Fatores econômicos, qualidade de vida e fragilidade de pessoas idosas residentes na comunidade
Ano de defesa: | 2022 |
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Autor(a) principal: | |
Orientador(a): | |
Banca de defesa: | |
Tipo de documento: | Dissertação |
Tipo de acesso: | Acesso aberto |
Idioma: | por |
Instituição de defesa: |
Universidade Federal de São Carlos
Câmpus São Carlos |
Programa de Pós-Graduação: |
Programa de Pós-Graduação em Enfermagem - PPGEnf
|
Departamento: |
Não Informado pela instituição
|
País: |
Não Informado pela instituição
|
Palavras-chave em Português: | |
Palavras-chave em Inglês: | |
Área do conhecimento CNPq: | |
Link de acesso: | https://repositorio.ufscar.br/handle/ufscar/15830 |
Resumo: | Introduction: aging is not synonymous with disability and dependence, but the accumulation of age-related conditions and conditions can cause greater vulnerability, so it is relevant to better understand the adversities that influence quality of life, such as the frailty syndrome and the economic factors. Objective: to verify the relationships between economic factors, quality of life and frailty of elderly people residing in the community and registered at the Family Health Strategy Unit, in the periods of 2015 and 2018. Method: this is an exploratory prospective longitudinal study, of a quantitative nature, developed in the city of São Carlos, of 223 elderly people. With data collection through interviews carried out in the participants' homes. The following instruments were used: a semi-structured questionnaire to assess sociodemographic and economic data; Short Form 6 Dimension, to assess quality of life, and the Edmonton Frailty Scale, to classify frailty. Continuous data are presented as mean ± standard deviation or median, according to the Shapiro-Wilk normality test, categorical variables are presented as absolute frequency (relative frequency), and comparisons between groups were performed using the test of Wilcoxon-Mann-Whitney for continuous variables and Pearson's chi-square test with Yates continuity correction for categorical variables. Results: most individuals were female (57.4%), with a median age of 68 years, married (63.2%) and most do not live alone (85.2%). Regarding economic factors, the majority did not have a job (70.9%) and received some type of social security benefit – retirement or pension (81.6%) per capita income was R$ 724.00. The mean quality of life score was 0.75 ± 0.15. At baseline, there were 59 (26.5%) frail while 73 (40.8%) were vulnerable and 91 (32.7%) were non-frail, and the mean frailty score as a linear function of time and variables showed a statistically significant association with age (Coef.β: 0.046 95% CI: 0.021 – 0.071; p < 0.001), male gender (Coef.β: - 0.915 95% CI: 1.275 – -0.555; p < 0.001) and quality of life (Coef.β: - 6,348 95% CI: -7,581 - -5,114; p < 0.001). Conclusion: in the initial assessment, most participants were vulnerable, and during follow-up, non-frail individuals became frail without being classified as vulnerable, showing that the progression of frailty exists and is not linear. It was also noted that there is a relationship between frailty and the quality of life of the elderly, corroborating the literature and affirming the importance of social and health care to change this situation in order to prevent the progression of frailty in elderly people. and the decrease in the negative perception of quality of life. |
