Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-02-20T23:04:20Z No. of bitstreams: 1 VanessaDeLimaSilva_DISSERT.pdf: 542105 bytes, checksum: 986236b71016eeca0021f7562a7a3ae4 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-02-24T23:04:15Z (GMT) No. of bitstreams: 1 VanessaDeLimaSilva_DISSERT.pdf: 542105 bytes, checksum: 986236b71016eeca0021f7562a7a3ae4 (MD5) / Made available in DSpace on 2017-02-24T23:04:15Z (GMT). No. of bitstreams: 1 VanessaDeLimaSilva_DISSERT.pdf: 542105 bytes, checksum: 986236b71016eeca0021f7562a7a3ae4 (MD5) Previous issue date: 2016-07-28 / A depress?o ? um transtorno mental que afeta todas as faixas de idade, no entanto com o envelhecimento demogr?fico da popula??o mundial, se configura como um problema de sa?de p?blica para os idosos, uma vez que pode afetar a qualidade de vida e aumentar o risco de morte nesta fase da vida. Um dos principais desafios para a pol?tica de aten??o ? sa?de do idoso, diz respeito ao rastreamento da depress?o. Al?m disso, t?o importante quanto rastear os indiv?duos com sintomas de depress?o, faz-se necess?rio identificar fatores que podem contribuir ou agravar esses sintomas. Algumas vari?veis podem afetar e agravar a depress?o, entre eles, os fatores socioecon?micos, a satisfa??o dos pacientes com os servi?os de sa?de e a rela??o familiar que podem comprometer a qualidade de vida dos idosos. Sendo assim, o presente trabalho tem o objetivo de comparar entre idosos n?o institucionalizados que apresentam ou n?o sintomas de depress?o, a qualidade de vida, aspectos sociais, econ?micos e cl?nicos, uso de antidepressivo e/ou ansiol?ticos, terapia comunit?ria integrativa, apoio familiar e a satisfa??o com os servi?os de sa?de. Trata-se de um estudo transversal do tipo caso-controle, sendo os casos formados por indiv?duos com score maior que 5 na Escala de Depress?o Geri?trica (EDG) e os controles, idosos com score na EDG menor ou igual a 5, realizado no Centro de Apoio Psicossocial das zonas Oeste e Leste e Centro Especializado na Aten??o ? Sa?de do Idoso, respectivamente na cidade de Natal, Rio Grande do Norte, Brasil. Foram utilizados os seguintes instrumentos de coleta de dados: Question?rio Socioecon?mico Demogr?fico e Cl?nico, Family Assessmente Device (FAD), World Health Organization Quality of Life-BREF (WHOQOL-BREF) e de Escala de Avalia??o da Satisfa??o dos Usu?rios com os Servi?os de Sa?de (SATIS-BR). Vari?veis s?cio-demogr?ficas e cl?nicas entre os grupos caso e controle foram comparados usando o teste qui-quadrado e an?lise de vari?ncia (ANOVA). Os escores do WHOQOL-BREF, FAD, e SATIS-BR escores foram comparados usando ANOVA. Foram considerados significantes os valores de p <0,05. O grupo de casos foi formado por 54 idosos e o controle foi formado por 61 idosos. No grupo de casos 51,85% da possui diagn?stico de depress?o e no grupo controle 27,87%, apresentando um p = 0,007. Quanto ? qualidade de vida, o grupo de casos apresenta??o um comprometimento no dom?nio das rela??es sociais (p = 0,003). O FAD identificou a solu??o de problemas como principal comprometimento familiar sendo para os casos, valores 2,09?0,70, enquanto controles 2,04?0,54 (p= 0,040). . Quanto ? satisfa??o com os servi?os de sa?de na faceta satisfa??o com o local onde ? oferecido o servi?o, o grupo de casos apresentou maior satisfa??o, (3,03?1,04), enquanto os controles (2,92?0,80) estavam menos satisfeitos (p = 0,007). A baixa renda e escolaridade da popula??o idosa contribuem para o aparecimento dos sintomas depressivos. Por?m, a terapia farmacol?gica com antidepressivos/ansiol?ticos n?o se mostra totalmente eficaz na remiss?o dos sintomas depressivos e a terapia comunit?ria integrativa se mostra como uma estrat?gia associada a terapia farmacol?gica para tratamento dos sintomas depressivos. / Depression is a mental disorder that affects people of all age groups. However with the aging of the world population, it became a public health problem for the eldest population, since it affects the quality of life and increases the risk of death at this stage of life. One of the main challenges that needs specific attention is the health of the ancient. In addition to this, the act of screening depression is equally important. Moreover, it?s necessary to trace individuals with symptoms and identify factors that can possibly contribute or even worsen these symptoms. Some aspects can affect and worsen depression including socio-economic factors and patient satisfaction with health services and family relationship. All of these can compromise the quality of life of the elderly. Therefore, the present study aims to make a contrast between noninstitutionalized elderly people who have or not depression symptoms and also considering the quality of life, social aspects, economic and clinical use of antidepressants and / or other drugs against depression, integrative community therapy, family support and satisfaction with health services. This is a cross-sectional study of cases formed by patients with scores greater than 5 in Geriatric Depression Scale (GDS) and the controls of the elderly with lower or equal score of 5 in GDS. It was conducted in a psychosocial support center of the west and east zones and in the specialized elderly health center, respectively in the city of Natal, Rio Grande do Norte Brazil. The following instruments have been used to collect data: a demographic and socioeconomic clinical quiz, family assessment device (FAD), world health organization quality of Life-BREF (WHOQOL-BREF) and the User Satisfaction Rating Scale with Health Services (SATIS -BR). Socio- demographic and clinical concerns between the case and control groups were compared using the chisquared test and analysis of variance (ANOVA). The scores of the WHOQOL-BREF, FAD, and SATIS-BR scores were also compared using ANOVA. p values lt; 0.05 were taken into account. The Group was composed of 54 cases of old people and the control was made up of 61. At 51.85% of cases group have had a diagnosis of depression and 27.87% in the control group, showing a p = 0.007. As to the quality of life, the Group of cases presenting a commitment in the field of social relations (p = 0.003).The FAD has identified a solution for main family commitment cases of, 2.09 ? 0.70 values, while 2.04 ? 0.54 controls (p = 0.040). Regarding satisfaction with health services in facet satisfaction with the place where the services are offered, the Group of cases showed the highest satisfaction (3.03 ? 1.04), meanwhile the controls (2.92 ? 0.80) were less satisfied (p = 0.007). Low income and education of the elderly population contributes to the onset of depressive symptoms. Although, pharmacological therapy with antidepressants and drugs against antianxiety don?t totally effective reverse the depressive symptoms. On the other hand, the integrative community therapy shows itself a great strategy when associated with the pharmacological therapy for the treatment of depressive symptoms.