged from 3% to 19% considering two or more chronic diseases, not eating the recommended amount of fruits and vegetables, and regular and bad/very bad self-rated health. High prevalence of self-reported sleep problems was evinced in older adults. These results can be useful to guide public health services in the creation of informational, evaluative, and screening strategies for sleep problems in older Brazilian adults.
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Affiliation(s)
- Jaquelini Betta Canever
- Centro de Ciências, Tecnologias e Saúde do Campus Araranguá, Universidade Federal de Santa Catarina, Araranguá, Brasil
| | - Letícia Martins Cândido
- Centro de Ciências, Tecnologias e Saúde do Campus Araranguá, Universidade Federal de Santa Catarina, Araranguá, Brasil
| | - Bruno de Souza Moreira
- Núcleo de Estudos em Saúde Pública e Envelhecimento, Fundação Oswaldo Cruz/Universidade Federal de Minas Gerais, Belo Horizonte, Brasil
| | - Ana Lúcia Danielewicz
- Centro de Ciências, Tecnologias e Saúde do Campus Araranguá, Universidade Federal de Santa Catarina, Araranguá, Brasil
| | | | - Maria Fernanda Lima-Costa
- Núcleo de Estudos em Saúde Pública e Envelhecimento, Fundação Oswaldo Cruz/Universidade Federal de Minas Gerais, Belo Horizonte, Brasil
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Silva ALDSE, Ottaviani AC, Orlandi FDS, Inouye K, Zazzetta MS, Pavarini SCI, dos Santos-Orlandi AA. Social support perceived by elderly people in social vulnerability according to family functionality: a cross-sectional study. Rev Esc Enferm USP 2023; 57:e20220475. [PMID: 37947163 PMCID: PMC10642574 DOI: 10.1590/1980-220x-reeusp-2022-0475en] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2023] [Accepted: 09/03/2023] [Indexed: 11/12/2023] Open
Abstract
OBJECTIVE To compare the social support as perceived by elderly persons in a context of social vulnerability according to family functionality. METHOD A cross-sectional study using a quantitative approach, carried out in São Carlos-SP, with 123 elderly people living in a context of high social vulnerability. The sample was divided into two groups: good family functionality and moderate/severe family dysfunction. Data was collected on sociodemographic characteristics, family functionality (Family APGAR) and social support (Medical Outcomes Study Social Support Scale). The Mann-Whitney, Chi-square and Fisher's exact statistical tests were used. RESULTS There was a statistically significant difference between social support and family functionality (p < 0.05). The group with good family functionality obtained higher median social support scores: affective 100.00; material 95.00; information 90.00; emotional 90.00; positive social interaction 85.00; when compared to the group with moderate/severe family dysfunction: affective 86.67; material 87.50; information 70.00; emotional 65.00; positive social interaction 65.00. CONCLUSION Elderly persons living in dysfunctional families have less perceived social support when compared to those living in families with good family functionality.
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Affiliation(s)
- Ana Laura de Souza e Silva
- Universidade Federal de São Carlos, Departamento de Enfermagem, Programa de Pós- Graduação em Enfermagem, São Carlos, SP, Brazil
| | - Ana Carolina Ottaviani
- Universidade Federal de São Carlos, Departamento de Gerontologia, São Carlos, SP, Brazil
| | | | - Keika Inouye
- Universidade Federal de São Carlos, Departamento de Gerontologia, São Carlos, SP, Brazil
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Serafim AIS, Maniva SJCDF, Campos RKGG, Silva PGDB, Pinheiro PNDC, Lopes CHADF, Morais HCC, de Freitas ADO. Factors associated with older adults' knowledge, attitude and practice on skin cancer prevention. Rev Bras Enferm 2023; 76:e20220606. [PMID: 37820162 PMCID: PMC10561950 DOI: 10.1590/0034-7167-2022-0606] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2022] [Accepted: 02/12/2023] [Indexed: 10/13/2023] Open
Abstract
OBJECTIVES to identify factors associated with older adults' knowledge, attitude and practice regarding skin cancer prevention. METHODS this is a cross-sectional study, carried out with 120 older adults from a Basic Health Unit in Quixadá, Ceará, from September to November 2018. RESULTS individuals aged 60 to 69 years and working were statistically associated with adequate knowledge (p=0.038). Having light skin, eyes and hair was associated with adequate attitude (p=0.030). Having skin problems, such as bleeding wounds, was associated with adequate practice (p=0.016). With regard to inappropriate behavior for skin cancer prevention, there was a statistically significant association between working or having worked under direct exposure to the sun, inadequate knowledge (p=0.036), inadequate attitude (p=0.010) and having incomplete primary education and inadequate practice (p<0.001). CONCLUSIONS sociodemographic and clinical factors influence older adults' knowledge, attitude and practice regarding skin cancer prevention.
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da Silva AM, do Carmo AS, Alves VP, de Carvalho LSF. Prevalence of non-communicable chronic diseases: arterial hypertension, diabetes mellitus, and associated risk factors in long-lived elderly people. Rev Bras Enferm 2023; 76:e20220592. [PMID: 37820146 PMCID: PMC10561953 DOI: 10.1590/0034-7167-2022-0592] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2022] [Accepted: 03/27/2023] [Indexed: 10/13/2023] Open
Abstract
OBJECTIVE To identify the prevalence of non-communicable chronic diseases: arterial hypertension, diabetes mellitus, and associated risk factors in long-lived elderly people from three Brazilian regions. METHODS This is a multicenter, cross-sectional, and comparative study conducted with elderly people aged 80 years or older. RESULTS Higher prevalence of arterial hypertension were observed among those who use polypharmacy (75.7%), among elderly people aged between 80 and 84 years (33.9%), as well as in elderly people who are overweight (78.2%). The prevalence of diabetes was 24% (RP: 0.76; 95% CI: 0.59-0.98) lower among women compared to men and 2.15 times higher among those who use five or more medications (RP: 2.15; 95% CI: 1.63-2.85). CONCLUSIONS In our sample, polypharmacy, body weight, and gender determine the prevalence of non-communicable chronic diseases: arterial hypertension and diabetes mellitus in long-lived elderly people.
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Çetin N, Soylu MÖ, Özbaş B, Bayturan Ö, Tezcan UK. Substrate-Based Ablation of Purkinje-Related Ventricular Fibrillation in an Elderly Patient with Ischemic Cardiomyopathy. Arq Bras Cardiol 2023; 120:e20220774. [PMID: 37820171 PMCID: PMC10519349 DOI: 10.36660/abc.20220774] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2022] [Revised: 04/17/2023] [Accepted: 06/14/2023] [Indexed: 10/13/2023] Open
Affiliation(s)
- Nurullah Çetin
- Departamento de CardiologiaManisa Celal Bayar UniversityFaculty of MedicineManisaTurquiaDepartamento de Cardiologia - Manisa Celal Bayar University, Faculty of Medicine, Manisa – Turquia
| | - Mustafa Özcan Soylu
- Departamento de CardiologiaManisa Celal Bayar UniversityFaculty of MedicineManisaTurquiaDepartamento de Cardiologia - Manisa Celal Bayar University, Faculty of Medicine, Manisa – Turquia
| | - Batuhan Özbaş
- Departamento de CardiologiaManisa Celal Bayar UniversityFaculty of MedicineManisaTurquiaDepartamento de Cardiologia - Manisa Celal Bayar University, Faculty of Medicine, Manisa – Turquia
| | - Özgür Bayturan
- Departamento de CardiologiaManisa Celal Bayar UniversityFaculty of MedicineManisaTurquiaDepartamento de Cardiologia - Manisa Celal Bayar University, Faculty of Medicine, Manisa – Turquia
| | - Uğur Kemal Tezcan
- Departamento de CardiologiaManisa Celal Bayar UniversityFaculty of MedicineManisaTurquiaDepartamento de Cardiologia - Manisa Celal Bayar University, Faculty of Medicine, Manisa – Turquia
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Ferreira JDR, Miranda MF, Miranda MF, Romano-Silva MA, Bicalho MAC, Viana BDM. Translation and validity of the Multidimensional Individual and Interpersonal Resilience Measure. Rev Bras Enferm 2023; 76:e20220696. [PMID: 37820152 PMCID: PMC10561951 DOI: 10.1590/0034-7167-2022-0696] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/26/2022] [Accepted: 03/25/2023] [Indexed: 10/13/2023] Open
Abstract
OBJECTIVE to translate, culturally adapt and validate the Multidimensional Individual and Interpersonal Resilience Measure to Brazilian Portuguese. METHOD after initial translation, the pre-final version underwent rigorous cultural adaptation procedures. As a result, the final adapted version was submitted to a validity study. RESULTS adaptation procedures provided equivalence between the pre-final and the original versions in semantic, idiomatic, experiential and conceptual terms. A total of 187 older adults were included in the validity study. Exploratory factorial analysis (EFA) generated a model of five factors ((RMSEA = 0.030; TLI = 0.959; X2 = 151.590 p> 0.05). Final version showed adequate consistency (Cronbach's α = 0.705) and test-retest reliability (ICC=0.835). No statistically significant correlation was found between resilience and sociodemographic and epidemiological variables assessed in this study. CONCLUSION EMRII-BR is a valid and reliable instrument for measuring resilience in Brazilian older adults.
