scholarly journals Prevalence and intensity of chronic pain and self-perceived health among elderly people: a population-based study

2014 ◽  
Vol 22 (4) ◽  
pp. 662-669 ◽  
Author(s):  
Lilian Varanda Pereira ◽  
Patrícia Pereira de Vasconcelos ◽  
Layz Alves Ferreira Souza ◽  
Gilberto de Araújo Pereira ◽  
Adélia Yaeko Kyosen Nakatani ◽  
...  

OBJECTIVE: to identify the prevalence and intensity of chronic pain among elderly people of the community and to analyze associations with the self-perceived health status.METHOD: cross-sectional study with a populational sample (n=934), conducted through household interviews in the city of Goiânia, Brazil. The intensity of chronic pain (existing for 6 months or more) was measured using a numerical scale (0-10) and the self-perceived health through a verbal scale (very good, good, fair, poor, very poor). For the statistical analysis, the absolute frequency and percentage, CI (95%), Chi-square test, Odds ratio, and regression analysis were used. Significance of 5%.RESULTS: The prevalence of chronic pain was 52.8% [CI (95%):49.4-56.1]; most frequently located in the lower limbs (34.5%) and lumbar region (29.5%); with high or the worst possible intensity for 54.6% of the elderly people. The occurrence of chronic pain was associated with (p<0.0001) a worse self-perception of health (OR=4.2:2.5-7.0), a greater number of chronic diseases (OR=1.8:1.2-2.7), joint disease (OR=3.5:2.4-5.1) and the female gender (OR=2.3:1.7-3.0). A lower intensity of chronic pain was associated with a better self-perception of health (p<0.0001).CONCLUSION: the majority of the elderly people of the community reported chronic pain, of a severe intensity, and located in areas related to movement activities, thus influencing the morbidity and mortality of this population.

Healthcare ◽  
2021 ◽  
Vol 9 (6) ◽  
pp. 630
Author(s):  
Satoshi Shimo ◽  
Yuta Sakamoto ◽  
Takashi Amari ◽  
Masaaki Chino ◽  
Rie Sakamoto ◽  
...  

Chronic pain and fatigue have negative effects on the health, ADL, work, and hobbies of the elderly. As the proportion of people 65 years of age and older in the population increases, chronic pain and disability research regarding this group is receiving more consideration. However, little empirical evidence of the association between chronic pain, fatigue, and physical disability between the sexes is available. This study investigated the association between chronic pain, fatigue, and instrumental activities of daily living among community-dwelling elderly people by sex in Japan. Concerning the presence of chronic pain, 61% of males and 78% of females reported chronic pain, indicating that many elderly people living in the community suffer from chronic pain and fatigue on a daily basis. The number of sites of chronic pain was higher in females than in males (p = 0.016), with more chronic pain in the knees (p < 0.001) and upper arms (p = 0.014). Regarding chronic pain, males showed a higher correlation with QuickDASH-DS (rs = 0.433, p = 0.017) and QuickDASH-SM (rs = 0.643, p = 0.018) than females. Furthermore, fatigue also showed a higher correlation with QuickDASH-W (rs = 0.531, p = 0.003) in males than in females. These results indicate that the association between chronic pain, fatigue, and QuickDASH differed between the sexes among community-dwelling elderly people in Japan. A better understanding of the risk factors for elderly chronic pain and fatigue among sexes will facilitate the development of elderly healthcare welfare and policies.


2018 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Irena Canjuga ◽  
Danica Železnik ◽  
Marijana Neuberg ◽  
Marija Božicevic ◽  
Tina Cikac

Purpose The purpose of this paper is to explore the impact of self-care on the prevalence of loneliness among elderly people living in retirement homes and older people living in their homes/communities. Design/methodology/approach The research was conducted through standardized SELSA-L assessment loneliness questionnaires and the Self Care Assessment Worksheet for self-care assessment. The results were processed using the Kruskal–Wallis test. Findings The obtained results have shown that impaired self-care ability affects the prevalence of loneliness among the elderly almost the same in both groups of participants. However, regarding the relationship between the state of health and self-care, only a statistically significant difference in the prevalence of loneliness is found in the case of the participants living in their homes, with the worst health condition affecting the poorer psychological care. Research limitations/implications It is necessary to point out the limitations of the research, primarily sample limitations and the selected design of the study. The sample consisted of two different and relatively small groups of participants which could adversely affect the representativeness of the sample and reduce the possibility of generalising the results. The next limiting factor is the age distribution the authors used in the research, where the age of the participants as a very important variable was collected by age range and not precisely which consequently resulted in inequality in subgroup sizes. Thus, the middle age (75–85) covers up to ten years, which is a huge range at an older age and can mean major differences in functional ability, and can impact the self-care assessment. Practical implications Nurses are indispensable in care for the elderly and they need to promote and encourage self-care of the elderly through health care. Elderly people living in retirement homes should be allowed to participate equally in health care in order to preserve their own autonomy and dignity. However, to benefit those who live in their homes, nurses should be connected to the local community and thus stimulate various forms of preventative (testing blood sugar levels, blood pressure and educating on the importance of preventive examinations) or recreational activities in the environment of elderly people with the goal of preserving their functional abilities. Originality/value The impact of self-care on loneliness was not sufficiently researched, and this paper contributed to understanding the complexity of loneliness phenomena among the elderly with the aim of developing a model of prevention.


