Qualidade de vida e sintomas depressivos em idosos da atenção primária à saúde: estudo de intervenção e comparativo no Brasil e em Portugal

• Ano de defesa: 2021
• Autor(a) principal: Dantas, Bruno Araújo da Silva
• Tipo de documento: Tese
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal do Rio Grande do Norte; Brasil; UFRN; PROGRAMA DE PÓS-GRADUAÇÃO EM CIÊNCIAS DA SAÚDE
• Palavras-chave em Português: Envelhecimento; Idoso; Depressão; Transtornos mentais; Qualidade de vida; Atenção Primária à Saúde
• Link de acesso: https://repositorio.ufrn.br/handle/123456789/45419

Listed by the World Health Organization (WHO) as one of the main public health problems, depression affects more than 300 million people worldwide in 2015. Given its importance within the context of public health and its worsening, depression, which mostly affects the elderly population, directly interferes with their Quality of Life (QL). This research aimed to develop and test the effectiveness of a multidimensional educational intervention to improve QoL and reduce depressive symptoms in elderly people assisted in primary health care; to evaluate the association between QoL and depressive symptoms in elderly people assisted in Primary Health Care (PHC) in Brazil and Portugal. Article 1 with a longitudinal cut, which tested the impact of multidimensional interventions applied to elderly Brazilians, users of PHC. Article 2 was an observational study, carried out with a cross-section, which, in turn, compared the association and risk of depression on aspects of QoL among elderly PHC users residing in Brazil and Portugal. The instruments used in the data collection were the Socioeconomic and Health Data Questionnaire, Medical Outcomes Short-Form Health Survey-36 (SF-36), Geriatric Depression Scale, version with 30 questions (Article 1), Beck Inventory (Article 2), Mini Mental State Examination (MMSE). For the treatment and tabulation of data in tables, Microsoft® Excel 2016 and the Statistical Package for Social Sciences (SPSS) version 20.0 were used. Prior ethical approval was obtained in Brazil and Portugal by their respective regional Ethics Committees. In article 1, the interventions applied demonstrated a favorable outcome in the intervention group compared to the control group. There was a reduction in depressive symptoms, as well as an improvement in the Mental Health, General Health and Physical Health domains of QOL in the GI participants. Article 2 highlighted the association, correlation and risk between depression and aspects related to the emotional, physical, functional and mental health components. The data were more expressive in Portugal compared to Brazil, despite having also presented similar results, but with less relevance. In this sense, we accept our study hypothesis.