scholarly journals Aging and vulnerability: an analysis of 1,062 elderly persons

2019 ◽  
Vol 22 (3) ◽  
Author(s):  
Rubia Rosalinn da Cruz ◽  
Vilma Beltrame ◽  
Fabiana Meneghetti Dallacosta
Keyword(s):  
Pearson Correlation ◽  
The Elderly ◽  
Health Department ◽  
Elderly Persons ◽  
Chi Square ◽  
Cross Sectional ◽  
Exact Test ◽  
Using Data ◽  
Student’S T ◽  
The City

Abstract Objective: To analyze the vulnerability of non-institutionalized elderly persons. Method: A cross-sectional, descriptive and analytical study was carried out using data of the City Health Department of Palmas, Paraná, Brazil, and the Vulnerable Elders Survey (VES-13) instrument. The questionnaires of people aged over 60 years who had answered the VES-13 questionnaire between January 2016 and December 2017 were included. The quantitative data were analyzed by the Student’s T-Test and the categorical data by the Chi-square and Fisher’s Exact Test. The correlation between the quantitative variables was performed by the Pearson correlation coefficient. Results: A total of 1,062 questionnaires were analyzed, of which 57.3% were female, with a mean age 69 (±7.8) years. In total 427 individuals (40.2%) were vulnerable and 635 (59.8%) were not vulnerable according to VES-13 score. A total of 635 (59.8%) elderly persons were classified as robust, 176 (16.6%) as at risk of frailty and 251 (23.6%) as frail. Women and those over 75 years were more vulnerable (p<0.001). Conclusion: Vulnerability was related to the female sex, age over 75 years and the presence of chronic diseases, with these being the priority groups for the elaboration of intervention strategies in the health of the elderly.

scholarly journals Factors associated with diabetes among the elderly receiving care at a specialized gerontology-geriatric outpatient clinic

2017 ◽  
Vol 20 (3) ◽  
pp. 363-373
Author(s):  
Roberta de Souza Pereira da Silva Ramos ◽  
Ana Paula de Oliveira Marques ◽  
Vânia Pinheiro Ramos ◽  
Anna Karla de Oliveira Tito Borba ◽  
Avelino Maciel Alves de Aguiar ◽  
...  
Keyword(s):  
Outpatient Service ◽  
The Elderly ◽  
Cross Sectional Study ◽  
The Body ◽  
Multivariate Logistic Regression Model ◽  
Bivariate Analysis ◽  
Elderly Persons ◽  
Chi Square ◽  
Cross Sectional ◽  
Exact Test

Abstract Objective: To identify the prevalence of diabetes and its relation to associated factors in elderly persons receiving care at a specialist gerontology-geriatric outpatient service. A descriptive cross-sectional study of 301 elderly persons of both genders was performed. Method: The bivariate analysis was performed using the Pearson’s Chi-square test for Independence and Fisher's exact test, considering 5% of significance and 95% confidence. A multivariate logistic regression model was adjusted to identify factors that may influence the occurrence of diabetes. Result: There was no statistically significant association between the prevalence of diabetes and socioeconomic and demographic variables, behavioral factors and health conditions. Only the Body Mass Index variable was close to being statistically significant (p=0.059). Conclusion: The result confirms the need to develop new studies on the subject to consider the particularities and specificities of the elderly population to enable the creation of educational intervention strategies aimed at this group.

scholarly journals Correlation Between Health Literacy and Self-efficacy of the Elderly

2020 ◽  
Vol 24 (3) ◽  
pp. 224-233
Author(s):  
Jalil Azimian ◽  
◽  
Fatemeh Mohammadi ◽  
Amir Javadi ◽  
Neda Asgarian ◽  
...  
Keyword(s):  
Health Literacy ◽  
Self Efficacy ◽  
Pearson Correlation ◽  
The Elderly ◽  
Cluster Sampling ◽  
Chi Square ◽  
Cross Sectional ◽  
Exact Test ◽  
Correlation Test ◽  
Chi Square Test

