Multimorbidade, polifarmácia e autopercepção da saúde de idosos longevos

• Ano de defesa: 2019
• Autor(a) principal: Barbosa, Mônica Palermo de Souza
• Orientador(a): Alves, Vicente Paulo
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Católica de Brasília
• Programa de Pós-Graduação: Programa Stricto Sensu em Gerontologia
• Departamento: Escola de Saúde e Medicina
• País: Brasil
• Palavras-chave em Português: Polifarmácia; Multimorbidade; Idosos longevos; Autoavaliação da saúde; Autopercepção da saúde
• Palavras-chave em Inglês: Health self-perception; Self-rated health; Polypharmacy; Oldest-old
• Área do conhecimento CNPq: CNPQ::CIENCIAS DA SAUDE
• Resumo em Inglês: In oldest-old people, a positive self-perception of health can be associated with a self-perceived successful aging. Aim: To investigate if multimorbidity (≥2 chronic diseases) and polypharmacy (≥5 drugs) influence the health self-perception in oldest-old people (≥80 years). Methodology: A sample of 190 outpatients was submitted to a medical consult and application of questionnaires, to assess clinical and sociodemographic characteristics, self-reported diseases and medication use. We also measured the self-perception of current health (good/very good, regular, or poor/very poor), and the relative self-perception of health compared to the previous year and to age-matched individuals (better, equal or worse). Chi-square test was used for comparison, p-value of ≦0.05 was considered significant. Results: Self-perception of health was reported as positive by 42%, regular by 51% and poor/very poor by 7% of the participants. When compared to others of the same age, 66% considered their health to be better. A decreased positive self-perception of health was observed when own health and was compared to the prior year. The presence of multimorbidity or polypharmacy did not influence the self-perception of health. Conclusions: The use of health self-perception should be considered in the elaboration of strategies for a more positive self-rated of aging, even in the presence of multimorbidity and polypharmacy.
• Link de acesso: https://bdtd.ucb.br:8443/jspui/handle/tede/2534

In oldest-old people, a positive self-perception of health can be associated with a self-perceived successful aging. Aim: To investigate if multimorbidity (≥2 chronic diseases) and polypharmacy (≥5 drugs) influence the health self-perception in oldest-old people (≥80 years). Methodology: A sample of 190 outpatients was submitted to a medical consult and application of questionnaires, to assess clinical and sociodemographic characteristics, self-reported diseases and medication use. We also measured the self-perception of current health (good/very good, regular, or poor/very poor), and the relative self-perception of health compared to the previous year and to age-matched individuals (better, equal or worse). Chi-square test was used for comparison, p-value of ≦0.05 was considered significant. Results: Self-perception of health was reported as positive by 42%, regular by 51% and poor/very poor by 7% of the participants. When compared to others of the same age, 66% considered their health to be better. A decreased positive self-perception of health was observed when own health and was compared to the prior year. The presence of multimorbidity or polypharmacy did not influence the self-perception of health. Conclusions: The use of health self-perception should be considered in the elaboration of strategies for a more positive self-rated of aging, even in the presence of multimorbidity and polypharmacy.