The tittle: The falls of senior people at home surroundings and thein preventions The goal: The goal of this theses was to finf out the degrese of seniors knowing at preventative moves which can avoid falls and through question forms to analyze how the information about danger from the falls at home surroundings influenced the seniors effort to modify their homes. The mothod: At my thesis I used the mothod of quantity analyses. I obtained the data through questionn aires. The interviewed respondents are senior people at age of 65 and more. I interviewed 130 respondents in total and Theky were dividend into 2 groups according to the age or purposes of this thesis. In the first group are seniors between 65 and 74 and the other group is represented by people at age 75 and more. The questionnaire contained 23 questions and was split u pinto 6 domains. The first free questions were related to personal datas and social background of seniors. Next free questions find out the fall at anamnesis and the others are directed to home safeness, foreknowledge about preventive moves and the reslting behavior of respondents in relation to Pasove increase of home safeness. The results: The single points of the questionnaire are graphically illustrated and compared with available literature or other essays. The...

Submitted by Sara Ribeiro (sara.ribeiro@ucb.br) on 2018-04-24T12:46:55Z No. of bitstreams: 1 ValeriaMoreiraNevesdosSantosDissertacao2018.pdf: 2110436 bytes, checksum: fefdec9a162a44b90b7f84047260a1ca (MD5) / Approved for entry into archive by Sara Ribeiro (sara.ribeiro@ucb.br) on 2018-04-24T12:47:03Z (GMT) No. of bitstreams: 1 ValeriaMoreiraNevesdosSantosDissertacao2018.pdf: 2110436 bytes, checksum: fefdec9a162a44b90b7f84047260a1ca (MD5) / Made available in DSpace on 2018-04-24T12:47:03Z (GMT). No. of bitstreams: 1 ValeriaMoreiraNevesdosSantosDissertacao2018.pdf: 2110436 bytes, checksum: fefdec9a162a44b90b7f84047260a1ca (MD5) Previous issue date: 2018-02-09 / The figure of retirement granted in 1821, by Dom Pedro de Alc??ntara, now regulated by the Federal Constitution, has, over time, undergone several transformations, including incorporating compulsory and invalidity. However, it was only in 1990, after the publication of Law number 8.112, that the Retirement Reversal Institute has become a possibility within the legal system governing the federal public service. Public interest in the theme of "aging" is justified by the increase in the number of years lived by individuals in general, without disregarding the fact that the "retirement" status represents a considerable part of the life cycle of the elderly. This has awakened society to look at the factors that can contribute to improving the quality of life at this stage. Many theoretical models have attempted to explain the psychological, physical, and social experiences related to retirement. The "adjustment" to retirement is a process that encompasses physical, cognitive, motivational, emotional, financial and social resources. It is exactly in this process of "adjustment" that this study seeks to understand the significance of what socially represents the institute of the reversion of retirement in the context of the federal public service of the Executive Power, through the social representations of the retirement of these civil servants. Thus, demand also involves the investigation of the perceptive aspects of aging linked to the act of reversing retirement. The idea is based on the construction of a narrative in the context of a semi-structured interview with elderly men and women, aged between 55 and 75 years, who requested a reversal of retirement between 2014 and 2016 in the Governing Bodies of the Federal Executive Branch, located in the Federal District / DF. It is important to note that there is no interest in reversion data referring to the year 2017 due to the fact that the National Congress is already contemplating a Pension Reform, which in a way, reduces the interest for possible reversals, and may mask the research result. This study will focus on the perspective of approach to subjective points of view, with method of data collection focused on structured interviews and as a method of interpretation, procedures of semantic categorization, contemplating the "theme" as the unit