Background: Health literacy is the capacity of a person to obtain, process, and understand basic health information for appropriate health decision making. Self-efficacy is the assurance that is felt about a particular activity which maintains and promotes effective health behaviors. Objective: The purpose of this study is to evaluate the relationship between health literacy and self-efficacy in the elderly people. Methods: This descriptive-correlational study with cross-sectional design was conducted on 144 elderly living in Ramsar city in 2018 who were selected using a random cluster sampling method. Data collection tools were a demographic form, Self Rated Abilities for Health Practices Scale, and Health Literacy for Iranian Adults completed by the researcher after obtaining informed consent from the participants. Data were analyzed in SPSS v.16 software using correlation test, independent t-test, chi-square test, and Fisher’s exact test. Findings: Most of participants were female (59%), married (86.8%), housekeeper (52.8%) and high school dropouts (35.4%), and moderate financial status (61.8%) with a mean age of 68.75±2.12 years. Pearson correlation test results showed a significant relationship between health literacy and self-efficacy of the elderly (P=0.0001). Conclusion: Considering the role of health literacy in increasing the self-efficacy of the elderly, healthcare system policymakers need to pay attention to the issue of health literacy in health system planning.

scholarly journals Prevalence of and factors associated with polypharmacy among elderly persons resident in the community

2017 ◽  
Vol 20 (1) ◽  
pp. 138-148 ◽  
Author(s):  
Natália Araujo de Almeida ◽  
Annelita Almeida Oliveira Reiners ◽  
Rosemeiry Capriata de Souza Azevedo ◽  
Ageo Mário Cândido da Silva ◽  
Joana Darc Chaves Cardoso ◽  
...  
Keyword(s):  
The Elderly ◽  
Cross Sectional Study ◽  
Health Condition ◽  
Bivariate Analysis ◽  
Elderly Persons ◽  
Chi Square ◽  
Cross Sectional ◽  
Mato Grosso ◽  
Significance Level ◽  
Factors Associated

Abstract Objective: to verify the prevalence of and factors associated with polypharmacy among elderly residents of the city of Cuiabá, in the state of Mato Grosso. Method: a cross-sectional study of 573 people aged 60 and over was performed. Polypharmacy was defined as the use of five or more medications. To investigate the association between polypharmacy and sociodemographic variables, health and access to medication, the Mantel Haenszel chi square test was used in bivariate analysis and Poisson regression was used in multivariate analysis. The significance level adopted was 5%. Result: the prevalence of polypharmacy was 10.30%. Statistically significant associations were found between polypharmacy and living with others, describing suffering from circulatory, endocrine, nutritional and digestive tract diseases, and referring to financial difficulties for the purchase of medicines. Conclusion: some social and health condition factors play an important role in the use of multiple medications among the elderly.

scholarly journals Geriatric health related problems in an urban area of southern Rajasthan

2019 ◽  
Vol 6 (10) ◽  
pp. 4545
Author(s):  
Nitesh Mangal ◽  
Dilip Kumar L. ◽  
K. A. Varghese ◽  
Meet Chauhan ◽  
Matariswa Samanta
Keyword(s):  
Urban Area ◽  
Elderly People ◽  
Elderly Person ◽  
The Elderly ◽  
Elderly Persons ◽  
Elderly Male ◽  
Chi Square ◽  
Cross Sectional ◽  
Significant Difference ◽  
Chi Square Test

