scholarly journals Functional Dependence among older adults receiving care from Family Health Strategy teams

2019 ◽  
Vol 22 (5) ◽  
Author(s):  
Mariano Fagundes Neto Soares ◽  
Luciana Colares Maia ◽  
Simone de Melo Costa ◽  
Antônio Prates Caldeira
Keyword(s):  
Older Adults ◽  
Functional Dependence ◽  
Descriptive Analysis ◽  
Family Health ◽  
Leisure Activity ◽  
Female Gender ◽  
Chi Square ◽  
Cross Sectional ◽  
Health Strategy ◽  
Family Health Strategy

Abstract Objective : To evaluate functional dependence among older adults receiving care from Family Health Strategy (FHS) teams, in Montes Claros, Minas Gerais, Brazil, identifying associated factors. Methods : A cross-sectional and analytical study with randomly selected older adults was performed. The instrument used was BOMFAQ (the Brazilian Older Americans Resources and Services Multidimensional Functional Assessment Questionnaire). Data collection was performed by trained staff in the homes of the older adults. Sociodemographic, economic data, living habits, health care, morbidities and Activities of Daily Living (ADL) were evaluated. In addition to descriptive analysis, factors associated with functional dependence were identified using the chi-square test, followed by hierarchical multiple analysis using Poisson regression with robust variance. Results : 1,750 older adults were evaluated. The group was predominantly female, with low schooling. The proportion of the sample considered dependent was 57.0%. The variables associated with functional dependence were: female gender (PR=1.19); age ≥70 years (PR=1.33); schooling ≤4 years (PR=1.19); being unemployed (PR=1.43); not performing physical activity (PR=1.19) or walking (PR=1.15); not listening to the radio as a leisure activity (PR=1.13); not having the habit of reading (PR=1.17); presenting depressive symptoms (PR=1.15); hospitalization in the last six months (PR=1.18); cognitive impairment (PR=1.16); insomnia (PR=1.13); obesity (PR=1.18); falls in the last year (PR=1.11); cataracts (PR=1.09), spinal problems (PR=1.19); urinary incontinence (PR=1.25); poor circulation (PR=1.09) and a negative self-perception of health (PR=1.22). Conclusion : Functional dependence is multifactorial, but is influenced mainly by the health conditions of older adults.

scholarly journals Evaluation of the clinical-functional vulnerability index in older adults

2019 ◽  
Vol 22 (6) ◽  
Author(s):  
Arthur Alexandrino ◽  
Ellen Karolaine Lucena da Cruz ◽  
Pedro Yan Dantas de Medeiros ◽  
Caio Bismarck Silva de Oliveira ◽  
Djaine Silva de Araújo ◽  
...  
Keyword(s):  
Older Adults ◽  
Family Health ◽  
Multiple Linear Regression Model ◽  
The Elderly ◽  
Vulnerability Index ◽  
P Value ◽  
Cross Sectional ◽  
Health Strategy ◽  
Significant Difference ◽  
Family Health Strategy

Abstract Objective: To evaluate the clinical-functional vulnerability index (CFVI) of older adults and its relationship with socioeconomic, behavioral, clinical and therapeutic indicators. Method: A cross-sectional epidemiological study with a quantitative design was performed with 318 randomly drawn older adults registered with the Family Health Strategy. Data were collected through the CFVI-20 questionnaire and analysis was supported by descriptive, bivariate and multivariate statistics, with results with p-value <0.05 considered significant. Results: most older adults (59.1%) were considered frail or potentially frail. Among the groups studied, there was a statistically significant difference in the CFVI for the variables age group (p<0.001), functional literacy (p=0.001), alcohol consumption (p<0.001), physical exercise (p<0.001), self-reported health problems (p<0.001) and medication use (p<0.001), as well as a positive correlation with stress (r=0.135; p=0.016). In the multiple linear regression model, the set of sociodemographic predictor variables explained the frailty of the elderly by 30.4% (R2=0.304). Conclusions: The advancement of age, as a non-controllable variable, indicates a need to encourage the maintenance of functionality in old age, based on the health care strategies that prolong longevity with safety, autonomy and vitality.

scholarly journals Family health strategy: relevance to the functional capacity of older people

2018 ◽  
Vol 71 (suppl 2) ◽  
pp. 740-746 ◽  
Author(s):  
Carla Silvana de Oliveira e Silva ◽  
Mayke Müller Soares Barbosa ◽  
Lucinéia de Pinho ◽  
Maria Fernanda Santos Figueiredo ◽  
Caroline Oliveira Amaral ◽  
...  
Keyword(s):  
Older People ◽  
Functional Capacity ◽  
Daily Living ◽  
Functional Dependence ◽  
Family Health ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

