Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-01-27T14:20:58Z
No. of bitstreams: 1
FabienneLouiseJuvencioPaesDeAndrade_TESE.pdf: 1561318 bytes, checksum: 80c7dc22ce094332bc25950a71f37f1f (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-01-31T15:53:29Z (GMT) No. of bitstreams: 1
FabienneLouiseJuvencioPaesDeAndrade_TESE.pdf: 1561318 bytes, checksum: 80c7dc22ce094332bc25950a71f37f1f (MD5) / Made available in DSpace on 2017-01-31T15:53:29Z (GMT). No. of bitstreams: 1
FabienneLouiseJuvencioPaesDeAndrade_TESE.pdf: 1561318 bytes, checksum: 80c7dc22ce094332bc25950a71f37f1f (MD5)
Previous issue date: 2016-07-01 / O acelerado processo de envelhecimento da popula??o brasileira est? associado ao incremento das doen?as cr?nicas n?o transmiss?veis, tornando cada vez maior a demanda por servi?os de sa?de. As taxas de interna??o hospitalar de idosos s?o mais elevadas do que as observadas em outros grupos et?rios, principalmente entre aqueles que residem em Institui??es de Longa Perman?ncia para Idosos (ILPI), devido ? maior vulnerabilidade e fragilidade destes. Nesse sentido, o objetivo do presente estudo foi verificar a incid?ncia e fatores de risco para hospitaliza??o em idosos institucionalizados da cidade do Natal/RN. Trata-se de estudo de coorte prospectivo, realizado entre outubro de 2013 a janeiro de 2015, com dura??o de 12 meses de acompanhamento, composto por idosos com 60 anos e que residiam nas 10 ILPI participantes do estudo. Na coleta dos dados inicial, foram obtidas informa??es sociodemogr?ficas, relacionadas ? institui??o e condi??es de sa?de. No per?odo do seguimento, foi observada a ocorr?ncia de hospitaliza??o, bem como a incid?ncia de quedas e fraturas, decl?nio da capacidade cognitiva, mobilidade, contin?ncia (urin?ria e/ou fecal) e informa??es referentes ? medica??o. Os dados foram coletados dos prontu?rios e diretamente com o idoso ou profissionais da sa?de. Foi realizada an?lise m?ltipla de regress?o log?stica, utilizando-se o m?todo Stepwise Forward, considerando o n?vel de signific?ncia de 5% e intervalo de confian?a (IC) de 95%. Dos 320 idosos participantes, houve predom?nio de idosos do sexo feminino (75,3%), com idade m?dia de 81,4 anos (DP: 9,0). Destes, 20,6% (IC 95%: 16,5-25,4) foram hospitalizados, com a perman?ncia m?dia de 16,1 dias (DP: 17,1). A principal causa da hospitaliza??o foram as doen?as pulmonares (30,3%). O modelo final mostrou que a presen?a de desnutri??o ou risco de desnutri??o (p=0,016) e fazer uso de medicamentos para o sistema cardiovascular (p=0,003) foram fatores de risco para a hospitaliza??o, ajustados pela idade, sexo e tipo de institui??o. Estes achados apontam uma alta incid?ncia de hospitaliza??o entre os idosos institucionalizados. Al?m disto, a desnutri??o ou risco de desnutri??o e o uso de medicamentos cardiovasculares foram considerados fatores de risco para a hospitaliza??o. Assim, h? a necessidade de maior aten??o na avalia??o multiprofissional, bem como nas interven??es e servi?os prestados aos idosos institucionalizados. / The accelerated aging process of the Brazilian population is associated with an increase in non-transmissible chronic diseases, which in turn increases the demands for health services. The hospitalization rates of older adults are higher than what is observed in other age groups, especially in those that reside in Long Term Institutions for the Elderly (LTIE), due to inherent vulnerability and frailty of these individuals. The objective of the work presented herein was to verify the incidence and risk factors associated with the hospitalization of institutionalized older adults in the city of Natal/RN, Brazil. A prospective cohort study, conducted from october 2013 to january 2015, was carried out throughout a monitoring period of 12 months, with older adults over the age of 60, who resided in the 10 LTIE that accepted to participate in the study. Initial data collection included sociodemographic information related to the institution and health conditions. In the period of follow-up, was observed the incidence of hospitalization, and the incidence of falls and fractures, decline in cognitive ability, mobility, continence (urinary and / or fecal) and information relating to the medication. Data were collected from medical records and directly with the elderly or health professionals. The Stepwise Forward method was utilized for Multiple Logistic Regression Analysis, with a 5% significance level and confidence interval (CI) 95%. Of the participating 320 elderly, there was a predominance of females (75.3%), average age 81.4 years (Standard Deviation, SD: 9.0). Of these, 20.6% (CI 95%: 16,5-25,4) were hospitalized, with an average permanence time of 16,1 days (SD: 17.1). The main hospitalization cause was pulmonary disease (30.3%). The final model showed that malnutrition or risk of malnutrition (p=0.016) and the use of medication for the cardiovascular system (p=0.003) were risk factors for hospitalization, adjusted by age, sex and type of institution. These findings indicate a high incidence of hospitalization in institutionalized elderly. Malnutrition or risk of malnutrition and the use of cardiovascular medication were considered to be risk factors for hospitalization. There is a clear need for increased attention in multiprofessional evaluation, as well in interventions and services rendered to institutionalized elderly.
| Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/21839 |
| Date | 01 July 2016 |
| Creators | Andrade, Fabienne Louise Juv?ncio Paes de |
| Contributors | 50337157472, Oliveira, Angelo Giuseppe Roncalli da Costa, 42313384420, Brito, Geraldo Eduardo Guedes de, 03408052697, Gomes, Igor Conterato, 33970223806, Medeiros, Wilton Rodrigues, 91102880400, Lima, Kenio Costa de |
| Publisher | PROGRAMA DE P?S-GRADUA??O EM SA?DE COLETIVA, UFRN, Brasil |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/doctoralThesis |
| Source | reponame:Repositório Institucional da UFRN, instname:Universidade Federal do Rio Grande do Norte, instacron:UFRN |
| Rights | info:eu-repo/semantics/openAccess |
Page generated in 0.0028 seconds