Background: There is a paradigm shift in the social values towards the elderly people due to urbanization and higher educational linked migration. Consequently, problems like loneliness, lack of emotional support, economic insecurities are faced by the elderly population. The objectives of the study were to assess the socio-economic dimensions and to examine the morbidity and mortality patterns of elderly persons in the study area.Methods: A cross- sectional study was conducted among 536 elderly persons from May to August 2019 in an urban area of Udaipur. A pre-structured and pre-tested questionnaire was used to collect information on socio-demographic details, morbidity profile and socio-economic problems of elderly persons. The data was analyzed using class frequencies, ‘t’ test for equality of gender difference in mortality ages and Chi-square test for association of age class with morbidity.Results: A majority of study subjects were females (52.05%). There was significant difference in proportions of elderly male and female persons across their educational levels. The chi-square test for association of age classes with number of health problems revealed significant association. About 56.34% of 536 elderly people were leading an unsatisfactory life.Conclusions: The major morbidities included arthritis, hypertension, diabetes, cataract, dental problems, cardiovascular problems etc. Financial problems were more severe among elderly. The availability of trained paramedical professionals for home care and day care units and legal bindings on family members for safety and security of elderly person can be effective measures to overcome the problems being faced by them. 

scholarly journals Nursing team knowledge on care for patients with fungating wounds

2020 ◽  
Vol 73 (1) ◽  
Author(s):  
Fernanda Mateus Queiroz Schmidt ◽  
Flávia Firmino ◽  
Nariman de Felício Bortucan Lenza ◽  
Vera Lúcia Conceição de Gouveia Santos
Keyword(s):  
Staff Training ◽  
Cross Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Orientation Data ◽  
Exact Test ◽  
Nursing Team ◽  
Student’S T ◽  
Educational Variables ◽  
Student’S T Test

ABSTRACT Objective: to evaluate the nursing team knowledge of a cancer hospital on care for patients with Malignant Fungating Wounds (MFW) and to analyze associated sociodemographic and educational factors. Method: an observational and cross-sectional study, conducted between September and October 2015, after approval by the Research Ethics Committee. A questionnaire was applied containing sociodemographic, educational and related components to the accomplishment of dressings, dressings choice and orientation. Data were analyzed by using Chi-square, Fisher’s exact test, Student’s t-Test and Pearson’s correlation. Results: 37 professionals participated in the study, most of whom were technicians (56.8%), women (91.9%) and with a mean age of 32 years. The professionals presented 56.5% of correct answers. There were no statistically significant associations between sociodemographic/educational variables and number of correct answers. Conclusion: there was a lack of important knowledge about care for patients with MFW, which should guide strategies for the oncology staff training.

scholarly journals Outbreak of Toxoplasmosis in the City of Santa Maria, Brazil

2019 ◽  
Vol 34 (s1) ◽  
pp. s74-s74 ◽  
Author(s):  
Silvana Dal Ponte ◽  
Daniela Burguez ◽  
Giordanna Andrioli
Keyword(s):  
Acute Infection ◽  
Health Department ◽  
Cross Sectional Study ◽  
Epidemiological Surveillance ◽  
Cross Sectional ◽  
Laboratory Confirmation ◽  
Acute Toxoplasmosis ◽  
Using Data ◽  
The City ◽  
Santa Maria

Introduction:In the first months of 2018, there was an increase in the number of cases of fever possibly related to toxoplasmosis in the city of Santa Maria, Brazil, reaching significant values. Toxoplasmosis is an autoimmune acute infection usually asymptomatic in 80-90% of immunocompetent adults. In this outbreak, the intensity of the symptoms presented warrants attention.Objective:To report cases of the toxoplasmosis outbreak in the city of Santa Maria, Brazil.Methods:This is a cross-sectional study using data on the outbreak of toxoplasmosis in Santa Maria published in bulletins by the Municipal Health Department of Santa Maria, Rio Grande do Sul, Brazil.Results:The outbreak of toxoplasmosis in Santa Maria was confirmed on April 19, 2018. Until June 14, 2018, 510 cases were confirmed. According to the most recent bulletin released by the State Health Department on June 8, 2018, 441 occurrences are people residing in Santa Maria. Five are residents of the districts and seven cases are patients residing in neighboring counties. In a bulletin published on May 25, 2018, 1,116 cases were reported to state epidemiological surveillance by the end of May. Of these, 766 cases were still suspected (fever, headache and/or myalgia accompanied by lymphadenopathy, weakness, arthralgia, or change in vision. In the other 460 cases, there was laboratory confirmation of acute toxoplasmosis, of which 35 were pregnant, with two fetal deaths (36 and 28 weeks), and two abortions. There are also 212 cases still pending laboratory confirmation.Discussion:The results of this research show that the current outbreak of toxoplasmosis in the city of Santa Maria, Brazil, is the largest reported in Brazil and appears to be the largest in the world. The notification to authorities by physicians was very important for the identification of this outbreak.

