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No. of bitstreams: 1 Jorge_Luisa_Braga_disserta??o.pdf: 3056527 bytes, checksum: 8dd68e98e9a393d3374246ba71cb7a1a (MD5) Previous issue date: 2018-01-15 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES / Introduction: Population aging is a worldwide phenomenon, emphasizing the important increase of people with more than 80 years, elderly people. This increase in longevity may be accompanied by some functional impairment leading to some disabling events and causing animportant quality of life (QoL) impairment. Regarding the functional impairments, there is the decrease of the urinary tract function. This study aimed to evaluate the possible factors related to urinary discomfort in elderly people. Methods: Cross-sectional, observational and quantitative study. The sample was composed of elderlypeoplefrom Porto Alegre, RS, and participants in the multiprofessional attention to elderly project. The impact of urinary discomfort on QOL was assessed by the Kings Health Questionnaire (KHQ) instrument adapted for men and women with and without urinary incontinence (UI). In addition to KHQ, the elderly still answered an urogynecologic questionnaire with sociodemographic and clinical questions. The statistical program used was Epiinfo ? 7.2 and considered significant values p <0.05. Results: 82 participants, 56 women and 26 men with a mean age of 92,3?2,69 years participated. 43% of the participants reported urinary discomfort and of this percentage, 97% reported UI. The factors related to urinary discomfort with statistical significance were: obstetric issues such as: vaginal delivery, number of pregnancies and number of higher weight gain at birth. In KHQ, limitations in outside activities, travel, physical activity, relationships, feelings of depression, anxiety, angriness, concern in smelling urine as well as behavioral changes like wearing protective, decreased water intake were related to discomfort. Conclusion: With this study it was possible to conclude that several factors are associated with urinary discomfort. Despite a low percentage, there was also a report of urinary discomfort in the absence of UI. Therefore, special attention to urinary health is important during the evaluation of the longevity, providing an intervention before the appearance of symptoms, repercussions on a more active aging with a higher quality of life. / Introdu??o: O envelhecimento populacional ? um fen?meno mundial, destacando-se o aumento importante de pessoas com mais de 80 anos, tamb?m chamadas de longevos (a). Esse aumento da longevidade pode vir acompanhado de alguns preju?zos funcionais gerando alguns eventos incapacitantes e que causam uma perda significativa da qualidade de vida (QV). Entre os preju?zos funcionais destaca-se a diminui??o do funcionamento do sistema urin?rio. Este estudo buscou avaliar os poss?veis fatores relacionados ao desconforto urin?rio em longevos e longevas. M?todos: Estudo transversal, observacional e anal?tico de car?ter quantitativo. A amostra foi composta por longevos residentes da cidade de Porto Alegre, RS, participantes do projeto Aten??o Multiprofissional ao Longevo. O impacto do desconforto urin?rio na QV foi avaliado pelo instrumento Kings Health Questionnaire (KHQ) adaptado para homens e mulheres com e sem incontin?ncia urin?ria (IU). Al?m deste question?rio, os longevos ainda responderam um question?rio uroginecol?gico com perguntas sociodemogr?ficos e clinicas. O programa estat?stico utilizado foi o Epiinfo? 7.2 e considerados significativos valores de p<0,05. Resultados: Participaram 82 longevos, 56 mulheres e 26 homens com idade m?dia de 92,3?2,69 anos. 43% dos participantes referiram desconforto urin?rio e deste percentual, 97% relataram IU. Os fatores relacionados ao desconforto urin?rio com signific?ncia estat?stica foram: quest?es obst?tricas como: parto normal, n?mero de gesta??es, n?mero de filhos e beb?s pesados ao nascer. No KHQ, limita??es em atividades fora de casa, viagens, atividade f?sica, conv?vio social, sentimentos de depress?o, ansiedade, nervosismo, preocupa??o em cheirar urina assim como mudan?as comportamentais como uso de protetores, diminui??o da ingest?o h?drica foram relacionadas com o desconforto. Conclus?o: Com este trabalho foi poss?vel concluir que diversos fatores est?o associados ao desconforto urin?rio. Apesar de baixo percentual, houve relato tamb?m de desconforto urin?rio na aus?ncia de IU. A partir disso, torna-se importante durante a avali??o com longevos, um cuidado especial ? sa?de urin?ria, propiciando uma interven??o antes do aparecimento dos sintomas, repercutindo em um envelhecimento mais ativo com maior qualidade de vida.