Dor crônica em residentes das instituições de longa permanência para idosos de uma metrópole da região centro-oeste

• Ano de defesa: 2013
• Autor(a) principal: Pessoa, Ana Paula da Costa
• Orientador(a): Pereira, Lilian Varanda
• Banca de defesa: Pereira, Lilian Varanda, Evangelista, Renata Alessandra, Bachion, Maria Márcia, Souza, Sandra Maria Brunini de, Hortense, Priscilla
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal de Goiás
• Programa de Pós-Graduação: Programa de Pós-graduação em Enfermagem (FEN)
• Departamento: Faculdade de Enfermagem - FEN (RG)
• País: Brasil
• Palavras-chave em Português: Dor Crônica; Instituição de Longa Permanência para Idoso; Idoso; Prevalência; Medição da dor
• Palavras-chave em Inglês: Chronic pain; Nursing home; Elderly; Pain Measurement; Prevalence
• Área do conhecimento CNPq: CIENCIAS DA SAUDE::ENFERMAGEM
• Link de acesso: http://repositorio.bc.ufg.br/tede/handle/tede/3747

Chronic pain afflicts people of all ages, however in the elderly, as scholars agree, there are still gaps of knowledge on the standard in which such experience occurs. The main goal of this paper was to assess the prevalence of chronic pain, characteristics, as well as the associated factors in the elderly living in nursing home. This is a cross-sectional study, carried out in seven out of nine nursing home registered in the Municipal Council for the Elderly and in the Municipal Health Office, in Goiânia, Brazil. We included in this study the individuals with highest scores ≥13 in the Mini Mental State Examination (MMSE), with visual, auditory and speech capacity sufficient to participate in the interviews and with age ≥ 60 years , 159 elderly people total. Chronic pain was considered as existing for six months or more. The main pain ( the one most uncomfortable for the elderly) was characterized according to its intensity (through the Verbal Rating Scale, of five points, with the following categories: “none”, “mild”, “moderate”, “severe”, “worst pain ever”) and localization , through body diagrams, with back and front. The variables of exposure included sociodemographic and clinical ones. Self-perception of health was assessed through the following Verbal Rating Scale: “great”, “good”, “bad”, “awful”), For statistic analysis we used the SPSS software version 20.0 and STATA 12.0. Associations were investigated through the Test Kolmogorov-Smirnov, Kruskal Wallis, Odds Ratio and Univariate Logistic Regression. P values ≤ 0.05 were considered significant. From 159 elderly people, the majority was over 70 years of age (81.1%), up to 4 years of education (68.8%), retired (86.0%), with children (64.2%), without a partner (77.2%), and living in the LSIE for less than 5 years (61.8%). Prevalence of chronic pain was of 49.1% [CI (95%): 41.5%-57.9%]. The parts of the body with highest prevalence were the lower limbs (47.4%), low back (44.9%), and upper limbs/shoulders (42.3%). The intensity of pain was considered mild (10.4%), moderate (35.1%), severe (32.5%), and worst pain ever for 22.1%, appearing mainly after movement (42.1%) and described as always present (34.2%). Among the elderly reporting self-perception of health as bad and awful, 60.9% had pain. Chronic pain was highly associated with gender, self-perception of bad health, practice of physical activity, reporting cataract, osteomuscular diseases, osteoporosis and stroke. The prevalence of chronic pain among elderly people living in nursing home is high, similarly to the findings of other studies carried out in Brazil, and this points to the need to include the evaluation of this experience as routine in nursing home, in order to provide early treatment and prevention of diseases in this population.