scholarly journals Characteristics of falls in elderly persons residing in the community: a population-based study

2017 ◽  
Vol 20 (5) ◽  
pp. 691-701 ◽  
Author(s):  
Suzana Albuquerque de Moraes ◽  
Wuber Jefferson Sousa Soares ◽  
Lygia Paccini Lustosa ◽  
Tereza Loffredo Bilton ◽  
Eduardo Ferrioli ◽  
...  
Keyword(s):  
The Elderly ◽  
Sociodemographic Factors ◽  
Population Based ◽  
The State ◽  
Elderly Persons ◽  
Chi Square ◽  
Cross Sectional ◽  
Population Based Study ◽  
Mato Grosso ◽  
Chi Square Test

Abstract Object: to examine the characteristics to the last fall of Brazilian elderly persons who experienced falls in 2008 and 2009, and to identify if there is a relationship with sociodemographic characteristics, physical health, comorbidities, clinical conditions and the circumstances of the falls. Methods: a cross-sectional, population based study was carried out with participants aged 65 and older from Barueri in the state of São Paulo and Cuiabá in the state of Mato Grosso, Brazil. Households were enrolled within each census region according to population density and the number of elderly persons living in each region. A multidimensional questionnaire composed of sociodemographic factors and data regarding falls was used. Associations were analyzed using contingency tables, and Fisher's Exact or Pearson's Chi-square test was used. Results: 774 elderly people were included in the study, 299 of whom reported falling in the previous year. Of these, 176 (58.9%) had fallen once and 123 (41.1%) reported having fallen twice or more. Among fallers the mean age was 72.53 (±6.12) years and 214 (71.6%) were female. About 107 (35.8%) of the elderly reported having fallen forwards, 79 (26.4%) fell to the side and 42(14%) fell backwards. Regarding the circumstances of the falls, 107 (35.8%) reported having lost their balance, 79 (26.4%) said they had stumbled and 42 (14%) said they had slipped. There was an association between the mechanism and circumstances of the falls and having fallen once or twice or more. There was an association between the circumstances of falls and the number of medications taken. Conclusion: The characteristics of falls were different among elderly persons who had fallen once or twice or more, which may guide health professionals, the elderly and their families in relation to specific fall prevention strategies.

scholarly journals Cardiometabolic diseases and active aging - polypharmacy in control

2020 ◽  
Vol 73 (2) ◽  
Author(s):  
Adriana Nancy Medeiros dos Santos ◽  
Dulcineia Rebecca Cappelletti Nogueira ◽  
Beatriz Aparecida Ozello Gutierrez ◽  
Rosa Yuka Sato Chubaci ◽  
Caroline Ribeiro de Borja Oliveira
Keyword(s):  
Prescription Drugs ◽  
Prevalence Ratio ◽  
The Elderly ◽  
Lipid Lowering ◽  
Chi Square ◽  
Cross Sectional ◽  
Exact Test ◽  
Cardiometabolic Diseases ◽  
Chi Square Test ◽  
The University

ABSTRACT Objectives: To estimate the prevalence of cardiometabolic diseases and their association with polypharmacy in elderly people at the University of the Third Age (Portuguese acronym: UnATI). Methods: A cross-sectional, descriptive, analytical study with 121 elderly patients. The prevalence ratio, Pearson’s Chi-square test and Fisher’s exact test were used as measures of association. Results: At the mean age of 68.3, most elderly had at least one cardiometabolic disease (82.6%), of which hypertension was the most prevalent (71.1%), and consumed prescription drugs of continuous use (92.6%). Almost half of the elderly (48.2%) used combinations of drugs, which suggests a high cardiovascular risk. Polypharmacy due to prescription was observed in almost one-third (28.6%) of the sample, associated with the use of antihypertensives (p=0.004), antidiabetics (p=0.000) or lipid-lowering agents (p<0.000). Conclusions: Clinical guidelines recommend changes in lifestyle, but increased pharmacotherapy prevails in practice, which increases the risk of adverse events, especially in old age.