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Affiliation(s)
| | | | | | - Marco Aurélio Romano-Silva
- Universidade Federal de Minas Gerais. Belo Horizonte, Minas Gerais, Brazil
- Centro de Tecnologia em Medicina Molecular (CTMM) e INCT - NeuroTecR. Belo Horizonte, Minas Gerais, Brazil
- Universidade Federal de Minas Gerais, Hospital das Clínicas. Belo Horizonte, Minas Gerais, Brazil
| | - Maria Aparecida Camargos Bicalho
- Universidade Federal de Minas Gerais. Belo Horizonte, Minas Gerais, Brazil
- Centro de Tecnologia em Medicina Molecular (CTMM) e INCT - NeuroTecR. Belo Horizonte, Minas Gerais, Brazil
- Universidade Federal de Minas Gerais, Hospital das Clínicas. Belo Horizonte, Minas Gerais, Brazil
| | - Bernardo de Mattos Viana
- Universidade Federal de Minas Gerais. Belo Horizonte, Minas Gerais, Brazil
- Centro de Tecnologia em Medicina Molecular (CTMM) e INCT - NeuroTecR. Belo Horizonte, Minas Gerais, Brazil
- Universidade Federal de Minas Gerais, Hospital das Clínicas. Belo Horizonte, Minas Gerais, Brazil
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de Araújo PO, Soares IMSC, do Vale PRLF, de Sousa AR, Aparicio EC, Carvalho ESDS. Ageism directed to older adults in health services: A scoping review. Rev Lat Am Enfermagem 2023; 31:e4019. [PMID: 37820219 PMCID: PMC10557401 DOI: 10.1590/1518-8345.6727.4020] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2023] [Accepted: 07/20/2023] [Indexed: 03/23/2024] Open
Abstract
OBJECTIVE to map the expressions of ageism directed to older adults in health services and the respective coping measures. METHOD a scoping review of primary studies in English, Spanish and Portuguese, without time delimitation and collected from 14 databases. Selection of the titles, abstracts and full text was in charge of two independent and blinded reviewers, totaling a corpus comprised by 41 articles. Data extraction was performed by pairs. The data were presented in narrative summaries and charts. RESULTS the ageism expressions are understood at the interpersonal level through images and attitudes that depreciate, devalue life and delegitimize older adults' needs, as well as at the institutional level, which confers barriers to accessing health services, generating non-assistance and neglect. The coping measures consist of educational interventions and expansion of communication channels between aged people, health professionals and managers. CONCLUSION the results may make health professionals vigilant for care/neglect guided by age bias and sensitive for coping with ageism by obtaining diverse scientific knowledge. The analysis of the phenomenon in the Unified Health System context constitutes a knowledge gap, as well as the implicit ageism expressions. (1) Ageism expressions involve interpersonal and institutional relationships. (2) Ageism directed to older adults permeates from diagnosis to treatment. (3) The coping measures comprise educational actions and also scientific research studies. (4) It is necessary to recognize the presence of ageism in health services. (5) It is necessary to recognize care/neglect practices guided by age bias.
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de Araújo PO, Soares IMSC, do Vale PRLF, de Sousa AR, Aparicio EC, Carvalho ESDS. Ageism directed to older adults in health services: A scoping review. Rev Lat Am Enfermagem 2023; 31:e4019. [PMID: 37820219 PMCID: PMC10557401 DOI: 10.1590/1518-8345.6727.4019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2023] [Accepted: 07/20/2023] [Indexed: 10/13/2023] Open
Abstract
OBJECTIVE to map the expressions of ageism directed to older adults in health services and the respective coping measures. METHOD a scoping review of primary studies in English, Spanish and Portuguese, without time delimitation and collected from 14 databases. Selection of the titles, abstracts and full text was in charge of two independent and blinded reviewers, totaling a corpus comprised by 41 articles. Data extraction was performed by pairs. The data were presented in narrative summaries and charts. RESULTS the ageism expressions are understood at the interpersonal level through images and attitudes that depreciate, devalue life and delegitimize older adults' needs, as well as at the institutional level, which confers barriers to accessing health services, generating non-assistance and neglect. The coping measures consist of educational interventions and expansion of communication channels between aged people, health professionals and managers. CONCLUSION the results may make health professionals vigilant for care/neglect guided by age bias and sensitive for coping with ageism by obtaining diverse scientific knowledge. The analysis of the phenomenon in the Unified Health System context constitutes a knowledge gap, as well as the implicit ageism expressions. (1) Ageism expressions involve interpersonal and institutional relationships. (2) Ageism directed to older adults permeates from diagnosis to treatment. (3) The coping measures comprise educational actions and also scientific research studies. (4) It is necessary to recognize the presence of ageism in health services. (5) It is necessary to recognize care/neglect practices guided by age bias.
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de Oliveira RM, de Sousa ÁFL, de Sousa AR, Araújo AAC, Muniz VDO, Fronteira I, Mendes IAC. Misinformation about COVID-19 among middle-aged and older migrants residing in Brazil and Portugal. Rev Esc Enferm USP 2023; 57:e20220401. [PMID: 37603876 PMCID: PMC10513484 DOI: 10.1590/1980-220x-reeusp-2022-0401en] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2022] [Accepted: 06/16/2023] [Indexed: 08/23/2023] Open
Abstract
OBJECTIVE The aim of this study was to assess the prevalence of COVID-19 misinformation among migrants aged 50 or older residing in Brazil and Portugal. METHOD This was a cross-sectional analytical study conducted among migrants from Portuguese-speaking countries living in Brazil and Portugal, who were 50 years of age or older. The prevalence ratios (PR) were estimated using the Poisson regression model. RESULTS Out of the 304 participants included in the study, 188 (61.8%) agreed with at least one piece of misinformation. Factors such as having a religious affiliation (aPR: 1.24), higher educational attainment (aPR: 1.17), knowing someone who died from COVID-19 (aPR: 1.78), and having no intention to get vaccinated (aPR: 1.36) were associated with a higher likelihood of agreeing with COVID-19 misinformation. CONCLUSION The findings suggest that access to misinformation was influenced by social, economic, and religious factors among elderly migrants with low digital literacy, thus contributing to the dissemination of false content within this population.