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Silva, Elaine Santos daZazzetta, Marisa Silvanahttp://lattes.cnpq.br/2350656835896699http://lattes.cnpq.br/64422511700701482022-04-08T13:06:06Z2022-04-08T13:06:06Z2022-02-24SILVA, Elaine Santos da. Fatores econômicos, qualidade de vida e fragilidade de pessoas idosas residentes na comunidade. 2022. Dissertação (Mestrado em Enfermagem) – Universidade Federal de São Carlos, São Carlos, 2022. Disponível em: https://repositorio.ufscar.br/handle/ufscar/15830.https://repositorio.ufscar.br/handle/ufscar/15830Introduction: aging is not synonymous with disability and dependence, but the accumulation of age-related conditions and conditions can cause greater vulnerability, so it is relevant to better understand the adversities that influence quality of life, such as the frailty syndrome and the economic factors. Objective: to verify the relationships between economic factors, quality of life and frailty of elderly people residing in the community and registered at the Family Health Strategy Unit, in the periods of 2015 and 2018. Method: this is an exploratory prospective longitudinal study, of a quantitative nature, developed in the city of São Carlos, of 223 elderly people. With data collection through interviews carried out in the participants' homes. The following instruments were used: a semi-structured questionnaire to assess sociodemographic and economic data; Short Form 6 Dimension, to assess quality of life, and the Edmonton Frailty Scale, to classify frailty. Continuous data are presented as mean ± standard deviation or median, according to the Shapiro-Wilk normality test, categorical variables are presented as absolute frequency (relative frequency), and comparisons between groups were performed using the test of Wilcoxon-Mann-Whitney for continuous variables and Pearson's chi-square test with Yates continuity correction for categorical variables. Results: most individuals were female (57.4%), with a median age of 68 years, married (63.2%) and most do not live alone (85.2%). Regarding economic factors, the majority did not have a job (70.9%) and received some type of social security benefit – retirement or pension (81.6%) per capita income was R$ 724.00. The mean quality of life score was 0.75 ± 0.15. At baseline, there were 59 (26.5%) frail while 73 (40.8%) were vulnerable and 91 (32.7%) were non-frail, and the mean frailty score as a linear function of time and variables showed a statistically significant association with age (Coef.β: 0.046 95% CI: 0.021 – 0.071; p < 0.001), male gender (Coef.β: - 0.915 95% CI: 1.275 – -0.555; p < 0.001) and quality of life (Coef.β: - 6,348 95% CI: -7,581 - -5,114; p < 0.001). Conclusion: in the initial assessment, most participants were vulnerable, and during follow-up, non-frail individuals became frail without being classified as vulnerable, showing that the progression of frailty exists and is not linear. It was also noted that there is a relationship between frailty and the quality of life of the elderly, corroborating the literature and affirming the importance of social and health care to change this situation in order to prevent the progression of frailty in elderly people. and the decrease in the negative perception of quality of life.Introdução: o envelhecimento não é sinônimo de incapacidades e dependência, mas sim, o acúmulo de agravos e condições relacionadas à idade podem ocasionar maior vulnerabilidade por isso, é relevante compreender melhor as adversidades que influenciam a qualidade de vida, como a síndrome de fragilidade e os fatores econômicos. Objetivo: verificar as relações entre fatores econômicos, qualidade de vida e fragilidade de pessoas idosas residentes na comunidade e cadastrados na Unidade de Estratégia de Saúde da Família, nos períodos de 2015 e 2018. Método: trata-se de um estudo longitudinal prospectivo exploratório, de caráter quantitativo, desenvolvido no município de São Carlos, com 223 idosos. A coleta de dados ocorreu mediante entrevistas realizadas em domicílios dos participantes. Utilizou-se os seguintes instrumentos: um questionário semiestruturado para avaliar os dados sociodemográfico e econômicos; Short Form 6 Dimension, para avaliação da qualidade de vida, e a Escala de Fragilidade de Edmonton, para classificar a fragilidade. Os dados contínuos são apresentados com média ± desvio padrão ou mediana, de acordo com o teste de