of registration or significance in the analysis of content, as proposed by Bardin (2008). The results, systematized in themes, show that the reversal of retirement was not socially indifferent and that its motivation was not essentially motivated by the financial question. The reversion associated with the world of work as habitus and social identity has positive meanings for people such as having contacts, getting out of inactivity, having social utility, valuing oneself, leaving idleness, being productive, financially improving, living, being happy. The repercussions ratified the need to think about projects or actions in the transition to retirement. The study also revealed that this theme in the social representation of the centrality of work as identity, as habitus, as a link, as a financial condition, as utility and productivity shows its complexity and the relation between the common sense imaginary and the practice of this group. / A figura da aposentadoria conferida em 1821, por Dom Pedro de Alc??ntara, hoje regulamentada pela Constitui????o Federal, passou, ao longo do tempo, por v??rias transforma????es, incorporando, inclusive, o car??ter compuls??rio e de invalidez. Contudo, foi somente em 1990, com a publica????o da Lei n. 8.112, de acordo com a Constitui????o de 1988, que o instituto da revers??o da aposentadoria tornou-se uma possibilidade dentro do ordenamento jur??dico que rege o servi??o p??blico federal. O interesse da sociedade para o tema ???envelhecimento??? ?? justificado pelo aumento do n??mero de anos vividos pelos indiv??duos em geral, sem desconsiderar o fato da figura da ???aposentadoria??? representar uma parte consider??vel do ciclo de vida do idoso. Isso desperta a sociedade para atentar aos fatores que podem contribuir para melhorar a qualidade de vida nesta fase. Muitos modelos te??ricos tem tentado explicar as experi??ncias psicol??gicas, f??sicas e sociais relacionadas ?? aposentadoria. O ???ajuste??? ?? aposentadoria ?? um processo que engloba recursos f??sicos, cognitivos, motivacionais, emocionais, financeiros e sociais. ?? exatamente nesse processo de ???ajuste??? que este estudo busca compreender a significa????o do que socialmente representa o instituto da revers??o da aposentadoria no contexto do servi??o p??blico federal do Poder Executivo. Deste modo, a demanda tamb??m envolve a investiga????o dos aspectos perceptivos do envelhecimento ligados ao ato dessa revers??o. A ideia baseia-se em torno da constru????o de uma narrativa no contexto de entrevista estruturada com idosos dos sexos masculino e feminino, com idade entre 55 a 75 anos, que tenham revertido a aposentadoria entre os anos de 2014 a 2016 nos ??rg??os do Poder Executivo Federal, localizados no Distrito Federal/DF. Importante ressaltar que n??o h?? interesse em dados dessa natureza referente ao ano de 2017 pelo fato de j?? estar cogitando no Congresso Nacional uma Reforma da Previd??ncia, o que de certa forma, recua o interesse por poss??veis revers??es, podendo mascarar o resultado da pesquisa. Esse estudo se concentrar?? na perspectiva da abordagem aos pontos de vista subjetivos, com m??todo de coleta de dados focados nas entrevistas estruturadas e como m??todo de interpreta????o, os procedimentos de categoriza????o sem??ntico, contemplando o ???tema??? como a unidade de registro ou de significa????o na an??lise de conte??do, conforme proposto por Bardin (2008). Os resultados, sistematizados em temas, mostram que o fen??meno da revers??o da aposentadoria n??o ?? socialmente indiferente e que a sua motiva????o n??o foi essencialmente motivada pela quest??o financeira. A revers??o associada ao mundo do trabalho como habitus e identidade social, tem significados positivos para as pessoas como ter contatos, sair da inatividade, ter utilidade social, valoriza????o de si, deixar a ociosidade, ser produtivo, melhorar financeiramente, viver, ser feliz. As repercuss??es ratificaram a necessidade de se pensar em projetos ou a????es na transi????o para a aposentadoria. A ancoragem desse tema na representa????o social da centralidade do trabalho como identidade, como habitus, como v??nculo, como condi????o financeira, como utilidade e produtividade mostra sua complexidade e a rela????o entre o imagin??rio do senso comum e a pr??tica desse grupo.

