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Previous issue date: 2014-06-27 / Introduction: The increase in life expectancy brings new demands with regard to the creation of strategies to provide a healthy aging with a better quality of life for the population. The dance can be one of these ways due to be a low cost activity and culturally accepted. Purpose: Evaluate the relationship between regular dance practice, quality of life, self-image and self-esteem in postmenopausal women and depressive symptoms in elderly women. Methods: It was conducted a clinical trial of quantitative-qualitative approach, with a sample of postmenopausal women in a social group in the town of Bayeux, PB, Brazil. The study was conducted in three stages, including an initial assessment, three months of intervention with dance lessons and a final assessment. WHOQOL Bref, Self-image and self-esteem Questionnaire of Stob?us, Yesavage Geriatric Depression Scale, data sheet including socioeconomic and health data and a questionnaire with open questions were applied. The paired t-student test was used to compare averages between evaluated moments. The Wilcoxon test was applied in case of asymmetry. The McNemar test was used to evaluate proportions. It was adopted the significance level of 5 % (p0,05) and the analyzes were performed using SPSS version 18.0. Qualitative analysis was performed using the technique of content analysis proposed by Bardin. The study was initiated after approval by the Ethics Research Committee at PUCRS and followed the rules of Resolution No. 466 of December 12, 2012 of the National Board of Health. Results: 38 women with a mean age of 62.7?7,2 years took part in this study. There was a predominance of married women. Most of them do not have a complete primary education and has the income, median, of a minimum wage. 73.7% reported health problems with the majority having cardiovascular diseases. Most subjects believed that the dance means health. There is happiness with the body and it was said that dancing provides wellness. There was significant improvement in the social domain of the WHOQOL - bref (p = 0.033). The self-image and self-esteem, which was already positive at the beginning of this study, did not change significantly. The education level was significantly associated with adherence to dance. The subjects that increased their self-image and self-esteem were those who most reduced depressive symptoms (p=0.050). There was a statistically significant positive association among the changes in overall QV score of the WHOQOL - bref with changes in self-image and self-esteem score (p=0.043). Conclusion: The results indicate that cardiovascular diseases are the ones that reach the subjects of sample; Dancing is seen as an activity that promotes health and provides joy, satisfaction and well being. If regularly practiced, it can improve the quality of life of post-menopausal women, particularly with regard to the social domain. Although the dance is not shown effective in reducing depressive symptoms, it may favor the emergence of positive emotions such as joy, cheer, cheerfulness and freedom. / Introdu??o: O aumento da expectativa de vida traz novas demandas no que diz respeito ? cria??o de estrat?gias para proporcionar um envelhecimento saud?vel e com melhor qualidade de vida ? popula??o. A dan?a pode ser um desses caminhos, por ser uma atividade de baixo custo e culturalmente aceita. Objetivos: Avaliar a rela??o entre a pr?tica regular da dan?a, qualidade de vida, autoimagem e autoestima em mulheres p?s-menop?usicas e sintomas depressivos em idosas. M?todos: Ensaio cl?nico de abordagem quanti-qualitativa, realizado com uma amostra de mulheres p?s-menop?usicas de um grupo de conviv?ncia na cidade de Bayeux, PB, Brasil. O estudo foi realizado em tr?s etapas, sendo uma avalia??o inicial, tr?s meses de interven??o com aulas de dan?a e uma avalia??o final. Foram aplicados os seguintes instrumentos: WHOQOL-bref, Question?rio de Autoimagem e autoestima de Stob?us, Escala de Depress?o Geri?trica Yesavage, ficha informativa incluindo dados socioecon?micos e de sa?de e um question?rio com quest?es abertas. Para comparar m?dias entre os momentos avaliados, foi utilizado o teste t-Student pareado. Em caso de assimetria, foi aplicado o teste de Wilcoxon. Na avalia??o de propor??es foi utilizado o teste de McNemar. Foi adotado o n?vel de signific?ncia de 5% (p0,05) e as an?lises foram realizadas no programa SPSS vers?o 18.0. A an?lise qualitativa foi feita atrav?s da t?cnica de An?lise de Conte?do, proposta por Bardin. O Estudo teve in?cio ap?s a aprova??o pelo Comit? de ?tica em Pesquisa da PUCRS e seguiu as normas da Resolu??o n? 466 de 12 de dezembro de 2012 do Conselho Nacional de Sa?de. Resultados: Participaram 38 mulheres com m?dia de idade de 62,7?7,2 anos, com predom?nio de mulheres casadas, a maioria com ensino fundamental incompleto e renda, em mediana, de um sal?rio m?nimo. Destas, 73,7% relataram problemas de sa?de sendo a maioria com doen?as cardiovasculares. A maioria dos sujeitos acredita que a dan?a significa sa?de, est? satisfeita com o pr?prio corpo, e referiu que a dan?a proporciona bem estar. Houve melhora significativa no dom?nio social do WHOQOL-bref (p=0,033). A autoimagem e autoestima, que j? eram positivas, no in?cio do estudo n?o sofreram altera??o significativa. O n?vel de escolaridade se associou significativamente ? ades?o ? dan?a. Os sujeitos que mais aumentaram sua AIAE foram os que mais reduziram os sintomas depressivos (p=0,050). Houve associa??o positiva estatisticamente significativa entre as varia??es do escore geral de QV do WHOQOL-bref com as varia??es do escore de AIAE (p=0,043). Conclus?o: Os resultados indicaram que as doen?as cardiovasculares s?o as que mais atingem os sujeitos da amostra; a dan?a ? vista como uma atividade que favorece a sa?de e que proporciona alegria, satisfa??o e bem estar. Se praticada regularmente, pode melhorar a qualidade de vida de mulheres p?s menop?usicas, em especial no que diz respeito ao dom?nio social. Embora a dan?a n?o se mostre eficaz na redu??o da sintomatologia depressiva, pode favorecer o surgimento de emo??es positivas, como alegria, ?nimo, jovialidade e liberdade.
Identifer | oai:union.ndltd.org:IBICT/oai:tede2.pucrs.br:tede/2747 |
Date | 27 June 2014 |
Creators | Montenegro, Zilda Maria Coelho |
Contributors | Schneider, Rodolfo Herberto |
Publisher | Pontif?cia Universidade Cat?lica do Rio Grande do Sul, Programa de P?s-Gradua??o em Gerontologia Biom?dica, PUCRS, BR, 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, 500, 600, 2296420844541114010 |
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