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.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
S M Aguiar Lemos ◽  
L J Vasconcellos ◽  
R Tavares ◽  
A G Escarce ◽  
E M Melo

Abstract Objective To investigate self-perceived health, quality of life and its association with social determinants in adults and the elderly. Methods Observational analytical cross-sectional study, with a probabilistic sample of 1,129 participants, adults and seniors, stratified by conglomerates, living in a municipality in Minas Gerais, Brazil. The response variables were the questions: 'How do you evaluate your health in the last two months?' and 'How do you evaluate your quality of life in the last two months?'. The explanatory variables were sociodemographic and technical-assistance data. For data analysis, a descriptive analysis of categorical and continuous variables and an association analysis (Chi-Square Pearson test) were performed, statistically significant those with a value of p0.05. Results The majority were female, classified the quality of life as good and presented positive self-perception of health. Most were aged between 30 and 39 years old, attended high school, were married, had formal work and family income of up to one minimum wage. The association between self-perceived health and quality of life with social determinants revealed that the interviewees who tended to present positive self-perception of health were female, had up to 39 years of age, studied until high school, received up to five minimum wages and had had between one and two medical consultations in the last 12 months. Regarding quality of life, the interviewees who reported there were good were female, between 30 and 39 years old, with high school, were married, had formal work, received up to two minimum wages and had between one and two medical consultations at last year. The univariate analysis revealed that respondents who said their health was positive also rated the quality of life as good. Conclusions In the sample studied, it was observed that positive self-perception of health is associated with good quality of life. Key messages Health public. Quality of life.


2011 ◽  
Vol 23 (10) ◽  
pp. 1686-1691 ◽  
Author(s):  
Yi-Lung Chen ◽  
Chung-Sheng Lai ◽  
Wu-Tsung Chen ◽  
Wen-Yau Hsu ◽  
Yi-Cheng Wu ◽  
...  

ABSTRACTBackground:This study aimed to investigate the risk factors associated with post-traumatic stress disorder (PTSD) symptoms in a mid- and old-age population who experienced Typhoon Morakot in Taiwan.Methods:One hundred and twenty people, who were mostly Taiwanese aboriginal people aged 55 years and above, were invited to participate in this study. PTSD symptoms were assessed using the PTSD Symptom Scale (PSS-I). Information regarding demographic characteristics, relocation, personal injury, family death, property damage, and self-perceived health was collected.Results:29.2% of study participants presented significant PTSD symptomatology during the previous month. Development of PTSD symptomatology after the disaster was significantly associated with being female (OR 3.63, 95% CI = 1.11–11.88), experiencing relocation (OR 5.64, 95% CI = 1.60–19.88), and having poorer self-perceived health (OR 4.24, 95% CI = 1.53–11.78) after controlling for age, education, personal injury, family death, and property damage. Further, by adding depression into the analysis, we found the risk factors were being female (OR 4.66, 95% CI = 1.16–18.80), experiencing relocation (OR 27.91, 95% CI = 3.74–229.80), family death (OR 67.62, 95% CI = 2.85–1063.68), and poorer self-perceived health (OR 28.69, 95% CI = 4.52–182.06).Conclusion:Nearly 30% of the elderly people studied who experienced Typhoon Morakot developed significant PTSD symptomatology. The risk factors for PTSD symptoms were female gender, poorer self-perceived health, relocation, family death, and depression. The elderly people who were relocated by governmental programs were more likely to develop PTSD symptomatology after experiencing trauma. Resettlement and rehabilitation programs after a disaster need to be more concerned with their psychological effects on victims.


10.32698/0672 ◽  
2019 ◽  
Vol 2 (2) ◽  
pp. 76
Author(s):  
Alvi Rahmi ◽  
Daharnis Daharnis ◽  
Syahniar Syahniar

This study was conducted based on the lamentations of the old people about the existence of themselves. The old people cannot accept their changes both physical and psychological.This study aims to describe the self-acceptance of the elderly in terms of gender and place of residence. The study sample consisted of 116 elderly people, 67 elderly people who lived at home and 49 elderly people who lived in the Affectionate Home of Mother Batusangkar. The instrument used is the elderly self-acceptance questionnaire with reliability of 0.840. The results of this study are the self-acceptance of the elderly differs significantly in terms of gender and place of residence and there is an interaction between sex and residence in explaining the self-acceptance of the elderly.


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.


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