The aim of this observational study was to see how social interaction works in nursing homesdayroom. The focus was to study the staff and the residents during lunch, afternoon coffee,and during the eventual common activity. The observation persons were passive and they didnot communicate with either staff nor with the residents. The theoretical framework usedwas Georetrendens theory, KASAM and Communication theory. The results showedthat social interaction in the dayroom of the nursing home is rarely spontaneous, but mustinstead be planned by the staff. The results also showed differences in theinteraction regarding the treatment of the residents. The younger and older staff had differentapproaches. Staff who had a different cultural background than the Swedish had anotherway to respond to the residents. The residents were unhappy about the lack of activities. Theyexpressed that they felt lonely when the staff had several tasks outside the nursinghome. Another thing we observed was that the staff often urged the residents to go and rest intheir apartments. There was also a difference in the various nursing homes that wereobserved; the smaller nursing home had one staffgroup that some of the residents had for longknown each other because of the small community they live in.

Drug Interactions and potentially inappropriate medications at an oncology ward Objectives: this study aimed to quantify the prevalence of clinically significant interactions and potentially inappropriate medication (PIM) use through involving a pharmacist among the cancer patients at an oncology ward and an oncology day- unit. Materials and Methods: Prospective study in patients taking more than 5 drugs who had been admitted to Harzklinikum, Wernigerode, Germany between August 2016 and February 2017. The pharmacist conducts a complete comprehensive medication review including over-the-counter drugs and herbal medications. Besides, she took into consideration the intake of grapefruit juice. This information together with the information in the patient's medical history permits identifying critical drug-drug interactions using the mediQ interaction analysis program as well as PIMs using the Beers, Forta, Priscus and STOPP lists. Results: One hundred and eighty-five cancer patients (mean age ± SD = 70 ± 11 years) were included in the study. The interaction analysis program identified 177 potentially interactions. These interactions were evaluated by the pharmacist and 34 interactions for 31 patients (17 %) were considered clinically significant or critical. After the pharmacist interventions, these interactions were resolved in 51 percent. 123 patients aged over 65 years old were enrolled in the study for PIM. By using the four lists (Beers, Forta, Priscus, STOPP) 52 PIMs at 41 elderly persons (33%) were identifies. 11 recommendations in 10 elderly patients (8 %) were made by the pharmacist and result in 55 % of the cases in a prescription change. Conclusion: the use of an interaction analysis program and the lists of inappropriate medications allowed the pharmacist to identify clinically relevant interactions and PIMs and result in prescription change in agreement with the oncologist.

Made available in DSpace on 2014-06-11T19:29:35Z (GMT). No. of bitstreams: 0 Previous issue date: 2009-01-26Bitstream added on 2014-06-13T19:59:20Z : No. of bitstreams: 1 covolan_cr_me_botfm.pdf: 1927780 bytes, checksum: 87b3059413b02cdc8cad4633d0f1fc88 (MD5) / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) / Há algumas décadas, os padrões de crescimento populacional têm se modificado provocando desafios às demandas de atenção à saúde. O aumento da sobrevivência da população idosa tem como conseqüência o aumento da prevalência de doenças crônicas e a perda da capacidade funcional nesta faixa etária sendo que esta está intimamente ligada à qualidade de vida. Sendo assim, esta pesquisa visou descrever uma amostra da população de idosos do município de Botucatu-SP, segundo a capacidade funcional. Tratou-se de um estudo epidemiológico transversal, populacional, com indivíduos de sessenta anos e mais, do município de Botucatu-SP. Foi realizado um inquérito domiciliar com instrumentos validados e foram entrevistados 364 idosos de ambos os sexos, com idade média de 71,0+7,7 anos e baixo nível de escolaridade, onde quarenta e cinco vírgula seis por cento possuíam o “primário”, cinqüenta e dois vírgula dois por cento viviam com companheiro e oitenta vírgula cinco por cento não trabalhavam. Quarenta e nove vírgula dois por cento relataram apresentar boa saúde, dezenove vírgula dois relataram alguma atividade de lazer e sessenta e nove por cento se auto-avaliaram como tendo uma boa qualidade de vida. Noventa