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Affiliation(s)
| | | | | | | | | | - Inês Fronteira
- Universidade NOVA de Lisboa, Escola Nacional de Saúde Pública, Lisboa, Portugal
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de Oliveira RM, Araújo AAC, de Araújo PO, de Sousa AR, de Oliveira LB, Sena IVDO, de Sousa ÁFL, Mendes IAC. Agreement with COVID-19 disinformation among Portuguese-speaking older adults: an international study. Rev Bras Enferm 2023; 76Suppl 1:e20230091. [PMID: 37585924 PMCID: PMC10416726 DOI: 10.1590/0034-7167-2023-0091] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2023] [Accepted: 04/13/2023] [Indexed: 08/18/2023] Open
Abstract
OBJECTIVES to assess agreement with COVID-19 disinformation among Portuguese-speaking individuals aged 50 years or older. METHODS a descriptive and analytical study involving 1,214 older adults born in Portuguese-speaking countries. Data collection occurred through online information mining to recognize COVID-19 and disinformation content, and the application of a structured questionnaire. RESULTS agreement with disinformation content was 65.2%. Residing outside Brazil is a protective factor for agreement with disinformation content, and those who believe in the truthfulness of the information sources they receive were 31% more likely to agree with disinformation content. CONCLUSIONS there is a high prevalence of disinformation among the older population in two Portuguese-speaking countries, which should raise the attention of healthcare professionals and guide coping strategies.
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Santos RDC, Araújo-Monteiro GKND, Raposo MF, Castaño AMH, dos Santos BMP, Souto RQ. The relationship of general, physical, and psychological violence with depressive symptoms and cognition in elders (cross-sectional study). Rev Bras Enferm 2023; 76:e20220375. [PMID: 37556690 PMCID: PMC10405390 DOI: 10.1590/0034-7167-2022-0375] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2022] [Accepted: 01/27/2023] [Indexed: 08/11/2023] Open
Abstract
OBJECTIVES to analyze the relationship of general, physical, and psychological violence with depressive symptoms and cognition in the elderly. METHODS quantitative, cross-sectional study, carried out with 323 elders from the Brazilian northeast. Data collection used a sociodemographic instrument; the Conflict Tactics Scales Form R; the Geriatric Depression Scale; and the Mini-Mental State Examination. The analysis employed descriptive and inferential statistics. RESULTS as violence increases, so do the depressive symptoms; the opposite was true when comparing violence with cognitive involvement. There is a correlation between physical and psychological violence and depressive symptoms; more depressive elders are from 1.96 to 3.00 times more likely to be the victims of psychological and physical violence, respectively. CONCLUSIONS general, physical, and psychological violence is associated with depressive symptoms; those with less cognitive alterations are more vulnerable to abuse. Elders with depressive symptoms are more likely to suffer psychological and physically violence.
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Sartori AC, dos Santos FC, Lopes JDL, Santos VB, Okuno MFP. King's Parkinson's Disease Pain Questionnaire: reliability and convergent construct validity. Rev Bras Enferm 2023; 76:e20220379. [PMID: 37556691 PMCID: PMC10405386 DOI: 10.1590/0034-7167-2022-0379] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2022] [Accepted: 01/17/2023] [Indexed: 08/11/2023] Open
Abstract
OBJECTIVES to assess the evidence of reliability and convergent construct validity of the King's Parkinson's Disease Pain Questionnaire. METHODS psychometric study of 75 older adults with Parkinson's disease. The instrument was applied by two researchers separately and reapplied by one researcher 15 days later. In terms of reliability, internal consistency was assessed using the Cronbach's alpha test and stability using the intraclass correlation coefficient. Scores of the King's Parkinson's Disease Pain Questionnaire were compared to those of the Geriatric Pain Measure in the assessment of construct validity. RESULTS the mean Cronbach's alpha obtained between the three assessments was above 0.60, the intraclass correlation between the three assessments was above 0.90, and there was a weak but significant correlation between the two applied scales. CONCLUSIONS the instrument showed adequate evidence of convergent construct validity and reliability, and can be used in clinical practice.
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Foraciepe M, Silva AEVF, Fares TG, Santos FC. Pain in older adults with dementia: Brazilian validation of Pain Intensity Measure for Persons with Dementia (PIMD). Arq Neuropsiquiatr 2023; 81:720-724. [PMID: 37647905 PMCID: PMC10468240 DOI: 10.1055/s-0043-1771174] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/27/2023] [Accepted: 03/30/2023] [Indexed: 09/01/2023]
Abstract
BACKGROUND Although there are several ways to assess pain in dementia, there is still a need for tools with better items to assess the presence of pain intensity in these individuals. OBJECTIVE To validate to Brazilian version of the "Pain Intensity Measure for Persons with Dementia - PIMD-p. METHODS Older adults, all demented with impaired verbal communication and exposed to potentially painful situations, were selected from an outpatient clinic and long-term care facility (LTCF). The PIMD-p was applied independently by 2 researchers (E1 and E2) on the same day. Within 14 days, the instrument was reapplied by one of the 2 researchers (E3). The pain intensity reported by participants' caregivers and LTCF nurses were recorded on a verbal numeric pain scale. For the statistical analysis, Cronbach's Alpha, Spearman's Coefficient and intraclass correlation Index were calculated. RESULTS A total of 50 older individuals were selected (mean age 86 years), majority with musculoskeletal pain. The PIMD-p demonstrated good internal consistency according to Cronbach's α (0.838), excellent intra and interobserver reproducibility (0.927 and 0.970, respectively; p < 0.001), and convergent validity (strong significant correlations between reported pain intensities and pain indicators on the PIMD-p (except for expressive eyes; corr = 0.106 and p = 0.462). A ROC curve was plotted to determine the best cut-off for the PIMD-P, and a score of 7.5 predicted moderate-to-severe pain, with 77.8% sensitivity and 95.7% specificity (p < 0.001). CONCLUSION The PIMD-p showed satisfactory psychometric properties for measuring intensity of pain in demented older adults with impaired verbal communication.
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Affiliation(s)
- Mariana Foraciepe
- Universidade Federal de São Paulo, Disciplina de Geriatria e Gerontologia, Serviço de Dor e Doenças Osteoarticulares, São Paulo SP, Brazil.
| | - Ana Elisa V. F. Silva
- Universidade Federal de São Paulo, Disciplina de Geriatria e Gerontologia, Serviço de Dor e Doenças Osteoarticulares, São Paulo SP, Brazil.
| | - Thais G. Fares
- Universidade Federal de São Paulo, Disciplina de Geriatria e Gerontologia, Serviço de Dor e Doenças Osteoarticulares, São Paulo SP, Brazil.
| | - Fânia Cristina Santos
- Universidade Federal de São Paulo, Disciplina de Geriatria e Gerontologia, Serviço de Dor e Doenças Osteoarticulares, São Paulo SP, Brazil.
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Figueiredo RG, Holguin F, Pizzichini M, Pinheiro GP, Arata V, Leal MFM, Santana CVN, Cruz ÁA, Bessa J. Handgrip strength as a diagnostic tool for frailty risk in elderly patients with moderate to severe asthma. J Bras Pneumol 2023; 49:e20220465. [PMID: 37493789 PMCID: PMC10578904 DOI: 10.36416/1806-3756/e20220465] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2022] [Accepted: 05/17/2023] [Indexed: 07/27/2023] Open
Abstract
OBJECTIVE To evaluate handgrip strength (HGS) as a diagnostic tool for frailty risk in elderly patients with asthma, as well as to investigate the prevalence of frailty in this population. METHODS This was a cross-sectional study including 96 patients ≥ 60 years of age diagnosed with moderate to severe asthma and treated at a tertiary referral center in Brazil. We measured HGS using a calibrated hydraulic hand dynamometer. We used a frailty scale and the AUC to assess the diagnostic accuracy of the HGS test. RESULTS The median age of participants was 67 years. Most (78%) were women and non-White (91%) of low socioeconomic status. HGS identified those at risk for frailty, with an AUC of 71.6% (61.5-80.4%; p < 0.002), as well as a sensitivity of 73.58% and a specificity of 67.53%, on the basis of a cutoff of ≤ 19 kgf. CONCLUSIONS HGS appears to be a simple, reliable tool for clinicians to determine frailty risk in older asthma patients in a point-of-care setting.