normalidade de Shapiro-Wilk, as variáveis categóricas são apresentadas como frequência absoluta (frequência relativa), e as comparações entre os grupos foram realizadas usando o teste de Wilcoxon-Mann-Whitney para variáveis contínuas e o teste Qui-quadrado de Pearson com correção de continuidade de Yates para variáveis categóricas. Resultados: a maioria dos indivíduos era do sexo feminino (57.4%), com mediana de 68 anos, estado civil casado (63.2%) e a maioria não mora sozinho (85.2%). Em relação aos fatores econômicos, a maioria não possui emprego (70.9%) e recebiam algum tipo de benefício previdenciário – aposentadoria ou pensão (81.6%) a renda per capita foi de R$ 724,00. A pontuação média da qualidade de vida foi de 0.75 ± 0.15. No início do estudo haviam 59 (26.5%) frágeis, enquanto 73 (40.8%) eram vulneráveis e 91 (32.7%) não frágeis e a pontuação média da fragilidade como uma função linear do tempo e das variáveis apresentou associação estatisticamente significante com idade (Coef.β: 0.046 IC 95%: 0.021 – 0.071; p < 0.001) , sexo masculino (Coef.β: -0.915 IC 95%: 1.275 – -0.555; p < 0.001) e qualidade de vida (Coef.β: - 6.348 IC 95%: -7.581 – -5.114; p < 0.001). Conclusão: na avaliação inicial a maioria dos participantes eram vulneráveis, e que durante o seguimento, indivíduos não frágeis se tornaram frágeis sem que tivessem sido classificados como vulneráveis, mostrando que a progressão da fragilidade existe e não é linear. Notou-se também que existe uma relação entre a fragilidade e a qualidade de vida das pessoas idosas, corroborando com a literatura e afirmando a importância de atenção social e de saúde, para a mudança desse quadro visando evitar a progressão da fragilidade em pessoas idosas e a diminuição da percepção negativa da qualidade de vida.Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)CAPES: 88887.484559/2020-00porUniversidade Federal de São CarlosCâmpus São CarlosPrograma de Pós-Graduação em Enfermagem - PPGEnfUFSCarAttribution-NonCommercial-NoDerivs 3.0 Brazilhttp://creativecommons.org/licenses/by-nc-nd/3.0/br/info:eu-repo/semantics/openAccessEnvelhecimentoFatores econômicosFragilidadePessoa IdosaQualidade de vidaAgingEconomic factorsFragilityElderlyQuality of lifeCIENCIAS DA SAUDE::ENFERMAGEMFatores econômicos, qualidade de vida e fragilidade de pessoas idosas residentes na comunidadeEconomic factors, quality of life and frailty of community-dwelling elderly peopleFactores económicos, calidad de vida y fragilidad de ancianos residentes en la comunidadFacteurs économiques, qualité de vie et fragilité des personnes âgées vivant dans la communautéinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisreponame:Repositório Institucional da UFSCARinstname:Universidade Federal de São Carlos (UFSCAR)instacron:UFSCARORIGINALDissertação Elaine Silva 2022 - Versão final.pdfDissertação Elaine Silva 2022 - Versão final.pdfDissertação de Mestrado da Mestranda Elaine Santos da Silvaapplication/pdf1322567https://repositorio.ufscar.br/bitstream/ufscar/15830/1/Disserta%c3%a7%c3%a3o%20Elaine%20Silva%202022%20-%20Vers%c3%a3o%20final.pdf879fa2b069b603b9b52415520bf2979dMD51carta comprovante - dissertação Elaine 2022.pdfcarta comprovante - dissertação Elaine 2022.pdfCarta comprovanteapplication/pdf78147https://repositorio.ufscar.br/bitstream/ufscar/15830/5/carta%20comprovante%20-%20disserta%c3%a7%c3%a3o%20Elaine%202022.pdfc10d57173f429644665fa30fe2376dbeMD55CC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; charset=utf-8811https://repositorio.ufscar.br/bitstream/ufscar/15830/6/license_rdfe39d27027a6cc9cb039ad269a5db8e34MD56TEXTDissertação Elaine Silva 2022 - Versão final.pdf.txtDissertação Elaine Silva 2022 - Versão final.pdf.txtExtracted texttext/plain117749https://repositorio.ufscar.br/bitstream/ufscar/15830/7/Disserta%c3%a7%c3%a3o%20Elaine%20Silva%202022%20-%20Vers%c3%a3o%20final.pdf.txt7a1fdaa0103ec3823fc0488ab727fbc9MD57carta comprovante - dissertação Elaine 2022.pdf.txtcarta