e quatro vírgula dois por cento apresentaram independência em suas atividades de vida diária (índice de Katz). Em relação às atividades instrumentais de vida diária (índice de Lawton), observou-se que oitenta e seis por cento apresentaram independência em suas atividades. O presente estudo mostrou que a população estudada é na sua maioria mulheres, de baixa escolaridade, vivendo com companheiro, na maioria aposentada, com pouca atividade de lazer. Os idosos estudados apresentam independência funcional nas atividades de vida diária e nas atividades instrumentais de vida diária. Tendo em vista o envelhecimento saudável, sugere-se que ações... / In a couple of decades, the patterns of population growth have been modified, posing challenges to the demands of public health. The increase in the life expectancy of the elderly has its consequence in the increase of the prevalence of chronic illnesses and the loss of functional capacity in this age group, considering that the latter is intimately related to the quality of life. Thus, this study aimed to drawn a sample of the elderly in the city of Botucatu-SP, according to their functional capacity. The research presented a populational transverse epidemiologic study involving individuals 60 years old and over, in the city of Botucatu-SP. A home questionnaire with validated instruments was applied to 364 male and female elderly, with ages ranging from 71 to 77 and low educational background. The outcome showed that 45.6 % had just attended elementary school, 52.2% lived with spouse, and 80.5% didn’t work. Of all individuals interviewed, 49.2% declared to be in good health, 19.2% declared to stick to some leisure activity, 69% evaluated themselves as having a good quality of life, and 94.2% declared to be independent in their daily living activities (Katz Index). In relation to the instrumental activities of daily living (Lawton Index), it was shown that 86% were independent in their activities. The present study showed that the population studied was, in its majority, composed of women of low educational background, living with spouse, retired, and with low leisure activity time. The elderly studied presented functional independence in their daily living activities and in their instrumental activities of daily living. In order to approach a healthy aging, it is suggested that preventive actions must be taken; once preventing is acting strongly even before any minimum problems may occur. This way, it is suggested that actions must be taken in order to keep, or even improve the health... (Complete abstract click electronic access below)

Orientador: Tania Ruiz / Banca: Alberto de Vitta / Banca: Jorge Antonio de Almeida / Resumo: Há algumas décadas, os padrões de crescimento populacional têm se modificado provocando desafios às demandas de atenção à saúde. O aumento da sobrevivência da população idosa tem como conseqüência o aumento da prevalência de doenças crônicas e a perda da capacidade funcional nesta faixa etária sendo que esta está intimamente ligada à qualidade de vida. Sendo assim, esta pesquisa visou descrever uma amostra da população de idosos do município de Botucatu-SP, segundo a capacidade funcional. Tratou-se de um estudo epidemiológico transversal, populacional, com indivíduos de sessenta anos e mais, do município de Botucatu-SP. Foi realizado um inquérito domiciliar com instrumentos validados e foram entrevistados 364 idosos de ambos os sexos, com idade média de 71,0+7,7 anos e baixo nível de escolaridade, onde quarenta e cinco vírgula seis por cento possuíam o "primário", cinqüenta e dois vírgula dois por cento viviam com companheiro e oitenta vírgula cinco por cento não trabalhavam. Quarenta e nove vírgula dois por cento relataram apresentar boa saúde, dezenove vírgula dois relataram alguma atividade de lazer e sessenta e nove por cento se auto-avaliaram como tendo uma boa qualidade de vida. Noventa e quatro vírgula dois por cento apresentaram independência em suas atividades de vida diária (índice de Katz). Em relação às atividades instrumentais de vida diária (índice de Lawton), observou-se que oitenta e seis por cento apresentaram independência em suas atividades. O presente estudo mostrou que a população estudada é na sua maioria mulheres, de baixa escolaridade, vivendo com companheiro, na maioria aposentada, com pouca atividade de lazer. Os idosos estudados apresentam independência funcional nas atividades de vida diária e nas atividades instrumentais de vida diária. Tendo em vista o envelhecimento saudável, sugere-se que ações... (Resumo completo, clicar acesso eletrônico abaixo) / Abstract: In a couple of decades, the patterns of population growth have been modified, posing challenges