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Affiliation(s)
- Ricardo G Figueiredo
- . Programa de Pós-Graduação em Saúde Coletiva, Universidade Estadual de Feira de Santana - PPGSC-UEFS - Feira de Santana (BA) Brasil
- . Fundação Programa para o Controle da Asma na Bahia - ProAR - Salvador (BA) Brasil
| | - Fernando Holguin
- . Division of Pulmonary Sciences and Critical Care, University of Colorado, Aurora (CO) USA
| | - Marcia Pizzichini
- . Universidade Federal de Santa Catarina - UFSC - Florianópolis (SC) Brasil
| | - Gabriela P Pinheiro
- . Fundação Programa para o Controle da Asma na Bahia - ProAR - Salvador (BA) Brasil
- . Programa de Pós-Graduação em Ciências da Saúde, Faculdade de Medicina da Bahia, Universidade Federal da Bahia - UFBA - Salvador (BA) Brasil
| | - Vanessa Arata
- . Departamento de Saúde, Universidade Estadual de Feira de Santana - UEFS - Feira de Santana (BA) Brasil
| | - Maisa F M Leal
- . Fundação Programa para o Controle da Asma na Bahia - ProAR - Salvador (BA) Brasil
| | - Cinthia V N Santana
- . Fundação Programa para o Controle da Asma na Bahia - ProAR - Salvador (BA) Brasil
| | - Álvaro A Cruz
- . Fundação Programa para o Controle da Asma na Bahia - ProAR - Salvador (BA) Brasil
- . Programa de Pós-Graduação em Ciências da Saúde, Faculdade de Medicina da Bahia, Universidade Federal da Bahia - UFBA - Salvador (BA) Brasil
| | - José Bessa
- . Programa de Pós-Graduação em Saúde Coletiva, Universidade Estadual de Feira de Santana - PPGSC-UEFS - Feira de Santana (BA) Brasil
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Milan VB, Alves YFS, Machado GP, de Araujo GN, Krepsky AM, Chies A, Niches M, Fracasso J, Goncalves SC, Wainstein M, Polanczyk CA. Sex Differences in Outcomes of ST Elevation Myocardial Infarction Patients Submitted to Primary Percutaneous Coronary Intervention. Arq Bras Cardiol 2023; 120:e20220673. [PMID: 37311128 PMCID: PMC10263405 DOI: 10.36660/abc.20220673] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2022] [Revised: 02/02/2023] [Accepted: 03/23/2023] [Indexed: 06/15/2023] Open
Abstract
BACKGROUND Several studies have shown that women are usually undertreated and have worse outcomes after ST-segment elevation myocardial infarction (STEMI), hence the need to investigate questions related to sex in Brazil to better deal with the problem. OBJECTIVE To determine whether female sex is still associated with adverse events in a contemporary cohort of patients with STEMI undergoing primary percutaneous coronary intervention (pPCI). METHODS This was a prospective cohort study of STEMI patients submitted to pPCI in a tertiary university hospital between March 2011 and December 2021. Patients were categorized into groups based on their sex at birth. The primary clinical outcome was long-term MACCE. Patients were followed-up for up to five years. All hypothesis tests had a two-sided significance level of 0.05. RESULTS Among 1457 patients admitted with STEMI in the study period, 1362 were included and 468 (34.4%) were women. Female patients had a higher prevalence of hypertension (73% vs. 60%, p <0.001), diabetes (32% vs. 25%, p=0.003) and Killip class 3-4 at hospital admission (17% vs. 12%, p=0.01); TIMI risk score was higher among women (4 [2, 6] vs. 3 [2, 5], p<0.001). In-hospital mortality was not different between groups (12.8% vs. 10.5%, p=0.20). In-hospital MACCE (16.0% vs. 12.6%, p=0.085) and long-term MACCE (28.7% vs. 24.4%, p=0.089) were numerically higher in women, with borderline significance. After multivariate analysis, female sex was not associated with MACCE (HR = 1.14; 95% CI 0.86 - 1.51; p = 0.36). CONCLUSION In a prospective cohort of STEMI patients submitted to pPCI, female patients were older and had more comorbidities at baseline, but no significant differences were found in terms of long-term adverse outcomes.
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Affiliation(s)
- Victoria B. Milan
- Universidade Federal de Ciências da Saúde de Porto AlegreFaculdade de MedicinaPorto AlegreRSBrasilUniversidade Federal de Ciências da Saúde de Porto Alegre Faculdade de Medicina, Porto Alegre, RS – Brasil
| | - Yasmin F. S. Alves
- Universidade Federal de Ciências da Saúde de Porto AlegreFaculdade de MedicinaPorto AlegreRSBrasilUniversidade Federal de Ciências da Saúde de Porto Alegre Faculdade de Medicina, Porto Alegre, RS – Brasil
| | - Guilherme P. Machado
- Hospital de Clínicas de Porto AlegrePorto AlegreRSBrasilHospital de Clínicas de Porto Alegre, Porto Alegre, RS – Brasil
- Programa de Pós-Graduação em Cardiologia e Ciências CardiovascularesUniversidade Federal do Rio Grande do SulPorto AlegreRSBrasilPrograma de Pós-Graduação em Cardiologia e Ciências Cardiovasculares, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS – Brasil
| | - Gustavo Neves de Araujo
- Instituto de Cardiologia de Santa CatarinaSão JoséSCBrasilInstituto de Cardiologia de Santa Catarina, São José, SC – Brasil
- Imperial Hospital de CaridadeFlorianópolisSCBrasilImperial Hospital de Caridade, Florianópolis, SC – Brasil
| | - Ana Maria Krepsky
- Hospital de Clínicas de Porto AlegrePorto AlegreRSBrasilHospital de Clínicas de Porto Alegre, Porto Alegre, RS – Brasil
- Programa de Pós-Graduação em Cardiologia e Ciências CardiovascularesUniversidade Federal do Rio Grande do SulPorto AlegreRSBrasilPrograma de Pós-Graduação em Cardiologia e Ciências Cardiovasculares, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS – Brasil
| | - Angelo Chies
- Universidade Federal do Rio Grande do SulPorto AlegreRSBrasilUniversidade Federal do Rio Grande do Sul, Porto Alegre, RS – Brasil
| | - Matheus Niches
- Universidade Federal do Rio Grande do SulPorto AlegreRSBrasilUniversidade Federal do Rio Grande do Sul, Porto Alegre, RS – Brasil
| | - Julia Fracasso
- Universidade Federal do Rio Grande do SulPorto AlegreRSBrasilUniversidade Federal do Rio Grande do Sul, Porto Alegre, RS – Brasil
| | - Sandro Cadaval Goncalves
- Hospital de Clínicas de Porto AlegrePorto AlegreRSBrasilHospital de Clínicas de Porto Alegre, Porto Alegre, RS – Brasil
- Programa de Pós-Graduação em Cardiologia e Ciências CardiovascularesUniversidade Federal do Rio Grande do SulPorto AlegreRSBrasilPrograma de Pós-Graduação em Cardiologia e Ciências Cardiovasculares, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS – Brasil
| | - Marco Wainstein
- Hospital de Clínicas de Porto AlegrePorto AlegreRSBrasilHospital de Clínicas de Porto Alegre, Porto Alegre, RS – Brasil
- Programa de Pós-Graduação em Cardiologia e Ciências CardiovascularesUniversidade Federal do Rio Grande do SulPorto AlegreRSBrasilPrograma de Pós-Graduação em Cardiologia e Ciências Cardiovasculares, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS – Brasil
| | - Carisi Anne Polanczyk
- Hospital de Clínicas de Porto AlegrePorto AlegreRSBrasilHospital de Clínicas de Porto Alegre, Porto Alegre, RS – Brasil
- Programa de Pós-Graduação em Cardiologia e Ciências CardiovascularesUniversidade Federal do Rio Grande do SulPorto AlegreRSBrasilPrograma de Pós-Graduação em Cardiologia e Ciências Cardiovasculares, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS – Brasil
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Sant’Anna FM, Sant’Anna MB, Sant’Anna LB. Improving Meta-analyses. Arq Bras Cardiol 2023; 120:e20230331. [PMID: 37377260 PMCID: PMC10344416 DOI: 10.36660/abc.20230331] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/29/2023] Open
Affiliation(s)
- Fernando Mendes Sant’Anna
- Universidade Federal do Rio de JaneiroMacaéRJBrasilUniversidade Federal do Rio de Janeiro, Campus Macaé, Macaé, RJ – Brasil
- Hospital Santa IzabelCabo FrioRJBrasilHospital Santa Izabel, Cabo Frio, RJ – Brasil
| | - Mariana Bonacossa Sant’Anna
- Fundação Técnico-Educacional Souza MarquesRio de JaneiroRJBrasilFundação Técnico-Educacional Souza Marques (FTESM), Rio de Janeiro, RJ – Brasil
| | - Lucas Bonacossa Sant’Anna
- Fundação Técnico-Educacional Souza MarquesRio de JaneiroRJBrasilFundação Técnico-Educacional Souza Marques (FTESM), Rio de Janeiro, RJ – Brasil