comprovante - dissertação Elaine 2022.pdf.txtExtracted texttext/plain1098https://repositorio.ufscar.br/bitstream/ufscar/15830/9/carta%20comprovante%20-%20disserta%c3%a7%c3%a3o%20Elaine%202022.pdf.txt9aa66f3973ab681e1efa387264c9c5d8MD59THUMBNAILDissertação Elaine Silva 2022 - Versão final.pdf.jpgDissertação Elaine Silva 2022 - Versão final.pdf.jpgIM Thumbnailimage/jpeg8043https://repositorio.ufscar.br/bitstream/ufscar/15830/8/Disserta%c3%a7%c3%a3o%20Elaine%20Silva%202022%20-%20Vers%c3%a3o%20final.pdf.jpg6aec7622c945eb7a673cd88877e10d15MD58carta comprovante - dissertação Elaine 2022.pdf.jpgcarta comprovante - dissertação Elaine 2022.pdf.jpgIM Thumbnailimage/jpeg6569https://repositorio.ufscar.br/bitstream/ufscar/15830/10/carta%20comprovante%20-%20disserta%c3%a7%c3%a3o%20Elaine%202022.pdf.jpg3a1620865116cd4e44fe67df80a73506MD510ufscar/158302022-04-09 03:40:20.735oai:repositorio.ufscar.br:ufscar/15830Repositório InstitucionalPUBhttps://repositorio.ufscar.br/oai/requestopendoar:43222023-05-25T13:03:18.699105Repositório Institucional da UFSCAR - Universidade Federal de São Carlos (UFSCAR)false |
dc.title.por.fl_str_mv |
Fatores econômicos, qualidade de vida e fragilidade de pessoas idosas residentes na comunidade |
dc.title.alternative.eng.fl_str_mv |
Economic factors, quality of life and frailty of community-dwelling elderly people |
dc.title.alternative.spa.fl_str_mv |
Factores económicos, calidad de vida y fragilidad de ancianos residentes en la comunidad |
dc.title.alternative.fre.fl_str_mv |
Facteurs économiques, qualité de vie et fragilité des personnes âgées vivant dans la communauté |
title |
Fatores econômicos, qualidade de vida e fragilidade de pessoas idosas residentes na comunidade |
spellingShingle |
Fatores econômicos, qualidade de vida e fragilidade de pessoas idosas residentes na comunidade Silva, Elaine Santos da Envelhecimento Fatores econômicos Fragilidade Pessoa Idosa Qualidade de vida Aging Economic factors Fragility Elderly Quality of life CIENCIAS DA SAUDE::ENFERMAGEM |
title_short |
Fatores econômicos, qualidade de vida e fragilidade de pessoas idosas residentes na comunidade |
title_full |
Fatores econômicos, qualidade de vida e fragilidade de pessoas idosas residentes na comunidade |
title_fullStr |
Fatores econômicos, qualidade de vida e fragilidade de pessoas idosas residentes na comunidade |
title_full_unstemmed |
Fatores econômicos, qualidade de vida e fragilidade de pessoas idosas residentes na comunidade |
title_sort |
Fatores econômicos, qualidade de vida e fragilidade de pessoas idosas residentes na comunidade |
author |
Silva, Elaine Santos da |
author_facet |
Silva, Elaine Santos da |
author_role |
author |
dc.contributor.authorlattes.por.fl_str_mv |
http://lattes.cnpq.br/6442251170070148 |
dc.contributor.author.fl_str_mv |
Silva, Elaine Santos da |
dc.contributor.advisor1.fl_str_mv |
Zazzetta, Marisa Silvana |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/2350656835896699 |
contributor_str_mv |
Zazzetta, Marisa Silvana |
dc.subject.por.fl_str_mv |
Envelhecimento Fatores econômicos Fragilidade Pessoa Idosa Qualidade de vida |
topic |
Envelhecimento Fatores econômicos Fragilidade Pessoa Idosa Qualidade de vida Aging Economic factors Fragility Elderly Quality of life CIENCIAS DA SAUDE::ENFERMAGEM |
dc.subject.eng.fl_str_mv |
Aging Economic factors Fragility Elderly Quality of life |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE::ENFERMAGEM |
description |