to the demands of public health. The increase in the life expectancy of the elderly has its consequence in the increase of the prevalence of chronic illnesses and the loss of functional capacity in this age group, considering that the latter is intimately related to the quality of life. Thus, this study aimed to drawn a sample of the elderly in the city of Botucatu-SP, according to their functional capacity. The research presented a populational transverse epidemiologic study involving individuals 60 years old and over, in the city of Botucatu-SP. A home questionnaire with validated instruments was applied to 364 male and female elderly, with ages ranging from 71 to 77 and low educational background. The outcome showed that 45.6 % had just attended elementary school, 52.2% lived with spouse, and 80.5% didn't work. Of all individuals interviewed, 49.2% declared to be in good health, 19.2% declared to stick to some leisure activity, 69% evaluated themselves as having a good quality of life, and 94.2% declared to be independent in their daily living activities (Katz Index). In relation to the instrumental activities of daily living (Lawton Index), it was shown that 86% were independent in their activities. The present study showed that the population studied was, in its majority, composed of women of low educational background, living with spouse, retired, and with low leisure activity time. The elderly studied presented functional independence in their daily living activities and in their instrumental activities of daily living. In order to approach a healthy aging, it is suggested that preventive actions must be taken; once preventing is acting strongly even before any minimum problems may occur. This way, it is suggested that actions must be taken in order to keep, or even improve the health... (Complete abstract click electronic access below) / Mestre

CoordenaÃÃo de AperfeiÃoamento de Pessoal de NÃvel Superior / O aumento da ocorrÃncia de portadores de doenÃas renais crÃnicas e a conseqÃente demanda para as terapias renais substitutivas, principalmente no grupo populacional de idosos, requer a intervenÃÃo de profissionais de saÃde, quer no campo assistencial ou da investigaÃÃo cientÃfica, como forma de contribuir para a manutenÃÃo da vida. O presente estudo objetivou avaliar os processos adaptativos elaborados pelos idosos em face das repercussÃes do tratamento por hemodiÃlise, bem como, analisar o comportamento de inserÃÃo desses idosos no processo, os eventos significativos para a adaptaÃÃo e compreender os processos adaptativos elaborados pelos idosos. O mÃtodo utilizado foi o clÃnico-qualitativo, que teve como instrumentos para a coleta de dados a entrevista semi-estruturada para histÃria oral temÃtica, a observaÃÃo participante/registros de campo e de prontuÃrios. O cenÃrio do estudo foi composto por duas clÃnicas de hemodiÃlise de Fortaleza. A populaÃÃo foi constituÃda por 80 idosos e a amostra por 40. A organizaÃÃo dos dados quantitativos foi procedida pelo Programa Statiscal Package for Science, versÃo 13.0, e a dos dados qualitativos pelas Linhas Narrativas, de Spink, enquanto a anÃlise dos dados foi realizada à luz do modelo teÃrico, TrajetÃria da DoenÃa CrÃnica, que se fundamenta em trÃs processos: ruptura biogrÃfica, impacto do tratamento, adaptaÃÃo e manejo da doenÃa. Foram observados os procedimentos Ãticos exigidos para a realizaÃÃo da pesquisa. Os resultados mostraram que, entre os idosos hà prevalÃncia do sexo masculino e baixa escolaridade. Mais da metade do grupo possui renda familiar de um salÃrio mÃnimo; a maioria tem sentimento de religiosidade, mantÃm um vÃnculo afetivo matrimonial e reconhece a dependÃncia à mÃquina de hemodiÃlise e aos profissionais de saÃde como fatores preponderantes e essenciais à sua sobrevivÃncia. Foram tambÃm confirmadas as trÃs dimensÃes do modelo teÃrico como caracterizaÃÃo das fases vivenciadas pelos idosos quanto à doenÃa renal crÃnica, no entanto, à possÃvel concluir que hà pouca utilizaÃÃo de estratÃgias de coping porque nÃo denotam recursos internos saudÃveis para encontrar novos objetivos de vida. Sem esses recursos, tentam uma adaptaÃÃo, mas a maioria nÃo consegue, denotando apenas tolerÃncia e resignaÃÃo. / The increase in the occurrence of chronic kidney disease patients and the consequent need of substitutive renal therapies, mainly in the group of elderly, requires the intervention of health professionals, either in the assisting field or in scientific investigation, as a way to contribute for life maintenance. The present study objectified to evaluate the adaptive processes elaborated by the elderly in face of the repercussions of the treatment with hemodyalisis, as well as to analyze the