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Previous issue date: 2015-11-23 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES / Introduction: The population aging process is growing in Brazil, and one of the important factors in this context is the institutionalization, which can reduce life quality, make it difficult to maintain a healthy weight and affect the decision-making capacity for the elderly. Objective: To evaluate life quality, nutritional status and decision-making capacity in institutionalized and non-institutionalized elderly of the city Santa Cruz do Sul in the Brazilian state of Rio Grande do Sul. Method: Transversal, descriptive and analytical study. The inclusion criteria were to be older than 60 years and live in the city of Santa Cruz do Sul. The exclusion criteria were being hospitalized at the time the survey was being conducted, or not being able to understand or to express their choices to the questions included in the instruments used. The data collection occurred in long-term care institutions for elderly and at the Family Health Strategies of the city of Santa Cruz do Sul in the Brazilian state of Rio Grande do Sul, with pairing criteria by age, gender, education and whether or not bedridden. The instruments used were the Mini Nutrition Examination, the Body Mass Index, the Psychological-Moral Development, the WHOQOL-BREF and WHOQOL-OLD. For the statistical analysis the software Excel and SPSS 18.0 were used. The associations between the variables were performed using the chi-square tests, linear correlation and ANOVA, with statistical significance of 5% (P <0.05). This study was approved by the Ethics Committee of the PUCRS, with CAAE number 11986413.5.0000.5336 and all the participants signed the Free and Informed Consent form. Results: 552 elderly were evaluated, 276 institutionalized and 276 non-institutionalized, with an average age of 76.83 ? 7.36 years old. Most were women (55.4%), with basic education (49.7%) and not bedridden (98.5%). In the life quality assessment, the average of WHOQOL-BREF was 13.59 ? 2.92, the WHOQOL-OLD was 46.09 ? 4.71 and associations with the institutionalization were statistically significant (p <0.05 ). In the nutritional status assessment by the Mini Nutritional Examination the majority (61,6%) was eutrophic, by the Body Mass Index (49,1%) were overweight and associations with the institutionalization were statistically significant (p <0.001). The Psychological-Moral Development evaluation has shown that all participants had the capacity for decision-making and the association with the institutionalization was statistically significant (p = 0.0001). Conclusions: The study of the results of this research shows relevant data and can guide for performing early intervention and contribute to the training of professionals for the real needs of this population. / Introdu??o: O processo de envelhecimento populacional est? crescendo no Brasil e um dos fatores importantes neste contexto ? a institucionaliza??o, que pode reduzir a qualidade de vida, dificultar a manuten??o do peso saud?vel e afetar a capacidade para a tomada de decis?o dos idosos. Objetivo: Avaliar a qualidade de vida, o estado nutricional e a capacidade para a tomada de decis?o em idosos institucionalizados e n?o institucionalizados de Santa Cruz do Sul/RS. M?todo: Estudo transversal, descritivo e anal?tico. Os crit?rios de inclus?o foram ter mais de 60 anos e residir em Santa Cruz do Sul/RS. Os crit?rios de exclus?o foram estar hospitalizado no momento da realiza??o da pesquisa ou n?o ter condi??es de compreender ou de expressar suas op??es ?s quest?es inclu?das nos instrumentos utilizados. A coleta de dados ocorreu nas Institui??es de Longa Perman?ncia para Idosos e nas Estrat?gias de Sa?de da Fam?lia, com crit?rios de pareamento por idade, sexo, escolaridade e por estar ou n?o acamado. Os instrumentos utilizados foram a Mini Avalia??o Nutricional, o ?ndice de Massa Corporal, o Desenvolvimento Psicol?gico-Moral, o WHOQOL-BREF e o WHOQOL-OLD. Para an?lise estat?stica foram utilizados os programas Excel e SPSS 18.0. As associa??es entre as vari?veis foram realizadas pelos testes qui-quadrado, correla??o linear e ANOVA, com signific?ncia estat?stica de 5% (p < 0,05). Este estudo foi aprovado pelo Comit? de ?tica em Pesquisa da PUCRS, com CAAE n?mero 11986413.5.0000.5336 e todos os participantes assinaram o Termo de Consentimento Livre e Esclarecido. Resultados: Foram avaliados 552 idosos, sendo 276 institucionalizados e 276 n?o institucionalizados, com m?dia de idade de 76,83?7,36 anos. A maioria eram mulheres (55,4%), com ensino fundamental (49,7%) e n?o acamados (98,5%). Na avalia??o da qualidade de vida, a m?dia do WHOQOL-BREF foi 13,59?2,92, a do WHOQOL-OLD foi 46,09?4,71 e as associa??es com a institucionaliza??o foram estatisticamente significativas (p < 0,05). Na avalia??o do estado nutricional pela Mini Avalia??o Nutricional a maioria (61,6%) eram eutr?ficos, pelo ?ndice de Massa Corporal (49,1%) tinham excesso de peso e as associa??es com a institucionaliza??o foram estatisticamente significativas (p < 0,001). O Desenvolvimento Psicol?gico-Moral mostrou que todos os participantes tinham a capacidade para a tomada de decis?o e a associa??o com a institucionaliza??o foi estatisticamente significativa (p = 0,0001). Conclus?es: O levantamento dos resultados desta pesquisa mostram dados relevantes e podem direcionar para a realiza??o de interven??es precoces e contribuir na capacita??o de profissionais para as reais necessidades desta popula??o.
| Identifer | oai:union.ndltd.org:IBICT/oai:tede2.pucrs.br:tede/6528 |
| Date | 23 November 2015 |
| Creators | Deon, R?bia Garcia |
| Contributors | Goldim, Jos? Roberto |
| Publisher | Pontif?cia Universidade Cat?lica do Rio Grande do Sul, Programa de P?s-Gradua??o em Gerontologia Biom?dica, PUCRS, Brasil, Instituto de Geriatria e Gerontologia |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/doctoralThesis |
| Format | application/pdf |
| Source | reponame:Biblioteca Digital de Teses e Dissertações da PUC_RS, instname:Pontifícia Universidade Católica do Rio Grande do Sul, instacron:PUC_RS |
| Rights | info:eu-repo/semantics/openAccess |
| Relation | 4438661476953179033, 600, 600, 600, 600, 2296420844541114010, -969369452308786627, 2075167498588264571 |
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