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Previous issue date: 2016-07-28 / A depress?o ? um transtorno mental que afeta todas as faixas de idade, no entanto
com o envelhecimento demogr?fico da popula??o mundial, se configura como um
problema de sa?de p?blica para os idosos, uma vez que pode afetar a qualidade de
vida e aumentar o risco de morte nesta fase da vida. Um dos principais desafios
para a pol?tica de aten??o ? sa?de do idoso, diz respeito ao rastreamento da
depress?o. Al?m disso, t?o importante quanto rastear os indiv?duos com sintomas de
depress?o, faz-se necess?rio identificar fatores que podem contribuir ou agravar
esses sintomas. Algumas vari?veis podem afetar e agravar a depress?o, entre eles,
os fatores socioecon?micos, a satisfa??o dos pacientes com os servi?os de sa?de e
a rela??o familiar que podem comprometer a qualidade de vida dos idosos. Sendo
assim, o presente trabalho tem o objetivo de comparar entre idosos n?o
institucionalizados que apresentam ou n?o sintomas de depress?o, a qualidade de
vida, aspectos sociais, econ?micos e cl?nicos, uso de antidepressivo e/ou
ansiol?ticos, terapia comunit?ria integrativa, apoio familiar e a satisfa??o com os
servi?os de sa?de. Trata-se de um estudo transversal do tipo caso-controle, sendo
os casos formados por indiv?duos com score maior que 5 na Escala de Depress?o
Geri?trica (EDG) e os controles, idosos com score na EDG menor ou igual a 5,
realizado no Centro de Apoio Psicossocial das zonas Oeste e Leste e Centro
Especializado na Aten??o ? Sa?de do Idoso, respectivamente na cidade de Natal,
Rio Grande do Norte, Brasil. Foram utilizados os seguintes instrumentos de coleta
de dados: Question?rio Socioecon?mico Demogr?fico e Cl?nico, Family
Assessmente Device (FAD), World Health Organization Quality of Life-BREF
(WHOQOL-BREF) e de Escala de Avalia??o da Satisfa??o dos Usu?rios com os
Servi?os de Sa?de (SATIS-BR). Vari?veis s?cio-demogr?ficas e cl?nicas entre os
grupos caso e controle foram comparados usando o teste qui-quadrado e an?lise de
vari?ncia (ANOVA). Os escores do WHOQOL-BREF, FAD, e SATIS-BR escores
foram comparados usando ANOVA. Foram considerados significantes os valores de
p <0,05. O grupo de casos foi formado por 54 idosos e o controle foi formado por 61
idosos. No grupo de casos 51,85% da possui diagn?stico de depress?o e no grupo
controle 27,87%, apresentando um p = 0,007. Quanto ? qualidade de vida, o grupo
de casos apresenta??o um comprometimento no dom?nio das rela??es sociais (p =
0,003). O FAD identificou a solu??o de problemas como principal comprometimento
familiar sendo para os casos, valores 2,09?0,70, enquanto controles 2,04?0,54 (p=
0,040). . Quanto ? satisfa??o com os servi?os de sa?de na faceta satisfa??o com o
local onde ? oferecido o servi?o, o grupo de casos apresentou maior satisfa??o,
(3,03?1,04), enquanto os controles (2,92?0,80) estavam menos satisfeitos (p =
0,007). A baixa renda e escolaridade da popula??o idosa contribuem para o
aparecimento dos sintomas depressivos. Por?m, a terapia farmacol?gica com
antidepressivos/ansiol?ticos n?o se mostra totalmente eficaz na remiss?o dos
sintomas depressivos e a terapia comunit?ria integrativa se mostra como uma
estrat?gia associada a terapia farmacol?gica para tratamento dos sintomas
depressivos. / Depression is a mental disorder that affects people of all age groups. However with
the aging of the world population, it became a public health problem for the eldest
population, since it affects the quality of life and increases the risk of death at this
stage of life. One of the main challenges that needs specific attention is the health of
the ancient. In addition to this, the act of screening depression is equally important.
Moreover, it?s necessary to trace individuals with symptoms and identify factors that
can possibly contribute or even worsen these symptoms. Some aspects can affect
and worsen depression including socio-economic factors and patient satisfaction with
health services and family relationship. All of these can compromise the quality of life
of the elderly. Therefore, the present study aims to make a contrast between noninstitutionalized
elderly people who have or not depression symptoms and also
considering the quality of life, social aspects, economic and clinical use of
antidepressants and / or other drugs against depression, integrative community
therapy, family support and satisfaction with health services. This is a cross-sectional
study of cases formed by patients with scores greater than 5 in Geriatric Depression
Scale (GDS) and the controls of the elderly with lower or equal score of 5 in GDS. It
was conducted in a psychosocial support center of the west and east zones and in
the specialized elderly health center, respectively in the city of Natal, Rio Grande do
Norte Brazil. The following instruments have been used to collect data: a
demographic and socioeconomic clinical quiz, family assessment device (FAD),
world health organization quality of Life-BREF (WHOQOL-BREF) and the User
Satisfaction Rating Scale with Health Services (SATIS -BR). Socio- demographic and
clinical concerns between the case and control groups were compared using the chisquared
test and analysis of variance (ANOVA). The scores of the WHOQOL-BREF,
FAD, and SATIS-BR scores were also compared using ANOVA. p values lt; 0.05
were taken into account. The Group was composed of 54 cases of old people and
the control was made up of 61. At 51.85% of cases group have had a diagnosis of
depression and 27.87% in the control group, showing a p = 0.007. As to the quality of
life, the Group of cases presenting a commitment in the field of social relations (p =
0.003).The FAD has identified a solution for main family commitment cases of, 2.09 ?
0.70 values, while 2.04 ? 0.54 controls (p = 0.040). Regarding satisfaction with health
services in facet satisfaction with the place where the services are offered, the
Group of cases showed the highest satisfaction (3.03 ? 1.04), meanwhile the controls
(2.92 ? 0.80) were less satisfied (p = 0.007). Low income and education of the elderly
population contributes to the onset of depressive symptoms. Although,
pharmacological therapy with antidepressants and drugs against antianxiety don?t
totally effective reverse the depressive symptoms. On the other hand, the integrative
community therapy shows itself a great strategy when associated with the
pharmacological therapy for the treatment of depressive symptoms.
| Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/22100 |
| Date | 28 July 2016 |
| Creators | Silva, Vanessa de Lima |
| Contributors | 83806059420, http://lattes.cnpq.br/3531154240424211, Rodrigues, Francisco das Chagas, 07721501415, http://lattes.cnpq.br/0263106589335216, Almeida, Gilmara Celli Maia de, 01172416443, http://lattes.cnpq.br/5694096571543495, Ara?jo, Aurigena Antunes de |
| Publisher | PROGRAMA DE P?S-GRADUA??O EM CI?NCIAS FARMAC?UTICAS, UFRN, Brasil |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis |
| Source | reponame:Repositório Institucional da UFRN, instname:Universidade Federal do Rio Grande do Norte, instacron:UFRN |
| Rights | info:eu-repo/semantics/openAccess |
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