scholarly journals Assessment of Comorbidity and Use of Prescription and Nonprescription Drugs in Patients Above 65 Years Attending Family Medicine Outpatient Clinics

2019 ◽  
Vol 5 ◽  
pp. 233372141987427 ◽  
Author(s):  
Münevver Kurt ◽  
Melahat Akdeniz ◽  
Ethem Kavukcu
Keyword(s):  
Correlation Analysis ◽  
Older People ◽  
Statistical Tests ◽  
Pearson Correlation ◽  
The Elderly ◽  
Nonprescription Drugs ◽  
Chi Square ◽  
Cross Sectional ◽  
Drug History ◽  
Nonprescription Drug

Background and aim: Aging is often accompanied by chronic diseases, comorbidity, and polypharmacy. Use of prescription/nonprescription drugs, and over-the-counter (OTC) drugs seen frequently in the elderly. The aim of this study was to assess the comorbidity and multimorbidity status and to evaluate the use of prescription and nonprescription drugs in patients aged 65 years. Materials and Methods: In this cross-sectional and descriptive study, statistical analyses were performed using SPSS Version 22.0. Kolmogorov–Smirnov tests were applied based on meeting the assumption of a normal distribution of the data. Other statistical tests used were one-way analysis of variance tests, t tests, Pearson correlation analysis, Chi-square tests, Mann–Whitney U tests, and Spearman correlation analysis. Results: A total of 244 people participated in the study. The multimorbidity rate was 85%. Participants used an average of 4.26 drugs daily. The polypharmacy ratio was 42%. The nonprescription drug usage rate was 20%. Participants used nonprescription drugs most often with the pharmacist’s advice. Conclusion: Multimorbidity, comorbidity, prescription, and nonprescription drug use were very high among elderly patients. Because older people are more susceptible to adverse drug reactions and drug interactions, physicians who provide care to older people should take a comprehensive drug history.

scholarly journals Economic-financial and patrimonial elder abuse: a documentary study

2019 ◽  
Vol 53 ◽  
Author(s):  
Ana Maria Ribeiro dos Santos ◽  
Regina Dulce da Silva Nolêto ◽  
Rosalina Aparecida Partezani Rodrigues ◽  
Elaine Maria Leite Rangel Andrade ◽  
Elisiane Gomes Bonfim ◽  
...  
Keyword(s):  
Elder Abuse ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Capital City ◽  
Chi Square ◽  
Cross Sectional ◽  
Exact Test ◽  
Police Station ◽  
Financial Abuse ◽  
Police Reports

ABSTRACT Objective: To analyze economic-financial and patrimonial cases of elder abuse, recorded in the specialized police station for security and protection of the elderly of a capital city in the northeast region of Brazil. Method: A cross-sectional study was carried out with data extracted from police reports and inquiries recorded in the abovementioned police station. Descriptive and inferential statistics were carried out by means of Pearson’s chi-square test or Fisher’s exact test, and multivariate logistic regression. Results: The sample was made up of 555 police reports. The data showed that financial abuse presented a prevalence of 58.9%, and that older elderly people (67.9%), men (70.4%), and single (75.0%) presented a higher percentage of financial abuse compared with other types of violence, often occurring in public places, with 3.1 more chances of occurrence than at the elderly’s home. Regarding aggressors, women (73.5%), without suspicion of alcohol use (66.4%), and non-family members committed more financial abuse, evidencing 2.97 more chances of practicing it. Conclusion: In the period studied, financial abuse increased in its magnitude when compared with other types of violence, a fact that justifies researching the theme in order to prevent it.

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