nÃo hà / O envelhecimento populacional à um fenÃmeno de grande impacto nas polÃticas econÃmica e sanitÃria mundiais, desafiando a manutenÃÃo da funcionalidade, autonomia, independÃncia e participaÃÃo social do idoso. Assim, doenÃas com desfecho incapacitante e crÃnico, como a hansenÃase, merecem destaque. Objetivou-se analisar a capacidade funcional de idosos com hansenÃase. Estudo descritivo, transversal, desenvolvido com 77 idosos com hansenÃase acompanhados em centro de Dermatologia de Fortaleza, CearÃ. Foi realizada entrevista, consulta ao prontuÃrio e aferiÃÃo de peso, altura e pressÃo arterial sistÃmica. Os documentos utilizados na coleta de dados, foram o FormulÃrio de entrevista; a Escala de Lawton e Brody, o Ãndice de Katz e a Escala SALSA. Realizou-se anÃlise estatÃstica descritiva e inferencial. Os aspectos Ãticos da resoluÃÃo nÂ466/12 foram respeitados em todas as fases do estudo. Os resultados revelaram uma mÃdia de idade de 68,23 Â6,11 anos, com maioria do sexo masculino (63,6%), em uniÃo estÃvel/casado (66,2%), procedente de Fortaleza (59,7%), coabitante com cÃnjuge e filho(s) (53,2%), com escolaridade mÃdia de 4,14 Â4,01 anos de estudo e renda familiar mensal mÃdia de 2,04  1,71 salÃrios mÃnimos. O valor glicÃmico mÃdio foi de 108,14 mg/dL Â49,39, com 64,9% idosos com glicemia normal, 28,6% com pressÃo arterial limÃtrofe e 48,1% com Ãndice de massa corporal normal. As caracterÃsticas clÃnicas predominantes relacionadas a hansenÃase foram: positividade no Ãndice baciloscÃpico (51,9%), forma clÃnica dimorfa (51,9%), esquema de tratamento multibacilar (68,8%) e Grau de Incapacidade FÃsica (GIF) zero (59,7%). Os participantes obtiveram uma mÃdia de 22,34 Â4,77 pontos na escala de Lawton e Brody, prevalecendo a classificaÃÃo independente (58,5%). As variÃveis associadas a escala de Lawton e Brody foram idade (p=0,012), com quem reside (p=0,031) e escolaridade (p=0,041). A pontuaÃÃo mÃdia para o Ãndice de Katz foi de 5,75 (Â0,74) pontos pontos, destacando-se a classificaÃÃo indenpendÃncia total (87,0%). A variÃvel renda familiar mensal foi a Ãnica a associar-se com o Ãndice de Katz (p=0,011). A escala SALSA obteve uma mÃdia de 31,56 Â11,67 pontos, com concentraÃÃo da categoria leve limitaÃÃo (49,4%). As variÃveis associadas a escala SALSA foram condiÃÃo de uniÃo (p=0,044) e tipo de reaÃÃo hansÃnica (p=0,041). A escala SALSA mostrou-se associada tanto com a escala de Lawton e Brody (p= 0,000), quanto com o Ãndice de Katz (p=0,000). As variÃveis que mais estiveram associadas as atividades da escala de Lawton e Brody foram idade e com quem reside. No Ãndice de Katz, apenas a atividade continÃncia apresentou associaÃÃo com o GIF (p=0,003). Na escala SALSA, idade e sexo apresentaram maior nÃmero de associaÃÃes com as atividades avaliadas, sendo sete e cinco, respectivamente, enquanto nas variÃveis clÃnicas relacionadas a hansenÃase, apenas o GIF apresentou relaÃÃo com mais de duas atividades. A maioria dos idosos com hansenÃase se mostrou independente na escala de Lawton e Brody (58,5%), totalmente independente no Ãndice de Katz (87,0%), e com leve limitaÃÃo na escala SALSA (49,4%), porÃm ressalta-se que a escala SALSA se mostrou associada à idade em muitos itens, o que sugere que esta pode ser aplicada na populaÃÃo idosa sem hansenÃase. / Population aging is a phenomenon of great impact on economic policies and global health, challenging the maintenance of functionality, autonomy, independence and social participation of the elderly. Thus, diseases with disabling and chronic outcomes should be highlighted, such as leprosy. Aimed to analyze the functional capacity in elderly patients with leprosy according to the SALSA scale, Katz index and Lawton and Brody scale. Descriptive, cross-sectional study, developed with 77 elderly leprosy followed in Dermatology Center of Fortaleza, CearÃ. Interview, consultation of medical records and measurement of weight, height and blood pressure was performed. The documents used in data collection were the interview form, Lawton and Brody Scale, the Katz Index and the SALSA Scale. Descriptive and inferential statistical analysis was performed. The ethical aspects of Resolution 466/12 were respected at all stages of the study. The results revealed an average age of 68.23 ( 6.11) years, with most males (63.6%) in stable union/ married (66.2%), coming from Fortaleza (59.7 %), cohabiting with a spouse and son (53.2%), with average schooling of 4.14 ( 4.01) years and average monthly family income of 2.04 ( 1.71) minimum wages. The average blood glucose value was 108.14 mg / dL ( 49.39), with 64.9% older people with normal blood glucose, 28.6% with borderline blood pressure, and 48.1% with normal body mass index. The predominant clinical features related to leprosy were bacterial index positive (51.9%), borderline clinical form (51.9%), multibacillary treatment (68.8%), and no disability (59.7%). Participants had an average of 22.34 ( 4.77) points in the scale Lawton and Brody, prevailed independent classification (58.5%). The variables associated with the Lawton and Brody scale were, age (p = 0.012), with whom resides (p = 0.031), and education (p = 0.041). The average score for the Katz index was 1.03 ( 0.16) points, highlighting the full independence rating (87.0%). The variable monthly family income was the only one to be associated with the Katz index (p = 0.011). SALSA scale showed an average of 31.56 ( 11.67) points, with concentration of light limitation category (49.4%). Variables statistically associated with SALSA scale were condition of union (p = 0.044) and type of leprosy reaction (p = 0.041). SALSA scale was associated with both Lawton and Brody scale (p = 0.000), and with the Katz Index (p = 0.000). The variables that were more associated with the activities of the Lawton and Brody scale were age and who reside. Already in the Katz Index, only continence activity was associated with the disability (p = 0.003). The SALSA scale, the socio-demographic variables as age and sex showed a higher number of associations with the activities evaluated, seven and five respectively, while the clinical variables related to leprosy, only the disabilities were related to more than two activities. The functional capacity of the elderly with leprosy was preserved, however it should be noted that the SALSA scale was associated with age in many items, suggesting that this may be applied in the elderly population without leprosy.
| Identifer | oai:union.ndltd.org:IBICT/oai:www.teses.ufc.br:10989 |
| Date | 17 December 2015 |
| Creators | Paula Sacha Frota Nogueira |
| Contributors | Maria Josefina da Silva, Heitor de SÃ GonÃalves, EscolÃstica Rejane Ferreira Moura, Charlys Barbosa Nogueira, Paulo CÃsar de Almeida |
| Publisher | Universidade Federal do CearÃ, Programa de PÃs-GraduaÃÃo em Enfermagem, UFC, BR |
| 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 UFC, instname:Universidade Federal do Ceará, instacron:UFC |
| Rights | info:eu-repo/semantics/openAccess |
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