scholarly journals Multimorbidity associated with polypharmacy and negative self-perception of health

2017 ◽  
Vol 20 (5) ◽  
pp. 634-642 ◽  
Author(s):  
Gustavo Cavalcanti ◽  
Marlene Doring ◽  
Marilene Rodrigues Portella ◽  
Emanuelly Casal Bortoluzzi ◽  
Andreia Mascarelo ◽  
...  

Abstract Objective: to verify the association between the multimorbidity of the elderly and sociodemographic variables, self-perception of health and polypharmacy. Method: a cross-sectional study was performed. The research data was collected using the Health, Well-Being and Aging questionnaire. The sample was composed of 676 people aged 60 years or more, who were residents of small towns in the north of the state of Rio Grande do Sul, Brazil. The dependent variable was multimorbidity, that is, the occurrence of two or more chronic non-communicable diseases in the same person. The independent variables were demographic, socioeconomic and health-related characteristics. Poisson’s raw and robust regression model was used to analyze the effect of the independent variables in relation to the outcome and p was considered significant when <0.05. Result: among the elderly interviewed, 45% presented multimorbidity, 51.1% reported a self-perception of poor/very poor health and 37.1% used polypharmacy. After the analysis was adjusted to the occurrence of multimorbidity, association with the following variables was found: health perception (regular/poor/very poor) PR=1.15 (CI95%; 1.09 - 1.22) and use of polypharmacy PR=1.29 (CI95%; 1.22 - 1.35). Conclusion: Multimorbidity may interfere negatively in the self-perception of health of the elderly contributing to increased medicine consumption.

2015 ◽  
Vol 28 (3) ◽  
pp. 231-240 ◽  
Author(s):  
Ana Luísa Moreira dos Santos ◽  
Teresa Maria de Serpa Pinto Freitas do Amaral ◽  
Nuno Pedro Garcia Fernandes Bento Borges

OBJECTIVE: To evaluate the prevalence of undernutrition in older adults aged >75 years living in communities and to identify the main factors independently associated with undernutrition. METHODS: A cross-sectional study was conducted using a random sample of family physicians' medical records of 86 older adults aged >75 years living in the community studied. Their nutritional status was evaluated using the Mini Nutritional Assessment. RESULTS: A total of 10.5% of the elderly were undernourished and 41.9% were at undernutrition risk. According to the logistic regression multivariable model, the following characteristics: being widowed (OR=6.7; 95%CI=1.8-24.6); being institutionalized (OR=12.6; 95%CI=1.7-90.5); or having a negative self-perception of health (OR=15.0; 95%CI=3.3-69.1) were independently associated with a significant increase of undernutrition risk. CONCLUSION: The current study shows that undernutrition is highly prevalent in Portuguese older adults aged >75 years living in communities. The major factors independently associated with their undernutrition are being widowed and institutionalized and having negative self-perception of health. The results obtained show that undernutrition and its associated factors are very serious problems for older adults and a challenge in their health care.


2018 ◽  
Vol 71 (suppl 2) ◽  
pp. 844-850 ◽  
Author(s):  
Daniella Pires Nunes ◽  
Tábatta Renata Pereira de Brito ◽  
Ligiana Pires Corona ◽  
Tiago da Silva Alexandre ◽  
Yeda Aparecida de Oliveira Duarte

ABSTRACT Objective: To propose a care need classification for elderly people by identifying their functional demands. Method: Cross-sectional study carried out in São Paulo, in 2006, with 1,413 elderly (≥ 60 years old), participants in the Health, Well-being and Aging study (SABE – Saúde, Bem Estar e Envelhecimento). For the care need classification, we used the Guttman Scaling method e the frequency of assistance required by the elderly. Results: The hierarchy of activities of daily living had good internal consistency (α = 0.92) and satisfactory coefficients of reproducibility (98%), scalability (84%) and minimum marginal reproducibility (87%). Care need was categorized into: no need (requires no caregiver), minimum need (requires caregiver sporadically), moderate need (requires caregiver intermittently) and maximum need (requires full-time caregiver). Conclusion: This classification will allow identifying elderly that need assistance in everyday activities and will orientante health professionals in the development of a line of care.