behavior of insertion of these elderly in the process, the meaningful events for adaption and to understand the adaptive processes elaborated by the elderly. The method used was the clinical-qualitative, which had as instruments for data collection the semi-structured interview for oral thematic history, participant observation/ field and handbook registers. The study setting was composed of two clinics of hemodyalisis of Fortaleza. The population comprised 80 elderly and the sample for 40. The organization of the quantitative data was done by the Program Statistical Package for Science, version 13.0, and the qualitative data were organized according to the Narrative Lines, by Spink, while the data analysis was carried out in the light of the theoretical model, Chronic disease trajectory, which is based on three processes: biographical rupture, treatment impact, disease adaption and management. The ethical procedures required for the research execution were observed. The results showed that, among the elderly, the masculine sex and low school level prevail. More than 50% of the group has an income of a minimum wage; most of them have a feeling of religiosity, maintain an affective matrimonial link and recognize the dependence to the hemodyalisis machine and to the health professionals as preponderant factors to their survival. The three dimensions of the theoretical model were confirmed as the characterization of the phases lived by the elderly as regards the chronic kidney disease. However, it is possible to conclude that there is little use of coping strategies, because they do not indicate healthy internal resources to find new objectives of life. Without these resources, they try an adaption, but most of them are not successful, showing only tolerance and resignation.

Introduktion: Sveriges befolkning ökar och beräknas fortsätta att öka. Äldre är den grupp i samhället som kommer att växa mest. Detta ställer högre krav på tillgången till särskilda boenden. Den förändring som en flytt innebär, kan påverka en människa på olika sätt. För en del är omställningen särskilt komplicerad. Syfte: Beskriva äldre personers upplevelser av att flytta till särskilt boende.  Metod: För att besvara syftet genomfördes en allmän litteraturöversikt med en kvalitativ ansats och beskrivande design. Studien baseras på 14 vetenskapliga originalartiklar som kvalitetsgranskades med SBU:s granskningsmall för kvalitativa studier.  Resultat: Resultatet antyder att upplevelsen av den förändringsprocess som det innebär att flytta till särskilt boende skiljer sig åt. För en del innebär det en lättnad över att ha tillgång till mer stöd och service medan andra upplever en saknad till det som varit tidigare. Fyra övergripande teman identifierades: delaktighet kontra maktlöshet, trygghet och hemkänsla, samhörighet kontra ensamhet samt meningsfullhet.  Slutsats: Transitionsprocessen är komplex. De främsta aspekterna som underlättade flytten till särskilt boende hos den äldre visade sig vara graden av delaktighet, samhörighet, trygghet och meningsfullhet. Sammanfattningsvis är det avgörande med en ökad kunskap hos sjuksköterskor för att bättre kunna stödja äldre personer i denna förändringsprocess. För det krävs en ökad förståelse om upplevelser av flytten ur ett patientperspektiv. / Introduction: As Sweden's population gets older, society will have more people moving to special housing in the future. Moving is a change that can affect a person on different levels. The process of feeling at home in the new accommodation is long and complicated for many people.  Objective: Examine older people´s experiences of moving to a retirement home. Method: To answer the purpose, a general literature review was carried out with a qualitative approach and descriptive design. The study is based on 14 original scientific articles that were quality reviewed using SBU's review template for qualitative studies. Results: The results indicate that the experience of the transition process differs. For some, it means a relief to now have access to more support and service, while others experience a lack of what was before. Four overarching themes were identified: participation versus powerlessness, security and a sense of home, togetherness versus loneliness and meaningfulness. Conclusion: The conclusion indicates that the transition process is complex. During the transition, different emotions are experienced at the same time. The main aspects that facilitated the move to special housing turned out to be the degree of participation, belonging, security and meaningfulness. It is crucial to be able to better support the elderly in this process of change, and this requires increased knowledge and understanding.

