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Previous issue date: 2014-03-26 / The purpose of the health care provided to the elderly should be not only the cure of diseases, but also the improvement and preservation of their quality of life (QOL). For this reason, the interest in the association of diseases and QOL has been growing. Of all diseases, depression, the most prevalent psychiatric disorder among the elderly, has a direct effect on activities of daily living and QOL. Some psychosocial factors often assessed using QOL scales, such as bereavement, disabling physical diseases and loneliness, have been described as risk factors for depression among the elderly. This study identified which QOL dimensions were more severely affected by depression in a group of elderly individuals with major or minor depression, compared with a group without depression. This prospective cross-sectional study enrolled 468 elderly individuals (60 years or older) seen in the Family Health Strategy units of Porto Alegre, Brazil. Participants were randomly selected from the groups of individuals followed up by the 27 teams of the Family Health Strategy using number drafts stratified by Health Management Districts in Porto Alegre. Psychiatrists in the healthcare teams made the diagnoses of depression using the Brazilian version of the Mini International Neuropsychiatric Interview Plus 5.0.0. Quality of life was evaluated using the validated Brazilian version of the Flanagan Quality of Life Scale. Community health agents collected sociodemographic data using a questionnaire in Portuguese about the general health of the elderly. The analysis of results revealed that, of the total sample, 12% had major depression and 4%, minor depression, whereas 84% did not have depression. Women (20.86%) had depression more often than men (7.6%). Among women, all the dimensions of quality of life were affected by depression. In the group of men, the dimensions of social, community and civic activities and of recreation were not significantly different between individuals with and without depression. For both men and women, a positive perception of quality of life was more frequent among those without depression / Um objetivo dos cuidados com a sa?de dos idosos deve ser a melhoria ou manuten??o da sua qualidade de vida e n?o meramente a cura ou prolongamento da vida, por isso vem crescendo o interesse na rela??o das doen?as com a qualidade de vida. Entre as doen?as, aparece a depress?o como o transtorno psiqui?trico mais prevalente na popula??o idosa, com influ?ncia direta nas atividades da vida di?ria e qualidade de vida. Alguns aspectos psicossociais, geralmente avaliados atrav?s de escalas de qualidade de vida s?o apontados como fatores de risco para a depress?o em idosos, entre eles perdas afetivas, as doen?as f?sicas incapacitantes e a solid?o. O objetivo do presente estudo ? identificar qual ou quais as dimens?es da qualidade de vida de idosos com depress?o maior e depress?o menor s?o mais afetadas, comparando-os com idosos sem depress?o. O estudo ? do tipo transversal com coleta prospectiva. A amostra aleat?ria constituiu-se de 468 idosos (60 anos ou mais) atendidos pela Estrat?gia Sa?de da Fam?lia de Porto Alegre. Os participantes foram randomicamente selecionados de 27 Equipes de Sa?de da Fam?lia do Munic?pio de Porto Alegre (ESF/POA) sorteadas de modo estratificado por Ger?ncia Distrital. Para o presente estudo foram utilizados dados do diagn?stico de depress?o coletados por psiquiatras da equipe que utilizaram a vers?o brasileira do Mini International Neuropsychiatric Interview 5.0.0 plus (M.I.N.I. 5.0.0 plus). A avalia??o de qualidade de vida foi realizada atrav?s da Escala de Qualidade de Vida Adaptada de Flanagan, validada para o portugu?s. Foram utilizados tamb?m dados sociodemogr?ficos coletados pelos agentes comunit?rios de sa?de atrav?s do Question?rio Global do Idoso. Em rela??o aos resultados da amostra: foram diagnosticados 12% com depress?o maior, 4% com depress?o menor e 84% sem depress?o. Mulheres (20,86%) s?o mais afetadas pela depress?o do que homens (7,6%). Nas mulheres todas as dimens?es da qualidade de vida s?o impactadas pela depress?o. Nos homens a dimens?o atividades sociais, comunit?rias e c?vicas e a dimens?o lazer n?o apresentam diferen?as significativas entre aqueles com depress?o e sem depress?o. Em homens e mulheres h? o aumento da percep??o positiva de qualidade de vida nos idosos sem depress?o em rela??o aqueles com depress?o
| Identifer | oai:union.ndltd.org:IBICT/oai:tede2.pucrs.br:tede/2725 |
| Date | 26 March 2014 |
| Creators | Burmeister, Simone Bracht |
| Contributors | Cataldo Neto, Alfredo |
| 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/masterThesis |
| 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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