2014 ◽  
Vol 48 (3) ◽  
pp. 469-476 ◽  
Author(s):  
Rosely Almeida Souza ◽  
Gislaine Desani da Costa ◽  
Cintia Hitomi Yamashita ◽  
Fernanda Amendola ◽  
Jaqueline Correa Gaspar ◽  
...  

Objective: To classify families of elderly with depressive symptoms regarding their functioning and to ascertain the presence of an association between these symptoms, family functioning and the characteristics of the elderly. Method: This was an observational, analytical, cross-sectional study performed with 33 teams of the Family Health Strategy in Dourados, MS. The sample consisted of 374 elderly divided into two groups (with and without depressive symptoms). The instruments for data collection were a sociodemographic instrument, the GeriatricDepression Scale (15 items) and the Family Apgar. Results: An association was observed between depressive symptoms and family dysfunction, female gender, four or more people living together, and physical inactivity. Conclusion: The functional family may represent effective support for the elderly with depressive symptoms, because it offers a comfortable environment that ensures the well-being of its members. The dysfunctional family can barely provide necessary care for the elderly, which can exacerbate depressive symptoms.



Author(s):  
Vidya V. Patil ◽  
Rekha Udgiri

Background: Aging is a universal process. In India, the elderly account for 7.7% of the total population and the United Nations defines a country as “ageing” where the proportion of people over 60 years reaches 7.7%. Morbidity among elderly has an important influence on their physical functioning and psychological well-being. The objectives of the study were to assess the psychosocial problems associated with the elderly and to describe the chronic illness and utilization of welfare services among elderly.Methods: A cross sectional study was conducted in the urban field practice area of Shri B M Patil Medical College, Vijayapur. House to house survey was conducted for a period of 3 months from September to November 2014.Results: Total of 372 elders were interviewed, 54.5% were males, 45.4% were females. Majority were Hindus 78.8%. 46% were illiterate. Majority 79% were financially dependent. 53% were working. Around 32% were feeling lonely Most common chronic illness is joint pain (66.66%), visual problem (50%), dental and chewing problem (48%).Conclusions: Financial dependence was high among the participants and majorities were suffering from one or the other chronic illness which needs attention and knowledge about geriatric welfare services should be given. 


2011 ◽  
Vol 27 (9) ◽  
pp. 1819-1826 ◽  
Author(s):  
Fernando Vinholes Siqueira ◽  
Luiz Augusto Facchini ◽  
Denise Silva da Silveira ◽  
Roberto Xavier Piccini ◽  
Elaine Tomasi ◽  
...  

We conducted a cross-sectional study of a sample of 6,616 elderly living in urban areas of 100 municipalities in 23 Brazilian states, who responded to questions on the occurrence of falls in the 12 months prior to the interview, and occurrence of fractures due to the falls. The prevalence of falls among the elderly was 27.6% (95%CI: 26.5-28.7). Among those reporting falls, 11% had suffered fractures as a result. Of the elderly, 36% had received guidance about the precautions necessary to prevent falls, and about 1% had required surgery. Falls were associated with female gender, older age, low socioeconomic status, obesity and sedentary lifestyles. The prevalence of falls differed significantly between the North and other regions of Brazil. The study shows a high prevalence of falls, and underlines the need for preventive strategies targeting modifiable risk factors.


2021 ◽  
Vol 10 (23) ◽  
pp. 5537
Author(s):  
Siddarth Agrawal ◽  
Mateusz Dróżdż ◽  
Sebastian Makuch ◽  
Alicja Pietraszek ◽  
Małgorzata Sobieszczańska ◽  
...  