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Soares JDS, dos Santos AC, dos Santos-Rodrigues RC, de Araújo-Monteiro GKN, Brandão BMLDS, Souto RQ. Risk of violence and frailty syndrome among older adults treated at a hospital service. Rev Bras Enferm 2023; 76Suppl 2:e20220278. [PMID: 37255185 PMCID: PMC10226415 DOI: 10.1590/0034-7167-2022-0278] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2022] [Accepted: 11/04/2022] [Indexed: 06/01/2023] Open
Abstract
OBJECTIVES to assess the association between risk of violence and frailty syndrome among hospitalized older adults. METHODS quantitative, analytical and cross-sectional research, carried out with older adults in two university hospitals. Data collection was performed using the Brazil Old Age Schedule, Hwalek-Sengstock Elder Abuse Screening Test and Edmonton Frail Scale instruments. It was analyzed using descriptive statistics and inferential statistics. RESULTS risk of violence was higher among women (68.9%), over 70 years old (64.7%), with more than 3 years of study (68.9%), without relationship (67.1%), who do not work (65.1%) and with income above 1 minimum wage (65.2%). There is a significant association between risk of violence and frailty (72.3%; p<0.001) and a positive correlation between the instrument scores (r=0.350; p-value<0.001). CONCLUSIONS risk of violence was associated with being female and frailty. The study is expected to encourage further discussions related to the theme and nursing practice.
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Hu M, Li X, Yang Y. Invasive Versus Conservative Management of NSTEMI Patients Aged ≥ 75 Years. Arq Bras Cardiol 2023; 120:e20220658. [PMID: 37255135 PMCID: PMC10484564 DOI: 10.36660/abc.20220658] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2022] [Revised: 01/11/2023] [Accepted: 03/08/2023] [Indexed: 06/01/2023] Open
Abstract
BACKGROUND The efficiency of invasive management in older patients (≥75 years) with non-ST-segment elevation myocardial infarction (NSTEMI) remains ambiguous. OBJECTIVES To assess the efficiency of invasive management in older patients with NSTEMI based on meta-analysis and trial sequential analysis (TSA). METHODS Relevant randomized controlled trials (RCT) and observational studies were included. The primary outcomes were all-cause death, myocardial infarction, stroke, and major bleeding. Pooled odd ratio (OR) and 95% confidence interval (CI) were calculated. P <0.05 was considered statistically significant. RESULTS Five RCTs and 22 observational studies with 1017374 patients were included. Based on RCT and TSA results, invasive management was associated with lower risks of myocardial infarction (OR: 0.51; 95% CI: 0.40-0.65; I2=0%), major adverse cardiovascular events (MACE; OR: 0.61; 95% CI: 0.49-0.77; I2=27.0%), and revascularization (OR: 0.29; 95% CI: 0.15-0.55; I2=5.3%) compared with conservative management. Pooling results from RCTs and observational studies with multivariable adjustment showed consistently lower risks of all-cause death (OR: 0.57; 95% CI: 0.50-0.64; I2=86.4%), myocardial infarction (OR: 0.63; 95% CI: 0.56-0.71; I2=0%), stroke (OR: 0.59; 95% CI: 0.51-0.69; I2=0%), and MACE (OR: 0.64; 95% CI: 0.54-0.76; I2=43.4%). The better prognosis associated with invasive management was also observed in real-world scenarios. However, for patients aged ≥85 years, invasive management may increase the risk of major bleeding (OR: 2.68; 95% CI: 1.12-6.42; I2=0%). CONCLUSIONS Invasive management was associated with lower risks of myocardial infarction, MACE, and revascularization in older patients with NSTEMI, yet it may increase the risk of major bleeding in patients aged ≥85 years.
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Affiliation(s)
- Mengjin Hu
- Fuwai HospitalState Key Laboratory of Cardiovascular DiseaseBeijingChinaFuwai Hospital State Key Laboratory of Cardiovascular Disease, Beijing – China
- Xuanwu HospitalCapital Medical UniversityBeijingChinaXuanwu Hospital, Capital Medical University, Beijing – China
| | - Xiaosong Li
- Fuwai HospitalState Key Laboratory of Cardiovascular DiseaseBeijingChinaFuwai Hospital State Key Laboratory of Cardiovascular Disease, Beijing – China
| | - Yuejin Yang
- Fuwai HospitalState Key Laboratory of Cardiovascular DiseaseBeijingChinaFuwai Hospital State Key Laboratory of Cardiovascular Disease, Beijing – China
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Cesarino EJ, de Castro ML, Restini CBA. Sepsis, Atrial Fibrillation, and Aging: A Dangerous Association. Arq Bras Cardiol 2023; 120:e20230095. [PMID: 37042877 PMCID: PMC10399966 DOI: 10.36660/abc.20230095] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/13/2023] Open
Affiliation(s)
- Evandro José Cesarino
- Universidade de São PauloFaculdade de Ciências Farmacêuticas de Ribeirão PretoRibeirão PretoSPBrasilUniversidade de São Paulo - Faculdade de Ciências Farmacêuticas de Ribeirão Preto, Ribeirão Preto, SP – Brasil
- Associação Ribeirãopretana de Ensino, Pesquisa e Assistência ao Hipertenso - AREPAHRibeirão PretoSPBrasilAssociação Ribeirãopretana de Ensino, Pesquisa e Assistência ao Hipertenso - AREPAH, Ribeirão Preto, SP – Brasil
| | - Marildes Luiza de Castro
- Faculdade IPEMED de Ciências MédicasBelo HorizonteMGBrasilFaculdade IPEMED de Ciências Médicas, Belo Horizonte, MG – Brasil
| | - Carolina Baraldi Araujo Restini
- Associação Ribeirãopretana de Ensino, Pesquisa e Assistência ao Hipertenso - AREPAHRibeirão PretoSPBrasilAssociação Ribeirãopretana de Ensino, Pesquisa e Assistência ao Hipertenso - AREPAH, Ribeirão Preto, SP – Brasil
- Michigan State UniversityPharmacology and Toxicology Dept.College of Osteopathic MedicineMIEUACollege of Osteopathic Medicine, Pharmacology and Toxicology Dept., Michigan State University, MI – EUA
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Nunes JCC, Camurça DS, Rocha GA, de Oliveira ABT, Marinho GCP, Santos SGM, Pereira DCBHG, Meneses GC, Daher EDF. Chronic kidney disease prevention campaign: relationship between proteinuria and elderly people. J Bras Nefrol 2023; 45:162-168. [PMID: 36354245 PMCID: PMC10627140 DOI: 10.1590/2175-8239-jbn-2022-0028en] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2022] [Accepted: 08/25/2022] [Indexed: 11/09/2022] Open
Abstract
OBJECTIVE To verify the relationship between the presence of proteinuria as a renal injury marker in elderly without history of systemic arterial hypertension and cardiovascular diseases. A cross-sectional study was developed from January 2014 to December 2019, through kidney disease prevention campaigns promoted by the Federal University of Ceará in the city of Fortaleza. METHODS The sample consisted of 417 elderlies. A questionnaire was used to characterize individuals and assess previous diseases, and urinalysis reagent strips were used to assess proteinuria. RESULTS Statistically significant differences (p < 0.05) and moderate effect sizes were found for blood pressure levels (CI 0.53-0.93), systolic blood pressure, and diastolic blood pressure (CI 0.21-0.61). Significant differences in capillary glycemia were also found between groups (p = 0.033), but with a low effect size (0.02-0.42). The group with comorbidities was 2.94 times more likely to have proteinuria than those without comorbidities (OR 2.94, CI 1.55-4.01; p < 0.05). In the group without cardiovascular disease/high blood pressure, a statistically significant association was found for previous diabetes and proteinuria (p = 0.037), presenting 2.68 times higher risk of proteinuria in those with diabetes mellitus (OR 2.68, CI 1.05-6.85). Significant association was also found between age groups, with the older group having 2.69 times higher risk of developing proteinuria (75 to 90 compared to 60 to 74 years) (CI 1.01-7.16; p = 0.045). CONCLUSION Even without systemic arterial hypertension or cardiovascular disease, diabetes and older age can be considered high risk factors for proteinuria.
