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Avalia??o multidimensional da qualidade de vida em idosos: um estudo no Curimata? ocidental paraibano

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Previous issue date: 2016-02-29 / O acelerado crescimento da popula??o idosa ? uma realidade mundial, configurando-se um dos maiores desafios para a sa?de p?blica contempor?nea. Considerando o envelhecimento um fen?meno multidimensional e a amplia??o da expectativa de vida, p?e-se em evid?ncia a necessidade de investigar se o prolongamento da longevidade est? acompanhado de n?veis satisfat?rios de qualidade de vida (QV). Objetivou-se neste estudo avaliar a QV facetada e global de idosos da microrregi?o do Curimata? ocidental paraibano, explicada por suas condi??es de vida e sa?de. Consta de um estudo observacional transversal com desenho quantitativo realizado com 444 idosos de cinco munic?pios: Barra de Santa Rosa, Cuit?, Nova Floresta, Rem?gio e Sossego. Para obten??o das informa??es, foram utilizados os seguintes instrumentos: I) Question?rio para coleta de dados pr?-idoso, para as caracter?sticas sociodemogr?ficas, cl?nicas e comportamentais; e II) Question?rio WHOQOL-Old, para mensura??o e avalia??o da QV. Os dados foram processados no software IBM-SPSS Statistics 20.0 por meio dos testes ANOVA (one-way), t-Student, Mann-Whitney, Kruskal-Wallis e correla??o de Pearson, sendo p-valores<0,05 aceitos como estatisticamente significativos. Os resultados apontam uma boa QV global (ETT=65,69%), com melhor avalia??o por idosos do sexo masculino, com idade entre 60 e 74 anos, casados, morando com c?njuge e filhos, sem cuidador, praticantes de exerc?cios f?sicos, com at? um problema de sa?de diante de um aspecto de multimorbidade e com muito boa e/ou boa avalia??o das necessidades b?sicas. O estresse autorreferido apresentou uma correla??o significativa negativa diante da QV global, onde quanto maior a percep??o do estresse, pior a avalia??o da QV. Na avalia??o facetada da QV, o Funcionamento Sens?rio apresentou o melhor desempenho (ETF=68,86%) e a Participa??o Social (PSO) o pior (ETF=60,37%). No modelo de regress?o linear m?ltipla, a PSO isoladamente ? respons?vel por 51,8% (R2=0,518) de explica??o da QV global. Na intercorrela??o entre as facetas do WHOQOL-Old, apenas Morte e Morrer n?o revelou signific?ncia. A harmonia evidenciada entre as facetas suscita a necessidade de assegurar uma aten??o integral ? sa?de do idoso, em especial na compreens?o da participa??o social como elemento intr?nseco ? QV e que demanda a rediscuss?o e reconstru??o de a??es individuais e coletivas, familiares e comunit?rias, pol?ticas e governamentais. Logo, garantir um envelhecimento ativo, saud?vel, participativo e com QV ? o grande desafio. / The fast growth of the elderly population is a reality throughout the world and has become one of the greatest challenges for contemporary public health. When considering the increased life expectancy and the aging as a multidimensional phenomenon, one should highlight the need to investigate if the increase of longevity is associated with satisfactory levels of Quality of Life (QOL). This study has the objective of assessing the QOL of elderly people from the Para?ba?s Western Curimata? microregion, explained by its health and living conditions. This is a cross-sectional and observational study with quantitative design held with 444 elderly people from five cities: Barra de Santa Rosa, Cuit?, Nova Floresta, Rem?gio e Sossego. In order to obtain information, the following instruments were used: I) Questionnaire for collection data related to the elderly population, for sociodemographic, clinical and behavioral characteristics; and II) WHOQOL-Old questionnaire, with a view to measuring and assessing QOL. Data were processed on the IBM-SPSS Statistics 20.0 software by means of the ANOVA (one-way), Student?s t, Mann-Whitney, Kruskal-Wallis and Pearson?s correlation tests, with p-values<0,05 accepted as being statistically significant. The results indicate a good global QOL (ETT=65,69%), with better assessment by elderly men, aged between 60 and 74 years, married, living with partner and children, without caregiver, physical activity practitioners, with up to one health problem before an aspect of multimorbidity and with very good and/or good assessment of basic needs. The self-reported stress showed a negative significant correlation before the global QOL, where the greater the perception of stress, the worse the assessment of QOL. In the faceted assessment of QOL, the Sensory Operation showed the best performance (ETF= 68,86%) and the Social Participation (SP) the worst (ETF=60,37%). In the multiple linear regression model, SP is singly responsible for 51,8% (R2=0,518) of explanation of the global QOL. In the intercorrelation among the WHOQOL-Old facets, only Death and Dying did not reveal significance. The harmony highlighted among the facets raises the need to ensure a comprehensive health care for the elderly population, especially in understanding the social participation as an intrinsic part of the QOL and that it requires the re-discussion and reconstruction of individual and collective, family and community, political and government actions. Hence, guaranteeing an active, healthy and participatory aging, with QOL, is the major challenge.

Identiferoai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/21160
Date29 February 2016
CreatorsNogueira, Matheus Figueiredo
Contributors15590097487, http://lattes.cnpq.br/4671633293124230, Souza, Dyego Leandro Bezerra de, 00902557475, http://lattes.cnpq.br/9953301230987878, Silva, Edna Maria da, 07564007400, http://lattes.cnpq.br/2833954278540475, Lima, Gigliola Marcos Bernardo de, 00779271416, http://lattes.cnpq.br/8351409833101972, Andrade, Luciana Dantas Farias de, 00895197448, http://lattes.cnpq.br/5078930160348703, Alves, Maria do Socorro Costa Feitosa
PublisherUniversidade Federal do Rio Grande do Norte, PROGRAMA DE P?S-GRADUA??O EM SA?DE COLETIVA, UFRN, Brasil
Source SetsIBICT Brazilian ETDs
LanguagePortuguese
Detected LanguageEnglish
Typeinfo:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/doctoralThesis
Sourcereponame:Repositório Institucional da UFRN, instname:Universidade Federal do Rio Grande do Norte, instacron:UFRN
Rightsinfo:eu-repo/semantics/openAccess

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