The prevailing COVID-19 pandemic has dramatically affected the mental health and well-being of individuals. This cross-sectional study aimed to assess the perceived fear of COVID-19 among older adults in Poland and identify subpopulations with the highest risk of potential mental health disorders. The study was conducted in November–December 2020 on 500 people aged ≥60 years (mean M = 67.9, standard deviation SD = 4.2). In order to collect information on participants’ characteristics and COVID-19-related information, they were asked to complete a questionnaire based on recorded telephone calls. Perceived fear of COVID-19 was measured using our generated and validated seven-item tool: “Scale of fear of COVID-19 infection”, which ranged from 7 to 35. Multiple linear regression was performed to identify factors associated with the perceived fear of COVID-19. Our results showed that the highest level of fear of COVID-19 infection was observed among women (p = 0.025) and patients taking anticoagulants (p = 0.004). Moreover, older adults with higher anxiety levels were more likely to be fearful of COVID-19 (according to the GAS-10 scale; p < 0.001). These findings may help policy makers and healthcare workers to adapt and implement better mental health strategies to help the elderly fight fear and anxiety during the prevailing pandemic.


2018 ◽  
Vol 12 (3) ◽  
pp. 692
Author(s):  
Aires Garcia Dos Santos Junior ◽  
Jasmine De Oliveira Pedro ◽  
Mayara Chaves De Oliveira ◽  
Mara Cristina Ribeiro Furlan ◽  
Francielle Garcia Nascimento ◽  
...  

RESUMOObjetivo: descrever as características sociodemográficas e a autopercepção das condições de saúde de idosos. Método: estudo quantitativo, descritivo, de corte transversal, realizado com idosos de um Centro de Convivência. Para a análise dos dados, optou-se pela realização de dupla digitação em banco de dados para a codificação, permitindo a elaboração de um dicionário de códigos em planilha do Excel. Resultados: dos 106 (100%) entrevistados, a sua maioria é do sexo feminino, 67 (63,20%). Sobre a autopercepção de saúde, os idosos relataram em sua maioria ser “BOA” com 63 (59,42%). Em relação aos problemas de saúde, 78 (73,58%) idosos confirmaram ter algum tipo de doença: Hipertensão Arterial, 29 (27,35%); doenças osteomusculares, 17 (16,03%); e Diabetes Mellitus, 13 (12,26%). Conclusão: a maioria foi do sexo feminino, com faixa etária em maior índice entre os 60 e 69 anos. Entre os idosos entrevistados, a maioria referiu possuir uma boa percepção de saúde, 63 (59,42%). A importância para a enfermagem de se criar um perfil sociodemográfico e conhecer a autopercepção de saúde dos idosos colabora com o desenvolvimento assertivo de ações a essa população. Descritores: Idoso; Saúde do Idoso; Longevidade; Perfil de Saúde; Autoimagem.ABSTRACT Objective: to describe the sociodemographic characteristics and the self-perception of the health conditions of the elderly population. Method: this is a quantitative, descriptive, cross-sectional study carried out with elderly people from a Living Center. For the analysis of the data, it was chosen to perform double digitalization in the database for coding, allowing the elaboration of a code dictionary in Excel spreadsheet. Results: of the 106 (100%) interviewed, most of them were female, 67 (63.20%). Regarding self-perception of health, the elderly reported mostly being “GOOD” with 63 (59.42%). Regarding health problems, 78 (73.58%) elderly confirmed having some type of disease: Hypertension, 29 (27.35%); osteomuscular diseases, 17 (16.03%); and Diabetes Mellitus, 13 (12.26%). Conclusion: most were female, with the highest age group between 60 and 69 years old. Among the elderly interviewed, most of them reported having a good health perception, 63 (59.42%). The importance of the nursing of creating a sociodemographic profile and knowing the self-perception of the health of the elderly collaborates with the assertive development of actions to this population. Descriptors: Aged; Health of the Elderly; Longevity; Health Profile; Self Concept.RESUMEN Objetivo: describir las caracteríticas sociodemográficas y la autopercepción de las condiciones de salud de ancianos. Método: estudio cuantitativo, descriptivo, de cohorte transversal, realizado con ancianos de un Centro de Convivencia. Para el análisis de los datos, se optó por la realización de doble digitación en banco de datos para la codificación, permitiendo la elaboración de un diccionario de códigos en planilla de Excel. Resultados: de los 106 (100%) entrevistados, su mayoría es del sexo femenino, 67 (63,20%). Sobre la autopercepción de salud, los ancianos relataron en su mayoría ser “BUENA” con 63 (59,42%). En relación a los problemas de salud, 78 (73,58%) ancianos confirmaron tener algún tipo de enfermedad: Hipertensión Arterial, 29 (27,35%); enfermedades osteomusculares, 17 (16,03%); y Diabetes Mellitus, 13 (12,26%). Conclusión: la mayoría fue del sexo femenino, com edad en mayor índice entre los 60 y 69 años. Entre los ancianos entrevistados, la mayoría dijo poseer una buena percepción de salud, 63 (59,42%). La importancia para la enfermería de criarse un perfíl sociodemográfico y conocer la autopercepción de salud de los ancianos colabora con el desarrollo asertivo de acciones a esa población. Descriptores: Anciano; Salud del Anciano; Longevidad; Perfil de Salud; Autoimagen.