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Affiliation(s)
- Júlio César Chaves Nunes
- Universidade Federal do Ceará, Departamento de Medicina Clínica,
Programa de Pós-Graduação em Ciências Médicas, Fortaleza, CE, Brazil
| | - David Silva Camurça
- Universidade Federal do Ceará, Faculdade de Medicina, Departamento
de Medicina Clínica, Fortaleza, CE, Brazil
| | - Gabriel Alves Rocha
- Universidade Federal do Ceará, Faculdade de Medicina, Departamento
de Medicina Clínica, Fortaleza, CE, Brazil
| | | | | | | | | | - Gdayllon Cavalcante Meneses
- Universidade Federal do Ceará, Departamento de Medicina Clínica,
Programa de Pós-Graduação em Ciências Médicas, Fortaleza, CE, Brazil
| | - Elizabeth De Francesco Daher
- Universidade Federal do Ceará, Departamento de Medicina Clínica,
Programa de Pós-Graduação em Ciências Médicas, Fortaleza, CE, Brazil
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Garcia LR, Garzesi AM, Sinatora JB, Grotto RMT, Passaroni AC, de Campos NLKL, Martins AS, Felicio ML, Brito FDS. Orthotopic Heart Transplantation in a Covid-19 Recipient. Arq Bras Cardiol 2023; 120:e20220234. [PMID: 37018788 PMCID: PMC10392859 DOI: 10.36660/abc.20220234] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2022] [Revised: 08/03/2022] [Accepted: 09/21/2022] [Indexed: 04/07/2023] Open
Affiliation(s)
- Leonardo Rufino Garcia
- Hospital das Clínicas de BotucatuUNESPBotucatuSPBrasilServiço de Cirurgia Cardiovascular e Transplante Cardíaco do Hospital das Clínicas de Botucatu – UNESP, Botucatu, SP – Brasil
| | - André Monti Garzesi
- Hospital das Clínicas de BotucatuUNESPBotucatuSPBrasilServiço de Cirurgia Cardiovascular e Transplante Cardíaco do Hospital das Clínicas de Botucatu – UNESP, Botucatu, SP – Brasil
| | - Julia Bazzo Sinatora
- Hospital das Clínicas de BotucatuUNESPBotucatuSPBrasilServiço de Cirurgia Cardiovascular e Transplante Cardíaco do Hospital das Clínicas de Botucatu – UNESP, Botucatu, SP – Brasil
| | - Rejane Maria Tommasini Grotto
- Laboratório de Biotecnologia AplicadaHospital das Clínicas de BotucatuUNESPBotucatuSPBrasilLaboratório de Biotecnologia Aplicada do Hospital das Clínicas de Botucatu – UNESP, Botucatu, SP – Brasil
| | - Andréia Cristina Passaroni
- Hospital das Clínicas de BotucatuUNESPBotucatuSPBrasilServiço de Cirurgia Cardiovascular e Transplante Cardíaco do Hospital das Clínicas de Botucatu – UNESP, Botucatu, SP – Brasil
| | - Nelson Leonardo Kerdahi Leite de Campos
- Hospital das Clínicas de BotucatuUNESPBotucatuSPBrasilServiço de Cirurgia Cardiovascular e Transplante Cardíaco do Hospital das Clínicas de Botucatu – UNESP, Botucatu, SP – Brasil
| | - Antônio Sérgio Martins
- Hospital das Clínicas de BotucatuUNESPBotucatuSPBrasilServiço de Cirurgia Cardiovascular e Transplante Cardíaco do Hospital das Clínicas de Botucatu – UNESP, Botucatu, SP – Brasil
| | - Marcello Laneza Felicio
- Hospital das Clínicas de BotucatuUNESPBotucatuSPBrasilServiço de Cirurgia Cardiovascular e Transplante Cardíaco do Hospital das Clínicas de Botucatu – UNESP, Botucatu, SP – Brasil
| | - Flávio de Souza Brito
- Hospital das Clínicas de BotucatuUNESPBotucatuSPBrasilServiço de Cirurgia Cardiovascular e Transplante Cardíaco do Hospital das Clínicas de Botucatu – UNESP, Botucatu, SP – Brasil
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de Souza EV, Cruz DP, Siqueira LR, Pirôpo US, Rosa RS, da Silva BF, Sawada NO. Sexuality and its effects on older adults' depressive symptoms and quality of life. Rev Bras Enferm 2023; 76:e20210645. [PMID: 36753192 PMCID: PMC9901350 DOI: 10.1590/0034-7167-2021-0645] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2021] [Accepted: 08/12/2022] [Indexed: 02/09/2023] Open
Abstract
OBJECTIVES to analyze the effects of sexuality on depressive symptoms and quality of life in older adults. METHODS a cross-sectional and analytical study, developed with 596 older adults, who completed four instruments for data collection. Data were analyzed using the Kruskal-Wallis test and Structural Equation Modeling, with a 95% Confidence Interval. RESULTS among the sexuality dimensions, only physical and social adversities exerted statistically significant effects on depressive symptoms (SC=-0.095; p=0.003), but with low magnitude. Moreover, all sexuality dimensions had statistically significant effects on quality of life, being of low magnitude for sexual act (SC=0.171; p=0.010) and for physical and social adversities (SC=0.228; p<0.001), and moderate magnitude for affective relationships (SC=0.474; p<0.001). CONCLUSIONS effects of different magnitudes were observed between sexuality dimensions on participants' depressive symptoms and quality of life.