Antalet äldre blir idag allt fler och behovet av vård flyttas upp i åldrarna. Det kräver att insatser inom äldrevård och omsorg håller hög kvalité och placerar människan i centrum för att skapa förutsättningar för äldre att leva ett värdigt, meningsfullt liv och känna välbefinnande. Frågan om mat, trygghet, identitet, social interaktion, anpassning och KASAM är faktorer som påverkar äldres tillvaro på äldreboende. Syftet med studien var att få djupare kunskap och förståelse i äldres livsvärld på äldreboende, hur man som boende upplever sin vardag och vilken betydelse äldreboendet som institution har för deras hälsa. Två livsberättelseintervjuer genomfördes under en timme var med två äldre, en man och en kvinna boende på ett äldreboende i Mellansverige. Resultatet tolkades och analyserades utifrån tidigare forskning, salutogent och patogent perspektiv på hälsa och teorier som KASAM, Maslows behovstrappa och immanent pedagogik. Resultatet visade att deltagarna är väldigt nöjda med sin vistelse på äldreboendet och hänvisar till aspekter som uppskattning av hjälp med mat, trygghet och tillit. Tidigare livserfarenheter och livsförhållanden lyfts fram i samband med uppskattningens betydelse. Dock framgår det även att tillvaron består av begränsningar som gör att personernas viktiga, betydelsefulla områden i livet inte fullt tillgodoses, vilket påverkar de äldres möjlighet att uppleva meningsfullhet i tillvaron. De äldres hälsotillstånd, tidsaspekt gällande personalens möjlighet att tillgodose behov, en fråga om mindre spontanitet och de äldres uppfattningar att inte kunna fodra hur mycket hjälp som helst är påverkande faktorer.

Syfte. Syftet med studien var att med accelerometri kartlägga det fysiska aktivitetsmönstret hos äldre vid två separata förtest och i slutet av en tvåmånadersperiod med ledarledd träning två gånger per vecka. En vidare målsättning var att studera överensstämmelsen mellan enkätfrågorna om fysisk aktivitet och stillasittande gentemot uppmätt accelerometer­data. Metod. En grupp 65-91 år (medel 71 år, BMI 25 kg/m2) studerades. Två förtest (F1 & F2) samt ett efter­test (E) utfördes under sista träningsveckan. Totalt ingick 97 individer vid F1 & F2 samt 78 vid E som jämfördes mot resultat vid F2. Resultat. Vid F1 sågs vid accelerometri för minst måttlig fysisk ak­tivitet medelvärdet 42,7 min/d (MVPA/d), men endast 22, 2 min/d för tid i perioder à minst 10 min (Freedson bouts/d). Vid analys av separata dagar kom bara 15% av deltagar­na upp till rekommenderade 5 dgr/v à minst 30 min av sammanhängande 10-min-perioder fysisk aktivitet (med lägst måttlig intensitet). Median för högintensiv aktivitet (VPA) var mycket låg för denna grupp (0,9 min/d). Medel för stillasittande var 10,2 timmar (SED/d) samt 4,3 timmar total tid i minst 20-min-perioder (Sedentary bouts/d). Mellan F1 & F2 sågs ingen signifikant förändring för MVPA/d eller Freedson bouts/d. Däremot fram­kom en ytterst liten sänkning som var signifikant för stillasittande tid (20,0  resp. 13,7 min/d i SED/d resp. Sed bouts/d). Förändring av VPA visade en minimal ökning med 0,4 min/d (sign.). Korrelationen mellan F1 & F2 var 0,86 för MVPA/d, 0,81 för Freedson/d, 0,59 för Vig/d, 0,59 för SED/d samt 0,74 för Sed bouts/d, alla signifikanta. Vid E sågs, gentemot F2, en liten men signifikant ökning av medel för MVPA/d (till 50,6 min/d), men inte för Freedson bouts (20,9 min/d) eller för målet minst 5 dgr/v med 30 min i Freedson bouts/d (12%). Stillasittande sjönk signifikant för E till 9,7 tim/d (SED/d) samt 3,6 tim/d (Sed. bouts/d). VPA ökade minimalt med 0,5 min/d (sign.) till medianvärdet 1,7 min/d. De starkaste signifikanta (*) korrelationerna mellan olika frågor och accelerometri noterades för MVPA/d resp. Freedson bouts/d (som mest 0.53- 0,60*), följt av stillasittande 0,40* resp. 0,39* (i SED/d resp. Sed bouts/d). För VPA noterades inga eller ytterst låga samband, som högst r=0,24* mot