2018 ◽  
Vol 5 (1) ◽  
pp. 1-8
Author(s):  
Mulyati Mulyati ◽  
Rasha Rasha ◽  
Kenty Martiatuti

This study aims to determine the influence of social support on the quality of life and welfare of the elderly living with families residing in the Urban and Sub Urban areas. This study was conducted for 3 months starting from July until September 2017. The research method is cross sectional study. This research was conducted in East Jakarta area. The research location was chosen by purposive sampling based on data from local health office. The data collection time will be conducted from July-September 2017 using WHOQOL-BREF for live, Smet and Sarafino quality measurements for the measurement of social support and SWLS Ed Diener for measuring well-being. The results showed no significant differences in quality of life and social support in urban and sub-urban elderly. But there are differencesin the dimensions of social support and information support. There is a correlation between quality of life, social support and the well-being of the elderly. Positive relationship between the quality of life and welfare where the better the quality of life the better the welfare of the elderly. The quality of life and well-being is influenced by the support of awards and support of the instrument. Keyword : elderly, social support, the quality of life, welfare   Abstrak Penelitian ini bertujuan untuk mengetahui pengaruh dukungan social terhadap kualitas hidup dan kesejahteraan lansia yang tinggal dengan keluarga yang berada di daerah Urban dan Sub Urban. Penelitian ini dilakukan selama 3 bulan terhitung mulai bulan juli sampai septembertahun 2017 dengan obyek penelitin lansia yang tinggal dengan keluarga dan lansia yang tinggal  di panti werda. Metode penelitian adalah cross sectional study.  Penelitian ini dilakukan di wilayah Jakarta Timur Pemilihan lokasi penelitian dilakukan secara Purposive Sampling berdasarkan data dari Dinas Kesehatan setempat.  Waktu pengambilan data akan dilakukan pada bulan Juli-September 2017 menggunakan WHOQOL- BREF untuk pengukuran kualtas hidup, Smet dan Sarafino untuk pengukuran dukungan social dan SWLS Ed Diener untuk mengukur kesejahteraan. Hasil penelitian menunjukkan tidak terdapat perbedaan yang nyata pada kualitas hidup dan dukungan sosial pada lansia urban dan sub urban . Tetapi terdapat perbedaan pada dimensi dukungan sosial dan dukungan informasi.Terdapat korelasi antara kualitas hidup, dukungan sosial dan kesejahteraan lansia. Hubungan yang positif antara kualitas hidup dengan kesejahteraan dimana semakin baik kualitas hidup maka semakin baik kesejahteraan lansia.Kualitas hidup dan kesejahteraan dipengaruhi oleh dukungan penghargaan dan dukungan instrumen.  Kata kunci : Lansia, Dukungan Sosial, Kualitas Hidup, Kesejahteraan    References  Biro Hukum Departemen Sosial. 1998. Undang-Undang Republik Indonesia Nomor 13 Tahun 1998 Tentang Kesejahteraan Lanjut Usia. Jakarta: Departemen Sosial.BPS. 2000. Statistika Indonesia (Statistical Year Book of Indonesia). BPS,Jakarta.Central Bureau of Statistics (Indonesia). 1993. Population of Indonesia, Result of the 1990 Population Census. Jakarta: Biro Pusat Statistik.Cutrona. 1996. Social support in couple: Marriage as a resources in time of stress. California: Sage Publication. IncCutrona C.E & Russel D.w. 1994. Type of social support and specific stress : Toward a theory of optimal matching. In B.R Sarason, I G. Sarason & G.R. Pierce (Eds), Social support : an international view (pp. 319-366). New York : WileyFelton Bj, Berry C. 1992. Psychology and Aging Do The Source Of Urban Elderly Social support, Determine its Psychological Consequance. Journal Of Pernonality and Social Psychology. Vol 7. 89-87Hardywinoto, Setiabudhi. 2005. Panduan Gerontologi ; Tinjauan dari Berbagai Aspek. Jakarta. PT Gramedia Pustaka UtamaJauhari M. 2003. Status Gizi, Kesehatan dan Kondisi Mental Lansia di Panti Sosial Tresna Werdha Mulia 4 Jakarta (Thesis). Sekolah Pasca Sarjana IPBKuntjico, Zainuddin Sr, 2002 . Dukungan Sosial Pada Lansia, http://www.epsikologi.com/usia/160402.htm, diakses 2 Desember 2016Suhartini R. 2004. Faktor-faktor Yang Mempengaruhi Kemandirian Orang Lanjut Usia (Studi Kasus di Kelurahan Jambangan). [Thesis] . Pasca Sarja. Universitas Airlangga. Surabaya.