Introduction: aging is not synonymous with disability and dependence, but the accumulation of age-related conditions and conditions can cause greater vulnerability, so it is relevant to better understand the adversities that influence quality of life, such as the frailty syndrome and the economic factors. Objective: to verify the relationships between economic factors, quality of life and frailty of elderly people residing in the community and registered at the Family Health Strategy Unit, in the periods of 2015 and 2018. Method: this is an exploratory prospective longitudinal study, of a quantitative nature, developed in the city of São Carlos, of 223 elderly people. With data collection through interviews carried out in the participants' homes. The following instruments were used: a semi-structured questionnaire to assess sociodemographic and economic data; Short Form 6 Dimension, to assess quality of life, and the Edmonton Frailty Scale, to classify frailty. Continuous data are presented as mean ± standard deviation or median, according to the Shapiro-Wilk normality test, categorical variables are presented as absolute frequency (relative frequency), and comparisons between groups were performed using the test of Wilcoxon-Mann-Whitney for continuous variables and Pearson's chi-square test with Yates continuity correction for categorical variables. Results: most individuals were female (57.4%), with a median age of 68 years, married (63.2%) and most do not live alone (85.2%). Regarding economic factors, the majority did not have a job (70.9%) and received some type of social security benefit – retirement or pension (81.6%) per capita income was R$ 724.00. The mean quality of life score was 0.75 ± 0.15. At baseline, there were 59 (26.5%) frail while 73 (40.8%) were vulnerable and 91 (32.7%) were non-frail, and the mean frailty score as a linear function of time and variables showed a statistically significant association with age (Coef.β: 0.046 95% CI: 0.021 – 0.071; p < 0.001), male gender (Coef.β: - 0.915 95% CI: 1.275 – -0.555; p < 0.001) and quality of life (Coef.β: - 6,348 95% CI: -7,581 - -5,114; p < 0.001). Conclusion: in the initial assessment, most participants were vulnerable, and during follow-up, non-frail individuals became frail without being classified as vulnerable, showing that the progression of frailty exists and is not linear. It was also noted that there is a relationship between frailty and the quality of life of the elderly, corroborating the literature and affirming the importance of social and health care to change this situation in order to prevent the progression of frailty in elderly people. and the decrease in the negative perception of quality of life. |
publishDate |
2022 |
dc.date.accessioned.fl_str_mv |
2022-04-08T13:06:06Z |
dc.date.available.fl_str_mv |
2022-04-08T13:06:06Z |
dc.date.issued.fl_str_mv |
2022-02-24 |
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info:eu-repo/semantics/masterThesis |
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dc.identifier.citation.fl_str_mv |
SILVA, Elaine Santos da. Fatores econômicos, qualidade de vida e fragilidade de pessoas idosas residentes na comunidade. 2022. Dissertação (Mestrado em Enfermagem) – Universidade Federal de São Carlos, São Carlos, 2022. Disponível em: https://repositorio.ufscar.br/handle/ufscar/15830. |
dc.identifier.uri.fl_str_mv |
https://repositorio.ufscar.br/handle/ufscar/15830 |
identifier_str_mv |
SILVA, Elaine Santos da. Fatores econômicos, qualidade de vida e fragilidade de pessoas idosas residentes na comunidade. 2022. Dissertação (Mestrado em Enfermagem) – Universidade Federal de São Carlos, São Carlos, 2022. Disponível em: https://repositorio.ufscar.br/handle/ufscar/15830. |
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https://repositorio.ufscar.br/handle/ufscar/15830 |
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Attribution-NonCommercial-NoDerivs 3.0 Brazil http://creativecommons.org/licenses/by-nc-nd/3.0/br/ |
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Universidade Federal de São Carlos Câmpus São Carlos |
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Programa de Pós-Graduação em Enfermagem - PPGEnf |
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UFSCar |
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Universidade Federal de São Carlos Câmpus São Carlos |
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