Este trabalho objetivou determinar a autopercepção da saúde em idosos institucionalizados, assim como verificar a prevalência de percepção negativa da saúde e seus fatores associados. Trata-se de estudo transversal realizado em 10 instituições de longa permanência para idosos (ILPI) da cidade do Natal, entre outubro e dezembro de 2013. Foram analisadas variáveis sociodemográficas, relacionadas à ILPI e às condições de saúde. Realizou-se a análise descritiva, bivariada mediante os testes qui-quadrado, exato de Fisher ou qui-quadrado de tendência linear, assim como multivariado mediante regressão logística. A amostra foi de 127 idosos. A prevalência de autopercepção negativa da saúde foi de 63,19% (IC 95%: 55,07-70,63), e esteve associada à perda de peso (RP: 1,54; IC 95%: 1,19-1,99), doença reumática (RP: 1,46; IC 95%: 1,05-2,01) e ILPI sem fins lucrativos (RP: 1,37; IC 95%: 1,03-1,83), ajustado por sexo. É fundamental desenvolver ações de promoção da saúde nas ILPI, como aquelas baseadas na nutrição e fisioterapia que atuem sobre esses agravos à saúde, com vistas a melhorar a qualidade de vida dos idosos institucionalizados.
Palavras-chave:
Avaliação geriátrica
Estudos Transversais
Idoso
Institucionalização
Instituição de Longa Permanência para Idosos
Abstract:
This study aimed to determine self-perceived health in institutionalized elderly, as well as determine the prevalence of negative self-perceived health and associated factors. A cross-sectional study is presented herein, conducted in 10 nursing homes (NH) in the city of Natal, between October and December 2013. Sociodemographic variables, related to the NH and to health conditions were analyzed. A descriptive analysis and bivariate analysis (by the Chi-square test, the Fisher‘s exact test or the linear Chi-square test) were performed, as well as multivariate analysis (logistic regression). The sample consisted of 127 elderly. The prevalence of negative self-perceived health was 63.19% (CI 95%: 55.07-70.63), and was associated with weight loss (PR: 1.54; CI 95%: 1.19-1.99), rheumatic disease (PR: 1.46; CI 95%: 1.05-2.01) and not-for-profit NH (PR: 1.37; CI 95%: 1.03-1.83), adjusted by sex. It was observed that more than half of the elderly perceived their health as negative, and poor self-perceived health was associated with weight loss, rheumatic disease and type of institution. It is important to develop health promotion actions in NH, such as those based on nutrition and physical therapy that target these health problems, in order to improve the quality of life of the institutionalized elderly.
Keywords:
Aged
Cross-Sectional Studies
Geriatric Assessment
Homes for the Aged
Institutionalization
Self-perceived health in institutionalized elderly
Resumo (abstract):
This study aimed to determine self-perceived health in institutionalized elderly, as well as determine the prevalence of negative self-perceived health and associated factors. A cross-sectional study is presented herein, conducted in 10 nursing homes (NH) in the city of Natal, between October and December 2013. Sociodemographic variables, related to the NH and to health conditions were analyzed. A descriptive analysis and bivariate analysis (by the Chi-square test, the Fisher‘s exact test or the linear Chi-square test) were performed, as well as multivariate analysis (logistic regression). The sample consisted of 127 elderly. The prevalence of negative self-perceived health was 63.19% (CI 95%: 55.07-70.63), and was associated with weight loss (PR: 1.54; CI 95%: 1.19-1.99), rheumatic disease (PR: 1.46; CI 95%: 1.05-2.01) and not-for-profit NH (PR: 1.37; CI 95%: 1.03-1.83), adjusted by sex. It was observed that more than half of the elderly perceived their health as negative, and poor self-perceived health was associated with weight loss, rheumatic disease and type of institution. It is important to develop health promotion actions in NH, such as those based on nutrition and physical therapy that target these health problems, in order to improve the quality of life of the institutionalized elderly.
Palavras-chave (keywords):
Aged
Cross-Sectional Studies
Geriatric Assessment
Homes for the Aged
Institutionalization
Jerez-Roig, J, Souza, Diego, Andrade, Fabienne Louise Juvêncio Paes de, Lima Filho BF, Medeiros, Rafaela Jordânia de, Oliveira, N.P.D, Neto, Sadote Macêdo Cabral, Lima, K.C.. Autopercepção da saúde em idosos institucionalizados. Cien Saude Colet [periódico na internet] (2015/set). [Citado em 24/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/autopercepcao-da-saude-em-idosos-institucionalizados/15337?id=15337&id=15337