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Affiliation(s)
| | - Diego Pires Cruz
- Universidade Estadual do Sudoeste da Bahia. Jequié, Bahia, Brazil
| | | | | | - Randson Souza Rosa
- Universidade Estadual de Feira de Santana. Feira de Santana, Bahia, Brazil
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Cesena F. Pharmacoinvasive Strategy in ST-elevation Myocardial Infarction: Particularities in the Elderly. Arq Bras Cardiol 2023; 120:e20220885. [PMID: 36790309 PMCID: PMC10389105 DOI: 10.36660/abc.20220885] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023] Open
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Ranzani CDM, Silva SC, Hino P, Taminato M, Okuno MFP, Fernandes H. Profile and characteristics of violence against older adults during the COVID-19 pandemic. Rev Lat Am Enfermagem 2023; 31:e3825. [PMID: 36722639 PMCID: PMC9886078 DOI: 10.1590/1518-8345.6220.3825] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2022] [Accepted: 08/24/2022] [Indexed: 02/02/2023] Open
Abstract
OBJECTIVE to identify the sociodemographic profile and the characteristics of interpersonal violence against older adults during the first year of the COVID-19 pandemic in a capital city from the Brazilian Southeast region. METHOD a descriptive and exploratory research study with a cross-sectional design based on the notifications of suspected or confirmed cases of violence against older adults between March 2020 and March 2021. A univariate statistical analysis and Fisher's exact test (p<0.05) were performed. RESULTS a total of 2,681 notifications were recorded during the period. The main victims were individuals aged between 60 and 64 years old, female, white-skinned and with low schooling levels. The instances of violence were more frequent in the victims' homes. Physical and psychological violence predominated, through physical force/beatings and threats, respectively. Most of the aggressors were male, younger than the victims and generally their children or intimate partners. The aggressions were perpetrated more than once and were driven by generational conflicts. There was low referral to entities for the protection of older adults. CONCLUSION the sociodemographic profile found evidences vulnerable victims, subjected to many types of violence, and at a potential risk against their overall health.
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Affiliation(s)
| | - Sara Cirillo Silva
- Universidade Federal de São Paulo, Escola Paulista de Enfermagem, São Paulo, SP, Brazil.,Scholarship holder at the Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), Brazil
| | - Paula Hino
- Universidade Federal de São Paulo, Escola Paulista de Enfermagem, São Paulo, SP, Brazil
| | - Mônica Taminato
- Universidade Federal de São Paulo, Escola Paulista de Enfermagem, São Paulo, SP, Brazil
| | | | - Hugo Fernandes
- Universidade Federal de São Paulo, Escola Paulista de Enfermagem, São Paulo, SP, Brazil., Hugo Fernandes E-mail:
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Silva JMD, Santos MDD, Costa RQMD, Moretto EG, Viveiro LAPD, Lopes RDD, Brucki SMD, Pompeu JE. Applicability of an immersive virtual reality system to assess egocentric orientation of older adults. Arq Neuropsiquiatr 2023; 81:19-26. [PMID: 36918003 PMCID: PMC10014199 DOI: 10.1055/s-0042-1759762] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 03/15/2023]
Abstract
BACKGROUND Spatial orientation is a cognitive domain frequently compromised in patients with Alzheimer disease (AD) and may be one of its first clinical manifestations. Some studies have shown that allocentric integration with egocentric spatial information seems to be impaired in this pathology. There is no consensus on how best to assess spatial orientation and traditional tests lack ecological validity, but, recently, virtual reality (VR) has provided new opportunities for this assessment. OBJECTIVES To analyze the applicability and stability of an immersive virtual task developed to assess spatial orientation, the Spatial Orientation in Immersive Virtual Environment Maze Test (SOIVET-Maze) in older adults with and without mild cognitive impairment. METHODS Forty-three older adults were included in the study, 24 without cognitive impairment and 19 with mild cognitive impairment. Applicability was assessed by the Witmer and Singer Sense of Presence Questionnaire and a questionnaire for adverse events of cybersickness. To assess stability, participants were assessed twice with an interval of 7 to 14 days, and the intraclass correlation coefficient was calculated between visits. The t test or the Mann-Whitney test was used to compare applicability and stability between groups. RESULTS There was no significant difference between the groups regarding applicability. A strong correlation between the first and second day of testing was found in the mild cognitive impairment group. CONCLUSION The SOIVET-Maze task showed excellent applicability and good stability, favoring its clinical application for the evaluation of spatial orientation in older adults.
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Affiliation(s)
- Juliana Magalhães da Silva
- Universidade de São Paulo, Departamento de Fisioterapia, Faculdade de Medicina, Fonoaudiologia e Terapia Ocupacional, São Paulo SP, Brazil
| | - Michelle Didone Dos Santos
- Universidade de São Paulo, Departamento de Fisioterapia, Faculdade de Medicina, Fonoaudiologia e Terapia Ocupacional, São Paulo SP, Brazil
| | | | - Emerson Galves Moretto
- Universidade de São Paulo, Departamento de Engenharia de Sistemas Eletrônicos, Escola Politécnica, São Paulo SP, Brazil
| | - Larissa Alamino Pereira de Viveiro
- Universidade de São Paulo, Departamento de Fisioterapia, Faculdade de Medicina, Fonoaudiologia e Terapia Ocupacional, São Paulo SP, Brazil
| | - Roseli de Deus Lopes
- Universidade de São Paulo, Departamento de Engenharia de Sistemas Eletrônicos, Escola Politécnica, São Paulo SP, Brazil
| | - Sonia Maria Dozzi Brucki
- Universidade de São Paulo, Departamento de Neurologia, Faculdade de Medicina, São Paulo SP, Brazil
| | - José Eduardo Pompeu
- Universidade de São Paulo, Departamento de Fisioterapia, Faculdade de Medicina, Fonoaudiologia e Terapia Ocupacional, São Paulo SP, Brazil
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Guttier MC, Silveira MPT, Tavares NUL, Krause MC, Bielemann RM, Gonzalez MC, Tomasi E, Demarco FF, Bertoldi AD. Difficulties in the use of medications by elderly people followed up in a cohort study in Southern Brazil. Rev Bras Epidemiol 2023; 26:e230020. [PMID: 36921128 PMCID: PMC10000017 DOI: 10.1590/1980-549720230020.2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2022] [Accepted: 11/18/2022] [Indexed: 03/15/2023] Open
Abstract
OBJECTIVE This study aimed to assess the need for help by elderly people to take their medications, the difficulties related to this activity, the frequency of forgotten doses, and factors associated. METHODS Cross-sectional study conducted with a cohort of elderly people (60 years and over - "COMO VAI?" [How do you do?] study), where the need for help to properly take medication and the difficulties faced in using them were evaluated. The Poisson regression model was used to estimate the crude and adjusted prevalence ratios (PR) of the outcomes and respective 95% confidence intervals according to the characteristics of the sample. RESULTS In total, 1,161 elderly people were followed up. The prevalence of participants who reported requiring help with medication was 15.5% (95%CI 13.5-17.8), and the oldest subjects, with lower educational levels, in worse economic situations, on four or more medications and in bad self-rated health were the ones who needed help the most. Continuous use of medication was reported by 83.0% (95%CI 80.7-85.1) of the sample and most participants (74.9%; 95%CI 72.0-77.5) never forgot to take their medications. CONCLUSION The need for help to use medications was shown to be influenced by social and economic determinants. Studies assessing the difficulties in medication use by the elderly are important to support policies and practices to improve adherence to treatment and the rational use of medications.