2013 ◽  
Vol 18 (12) ◽  
pp. 3721-3730 ◽  
Author(s):  
Tatiana Chama Borges Luz ◽  
Antônio Ignácio de Loyola Filho ◽  
Maria Fernanda Lima-Costa

This cross-sectional study assesses the prevalence and examines the role of social and demographic factors, health conditions, health system characteristics and contextual factors of under-utilization of medication for financial reasons among elderly women. Participants in the Greater Metropolitan Belo Horizonte Health Survey (GMBH) and the eleventh phase of the Bambuí Cohort Study of the Elderly were assessed. Among elderly women in the GMBH, the prevalence of under-utilization was 11.4%, and in Bambuí, the rate was 5.4%. Self-perception of health (OR, 3.46; 95%CI, 1.32_9.10); daily life limitations (OR, 2.75; 95% CI, 1.31-5.78) and perception of help (OR, 2.36; 95% CI, 1.07-5.25) had independent associations with under-utilization among GMBH residents. A poor perception of both cohesion in the neighborhood (OR, 2.38; 95% CI, 1.02-5.56) and the physical environment (OR, 2.58; 95% CI, 1.10-6.03) significantly increased the likelihood of under-utilization among Bambuí residents. These results provide important clues to identifying possible risk factors for under-utilization, highlighting the need to develop strategies targeting the amplification of the involvement between elderly women and their community to reduce the extent of under-utilization in later life.


2019 ◽  
Vol 24 (1) ◽  
pp. 159-168 ◽  
Author(s):  
Annie Karoline Bezerra de Medeiros ◽  
Fernanda Pinheiro Barbosa ◽  
Grasiela Piuvezam ◽  
Adriana da Fonte Porto Carreiro ◽  
Kenio Costa Lima

Abstract This article aims to analyze the prevalence and associated factors of TMJ alterations in elderly institutionalized. An cross-sectional study of 1192 elderly institutionalized in Brazil was undertaken. Intra and extra-oral exams were performed and the TMJ was evaluated based on the Oral Health Assessment Form of the WHO (1997). Demographic data and elderly dependence were also collected. The self-perception of the elderly regarding oral health was measured using the Geriatric Oral Health Assessment Index - GOHAI. Data analysis was performed using the Chi-squared test and robust Poisson regression (level of significance of 5%). The prevalence of TMJ alteration was low compared to adults and was only associated with the state of dependence of the elderly individual (independent had 45.4% more alterations than dependent individuals), gender (women had 47.4% more alterations), self-perception of oral health (who evaluated negatively had 65.6% more alterations) and the need of upper dentures (who needed some kind of upper dentures had 45.8% more alterations than those who did not). Despite being low, the presence of alterations in the TMJ was more frequent in elderly independent, women, who evaluated negatively oral health and need some kind of upper dentures.


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