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Previous issue date: 2016-06-10 / O envelhecimento populacional implica na necessidade de um novo olhar para preven??o de quedas e seguran?a domiciliar do idoso, principalmente diante da evid?ncia de que os idosos ficam a maior parte de seu tempo em casa. O objetivo principal deste estudo ? implantar uma estrat?gia de a??o para preven??o de quedas em pessoas idosas, a partir da elabora??o de um guia de seguran?a ambiental e utiliza??o da caderneta de sa?de da pessoa idosa. Para tanto, foi realizado uma pesquisa a??o com uma das etapas de diagn?stico feita a partir de um estudo anal?tico e observacional com abordagem quantitativa em 288 idosos, com idade acima de 60 anos, de ambos os sexos, na zona rural de S?o Jos? de Mipibu-RN, em 2016, atrav?s do m?todo de amostra probabil?stica aleat?ria simples (p=0,30 e e=0,05). Utilizou-se o question?rio de avalia??o ambiental e quedas pertencente ? caderneta de sa?de da pessoa idosa. Capacitaram-se os Agentes Comunit?rios de Sa?de (ACS) no reconhecimento e identifica??o dos riscos ambientais de quedas do domicilio da pessoa idosa atrav?s de um Guia produzido pelas autoras, fruto da interven??o da pesquisa, intitulado: Lar seguro, idoso ativo. Verificou-se que o ambiente domiciliar do idoso ? inseguro, grande parte das habita??es s?o oriundas de projeto de habita??o do governo federal e s?o entregues sem qualquer item de seguran?a ambiental. A avalia??o ambiental quanto ? ilumina??o mostrou-se segura, apontando para interruptores de f?cil acesso na entrada dos c?modos. O banheiro ? o c?modo mais inseguro e a cozinha e o quarto c?modos menos inseguros. Observou-se que os idosos apresentavam algum tipo de redu??o da sua capacidade de deambula??o, auditiva ou visual, por?m apenas 10,42% deles relataram essa dificuldade, fator que pode predispor a quedas. Foi observada queda em 24,65% dos entrevistados tendo a maioria ocorrido dentro de casa (63,38%). Verificou-se ainda que 23,94% das quedas resultaram em algum tipo de fratura e 21,13% dos idosos afirmaram ter paralisado suas atividades por medo de cair novamente, al?m de 15,49% terem ca?do mais de uma vez no ano. Os itens de seguran?a s? foram encontrados em domic?lios em que o idoso sofreu alguma queda, indicando que ? poss?vel a aquisi??o de itens de seguran?a. Entretanto, os idosos s? os obt?m ap?s a ocorr?ncia de quedas, evidenciando a falta de preven??o, que pode ser feita, n?o s? com a aquisi??o de itens de seguran?a, mas com algumas orienta??es encontradas no guia citado acima. O mesmo mostrou-se uma ferramenta coletiva eficiente, capaz de proporcionar o reconhecimento de um ambiente propenso a quedas, e poss?vel interven??o junto ao idoso e seus familiares para preven??o de quedas. / The population aging implies the need for a new look for fall prevention and home security of the elderly, especially in the face of evidence that elderly are most of their time at home. The aim of this study is to implement an action plan for preventing falls in older people, starting from the preparation of an environmental safety guide and elderly health booklet. Therefore, we performed an analytical, observational cross-sectional study with a quantitative approach, in 288 elderly people aged over 60 years old, of both male and female sexes, in the countryside of S?o Jos? de Mipibu City in the State of Rio Grande do Norte, in 2016, by the simple random probability sampling method (p = 0.30 and e = 0.05). We used the questionnaire environmental assessment and falls belonging to elderly health booklet. We enabled the ACS American College of Surgeons (ACS) criteria for recognition and identification of risks of elderly falls at home, method of recognition and identification of the risks of falls of domicile of the elderly producing a guide by the authors, result of the research intervention, titled Home security insurance, active seniors elderly. It was showed that the most homes of the elderly people are unsafe, and most of the houses are built from the Federal Brazilian housing project of the federal government and delivered without any environmental safety item. The environmental assessment regarding the lighting proved to be safe, pointing to switches for easy access at the room entrance. The bathroom is the most insecure room, and even though the kitchen and the bedrooms are the less unsafe rooms. It was observed that most of elderly people usually had present some type of reduced mobility, as well as walking, auditory or visual ability, but only 10.42% of them reported such deficiency, as factors that may predispose them to the risk of falls. Falls were observed in 24.65% of the seniors respondents and the majority of these falls occurred indoors (63.38%). It was also found that 23.94% of falls resulted in some kind of bone fracture and 21.13% of seniors said they had paralyzed their activities, for fearing of falling again, and 15.49% have fallen more than once a year. Security items were only found in households where the elderly had been dropped, indicating that the purchase of security items is always possible, however the elderly only get them after the occurrence of falls, indicating the lack of prevention that can be done not only with the purchase of safety items, but with some guidelines found in the Guide above mentioned. The same proved to be an effective collective tool, capable of recognizing a prone to falls environment and possible intervention with the elderly and their families to prevent falls.
| Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/22168 |
| Date | 10 June 2016 |
| Creators | Tavares, Zuleika Dantas do Vale |
| Contributors | 44400853420, http://lattes.cnpq.br/8169308778262070, Medeiros J?nior, Antonio, 15495728491, http://lattes.cnpq.br/8911091115987549, Alchieri, Jo?o Carlos, 34616055068, http://lattes.cnpq.br/1325459110950508, Lisboa, Maria Goretti da Cunha, 67171753468, http://lattes.cnpq.br/5735562172883538, Nunes, Vilani Medeiros de Ara?jo |
| Publisher | PROGRAMA DE P?S-GRADUA??O EM SA?DE DA FAM?LIA NO NORDESTE, UFRN, Brasil |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis |
| Source | reponame:Repositório Institucional da UFRN, instname:Universidade Federal do Rio Grande do Norte, instacron:UFRN |
| Rights | info:eu-repo/semantics/openAccess |
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