frågorna. Slutsats. Värdena för högintensiv aktivitet vid accelerometri visade genomgående förvånansvärt låga nivåer. En orsak kan vara att datoranalysprogrammen för aktivitetsmätarna inte är tillräckligt känsliga såsom de idag är inställda för seniorers högsta intensitetsnivåer. Bäst signifikanta samband gentemot accelerometri sågs för frågor om minst måttligt intensiv fysisk aktivitet. Visst signifikant samband sågs även för en fråga om stillasittande, medan aktivitetsmätarens data stämde vanligtvis inte överens med självskattad data för högintensiv fysisk aktivitet för äldre. Så dessa seniordata är inte helt lika jämfört med tidigare studier på yngre vuxna som vanligtvis visat en högre validitet för frågor med högintensiv jämfört med måttligt intensiv fysisk aktivitet. / Aim. The purpose of the study was to identify that with accelerometry the physical activity patterns of elderly, at two separate pre-test and at the end of a two-month period with instructor-led training twice per week. A further aim was to study the correlation between survey questions about physical activity and sedentary against measured accelerometer data. Method. A group of 65-91 years (mean 71 years, BMI 25 kg/m2) were studied. Two pre-test (F1 & F2) and an aftertest (E) was performed during the last training week. A total of 97 individuals at F1 & F2 and 78 at E compared to F2 were investigated. Results. In F1 was seen for accelerometer data (at least moderate physical activity) mean values 42.7 min/d (MVPA/d), but only 22,2 min/d in time periods of at least 10 minutes (Freedson bouts /d). In the analysis of separate days came only 15% of participants came up to the recom­men­ded 5 days/week with at least 30 minutes of continuous 10-min periods of physical activity (with at least moderate intensity). Vigorous intensity activity (VPA) was very low for this group (0.9 min/d). The average for sedentary time was 10.2 hours (SED/d) and 4.3 hours total time in 20-min periods (Sedentary bouts/d). Between F1 and F2 no significant changes were seen for MVPA/d or Freed­son bouts/d. A tiny reduction, which was significant, was seen for sedentary time (20.0 resp. 13.7 min/d SED/d, resp. Sed bouts/d). Change of VPA showed a minimal increase of 0.4 min/d (s.). The correlation between F1 & F2 was 0.86 for MVPA/d, 0.81 for Freedson/d, 0.59 for Vig/d, 0.59 SED/d and 0.74 for Sed bouts/d, all significant. At E emerged, against F2, a small but significant increase for MVPA/d (to 50.6 min/d), but not for Freedson bouts/d (20.9 min/d) or to target at least 5 days/week with 30 min in Freedson bouts/d (12%). Sedentary fell significantly for E to 9.7 h/d (SED/d) and 3.6 h/d (Sed. bouts/d). VPA increased minimally by 0.5 min/d (s.) to median 1.7 min/d. The strongest significant (*) correlations between different questions and the accelerome­ters was noted for MVPA/d, resp. Freedson bouts/d (at most 0.53-0.60 *), followed by sedentary time 0.40 * resp. 0.39 * (in SED/d resp. Sed bouts/d). VPA showed no or very low correlation (highest r = 0.24 *) to the questions. Conclusion. The values ​​of vigorous activities in accelerometer data consistently showed surprisingly low levels. One reason may be that the computer analysis programs for the activity counters are not sufficiently sensitive as they currently are set for senior´s highest intensity levels. Best significant correlation against the accelerometers was seen for questions about at least moderately intense physical activity. Some significant correlation was also seen for sedentary time, while accelerometer data was generally not consistent with self-reported data for high-intensity physical activity for older people. So these senior data show somewhat different results as compared to previous studies in younger adults who usually present a higher validity of the questions with high-intensity compared with moderate-intensity physical activity.