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Affiliation(s)
- Marília Cruz Guttier
- Universidade Federal de Pelotas, Programa de Pós-Graduação em Epidemiologia -Pelotas (RS), Brasil
| | - Marysabel Pinto Telis Silveira
- Universidade Federal de Pelotas, Instituto de Biologia, Departamento de Fisiologia e Farmacologia, Programa de Pós-Graduação Multicêntrico em Ciências Fisiológicas - Pelotas (RS), Brasil
| | | | | | - Renata Moraes Bielemann
- Universidade Federal de Pelotas, Programa de Pós-Graduação em Nutrição e Alimentos - Pelotas (RS), Brasil
| | - Maria Cristina Gonzalez
- Universidade Católica de Pelotas, Programa de Pós-Graduação em Saúde e Comportamento - Pelotas (RS), Brasil
| | - Elaine Tomasi
- Universidade Federal de Pelotas, Programa de Pós-Graduação em Epidemiologia -Pelotas (RS), Brasil
| | - Flavio Fernando Demarco
- Universidade Federal de Pelotas, Programa de Pós-Graduação em Epidemiologia -Pelotas (RS), Brasil
| | - Andréa Dâmaso Bertoldi
- Universidade Federal de Pelotas, Programa de Pós-Graduação em Epidemiologia -Pelotas (RS), Brasil
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Mota GAF, Gatto M, Pagan LU, Tanni SE, Okoshi MP. Diabetes Mellitus, Physical Exercise and Heart Rate Variability. Arq Bras Cardiol 2023; 120:e20220902. [PMID: 36790310 PMCID: PMC10389116 DOI: 10.36660/abc.20220902] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023] Open
Affiliation(s)
- Gustavo Augusto Ferreira Mota
- Departamento de Clínica MédicaFaculdade de Medicina de BotucatuUniversidade Estadual PaulistaBotucatuSPBrasilDepartamento de Clínica Médica – Faculdade de Medicina de Botucatu – Universidade Estadual Paulista (UNESP), Botucatu, SP – Brasil
| | - Mariana Gatto
- Departamento de Clínica MédicaFaculdade de Medicina de BotucatuUniversidade Estadual PaulistaBotucatuSPBrasilDepartamento de Clínica Médica – Faculdade de Medicina de Botucatu – Universidade Estadual Paulista (UNESP), Botucatu, SP – Brasil
| | - Luana Urbano Pagan
- Departamento de Clínica MédicaFaculdade de Medicina de BotucatuUniversidade Estadual PaulistaBotucatuSPBrasilDepartamento de Clínica Médica – Faculdade de Medicina de Botucatu – Universidade Estadual Paulista (UNESP), Botucatu, SP – Brasil
| | - Suzana Erico Tanni
- Departamento de Clínica MédicaFaculdade de Medicina de BotucatuUniversidade Estadual PaulistaBotucatuSPBrasilDepartamento de Clínica Médica – Faculdade de Medicina de Botucatu – Universidade Estadual Paulista (UNESP), Botucatu, SP – Brasil
| | - Marina Politi Okoshi
- Departamento de Clínica MédicaFaculdade de Medicina de BotucatuUniversidade Estadual PaulistaBotucatuSPBrasilDepartamento de Clínica Médica – Faculdade de Medicina de Botucatu – Universidade Estadual Paulista (UNESP), Botucatu, SP – Brasil
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Bierhals CCBK, Dal Pizzol FLF, Low G, Day CB, dos Santos NO, Paskulin LMG. Quality of life in caregivers of aged stroke survivors in southern Brazil: Arandomized clinical trial. Rev Lat Am Enfermagem 2023; 31:e3657. [PMID: 36722630 PMCID: PMC9886075 DOI: 10.1590/1518-8345.5935.3657] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2022] [Accepted: 05/15/2022] [Indexed: 02/02/2023] Open
Abstract
OBJECTIVE to evaluate the effect of nursing home care interventions on the quality of life in family caregivers of aged stroke survivors. METHOD a Randomized Clinical Trial, blinded for outcome evaluation. Forty-eighty family caregivers of aged stroke survivors participated in the study. The Intervention Group received three home visits by nurses one month after hospital discharge to provide stroke-related education (i.e., how to access health services and perform care activities) and emotional support. The Control Group received the usual guidance from the health services. Quality of life was assessed using the World Health Organization Quality of Life Assessment (WHOQOL-BREF) instrument and the Old Module(WHOQOL-OLD) 1 week, 2 months, and 1 year after discharge. RESULTS the caregivers were mainly women, children, or spouses. The caregivers in the Intervention Group and Control Group did not significantly differ in terms of their Overall Quality of Life at baseline. There was no interaction effect between group allocation and Overall Quality of Life(p=0.625) over time. However, there was an interaction effect for Social Relations(p=0.019) and Autonomy (p=0.004). CONCLUSION the intervention exerted a statistically significant effect on the quality of life of family caregivers with respect to social relationships and autonomy. TRIAL REGISTRATION NCT02807012.
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Affiliation(s)
| | | | - Gail Low
- University of Alberta, Faculty of Nursing, Edmonton, AB, Canada.
| | - Carolina Baltar Day
- Pontifícia Universidade Católica do Rio Grande do Sul, Escola de Ciências da Saúde e da Vida, Porto Alegre, RS, Brazil. , Grupo Hospitalar Conceição, Hospital Fêmina, Porto Alegre, RS, Brazil.
| | | | - Lisiane Manganelli Girardi Paskulin
- Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil. , Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil. , Scholarship holder at the Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), Brazil.
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Honorato MO, Sousa Filho JTD, Honorato Junior LFB, Watanabe N, Goulart GM, Prado RRD. Atrial Fibrillation and Sepsis in Elderly Patients and Their Associaton with In-Hospital Mortality. Arq Bras Cardiol 2023; 120:e20220295. [PMID: 36921155 PMCID: PMC9972940 DOI: 10.36660/abc.20220295] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2022] [Accepted: 11/16/2022] [Indexed: 03/02/2023] Open
Abstract
BACKGROUND Atrial fibrillation (AF) affects about 2% to 4% of the world population, and in patients hospitalized in intensive care units, this incidence can reach up to 23% in those with septic shock. The impact of AF in patients with sepsis is reflected in worse clinical outcomes, and the identification of the triggering factors can be a target for future prevention and treatment strategies. OBJECTIVES To verify the relationship between the development of AF and mortality in patients over 80 years of age included in the sepsis protocol and to identify the risk factors that contribute to the development of AF in this population. METHODS Retrospective observational study, with a review of electronic medical records and inclusion of 895 patients aged 80 years or older, included in the sepsis protocol of a high-complexity private hospital in São Paulo, SP, from January 2018 to December 2020. All tests were performed with a significance level of 5%. RESULTS The incidence of AF in the sample was 13%. After multivariate analysis, using multiple logistic regression, it was possible to demonstrate an association of mortality, in the studied population, with the SOFA score (odds ratio [OR] 1.21 [1.09 - 1.35]), higher values of C-reactive protein (OR 1.04 [1.01 - 1.06]), need for vasoactive drugs (OR 2.4 [1.38 - 4.18]), use of mechanical ventilation (OR 3.49 [1.82 - 6.71]), and mainly AF (OR 3.7 [2.16 - 6.31]). CONCLUSION In very elderly patients (80 years of age and older) with sepsis, the development of AF was shown to be an independent risk factor for in-hospital mortality.
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Lopes LP, Santi DB, Marques FRDM, Salci MA, Carreira L, Baldissera VDA. The self-care process of community-dwelling older adults during the COVID-19 pandemic. Rev Bras Enferm 2023; 76Suppl 1:e20220644. [PMID: 36888748 PMCID: PMC9987457 DOI: 10.1590/0034-7167-2022-0644] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2022] [Accepted: 11/18/2022] [Indexed: 03/08/2023] Open
Abstract
OBJECTIVES to understand the self-care process of community-dwelling older adults during the COVID-19 pandemic. METHODS this is an explanatory study with a qualitative approach based on the constructivist Grounded Theory, carried out with 18 community-dwelling older adults. Data collection took place through interviews and content was analyzed through initial and focused coding. RESULTS two categories were obtained: "Building connections to support self-care practices" and "Living with the risk group stigma". From their interaction, the phenomenon "Performing self-care in old age during the COVID-19 pandemic" emerged. FINAL CONSIDERATIONS it was possible to identify how older adults' experiences curing the COVID-19 pandemic had repercussions on their self-care process, being influenced by factors such as information about the disease and the impacts of risk group stigmas.
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Affiliation(s)
| | | | | | | | - Lígia Carreira
- Universidade Estadual de Maringá. Maringá, Paraná, Brazil
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