ABSTRACT Objective: to identify the functional capacity of older people based on their performance on basic activities of daily living. Method: a cross-sectional study, carried out through the record of the Family Health teams working in the urban area of a city in northern Minas Gerais, in 2015. To assess the functional capacity of 373 older people, the Katz Scale was applied, which includes dimensions on the performance of daily living activities. The interviews took place in the participants’ households. Results: of the total participants, 6.9% had some degree of dependence. Those aged over 80 years old and were living without a partner had about three times more chances of presenting higher levels of functional dependence. Conclusion: most older people enrolled in a Family Health Strategy had their functional capacity preserved.

scholarly journals Vigilância e estímulo do crescimento e desenvolvimento infantil

2019 ◽  
Vol 13 (3) ◽  
pp. 680
Author(s):  
Natália Dos Santos Souza ◽  
Lilian Paula Da Silva Pereira ◽  
Suéllen Valderly Silva ◽  
Weslla Karla Albuquerque Silva de Paula
Keyword(s):  
Growth And Development ◽  
Descriptive Analysis ◽  
Family Health ◽  
Cross Sectional Study ◽  
Child Growth ◽  
The Body ◽  
Cross Sectional ◽  
Basic Care ◽  
Health Strategy ◽  
Family Health Strategy

RESUMOObjetivo: avaliar as ações de vigilância e estímulo, ao crescimento e desenvolvimento da criança. Método: trata-se de um estudo quantitativo, transversal, realizado em 40 unidades da Estratégia Saúde da Família. Realizou-se a coleta de dados e fez-se a análise descritiva com o auxílio do software Epi Info 7. Avaliou-se o grau de conformidade das dimensões estrutura e processo segundo uma matriz de julgamento, e apresentaram-se os resultados em forma de tabela. Resultados: percebeu-se elevada frequência de registro das informações referentes ao crescimento na Caderneta de Saúde da Criança, com exceção daquelas pertinentes ao Índice de Massa Corporal (13,5%); 72,7% destas não continham dados sobre os marcos do desenvolvimento. Classificou-se a dimensão estrutura como não adequada, ao demonstrar um grau de conformidade de apenas 64%, semelhante à dimensão processo, na qual 86% das ações estavam implementadas. Conclusão: observaram-se fragilidades no seguimento das ações de estímulo e vigilância do crescimento e desenvolvimento infantil, denotando que incentivos para a melhoria dos serviços precisam ser realizados. Espera-se que estas informações possam servir para o planejamento e a organização dos serviços de atenção básica. Descritores: Crescimento; Desenvolvimento Infantil; Promoção da Saúde; Atenção Básica; Estratégia de Saúde da Família; Avaliação de Serviços de Saúde.ABSTRACT Objective: to evaluate the actions of surveillance and stimulation, to the growth and development of the child. Method: this is a quantitative, cross-sectional study conducted in 40 units of the Family Health Strategy. The data was collected and the descriptive analysis was carried out with the help of Epi Info 7 software. The degree of conformity of the structure and process dimensions was evaluated according to a judgment matrix, and the results were presented in the form of table. Results: it was noticed a high frequency of registration of information regarding growth in the Child Health Handbook, except for those related to the Body Mass Index (13.5%); 72.7% of them did not contain data on developmental milestones. The structure dimension was classified as not adequate, demonstrating a compliance degree of only 64%, similar to the process dimension, in which 86% of actions were implemented. Conclusion: fragilities were observed following the actions of stimulation and monitoring of child growth and development, denoting that incentives to improve services need to be realized. It is hoped that this information can be used to plan and organize basic care services. Descriptors: Growth; Child development; Health promotion; Basic Attention; Family Health Strategy; Evaluation of Health Services.RESUMEN Objetivo: evaluar las acciones de vigilancia y estímulo, al crecimiento y desarrollo del niño. Método: se trata de un estudio cuantitativo, transversal, realizado en 40 unidades de la Estrategia Salud de la Familia. Se realizó la recolección de datos y se hizo el análisis descriptivo con la ayuda del software Epi Info 7. Se evaluó el grado de conformidad de las dimensiones estructura y proceso según una matriz de juicio, y se presentaron los resultados en forma de tabla. Resultados: se percibió una elevada frecuencia de registro de las informaciones referentes al crecimiento en el Cuaderno de Salud del Niño, con excepción de aquellas pertinentes al Índice de Masa Corporal (13,5%); El 72,7% de ellas no contenían datos sobre los marcos del desarrollo.  Se clasificó la dimensión estructura como no adecuada, al demostrar un grado de conformidad de apenas 64%, semejante a la dimensión proceso, en la cual el 86% de las acciones estaban implementadas. Conclusión: se observaron fragilidades en el seguimiento de las acciones de estímulo y vigilancia del crecimiento y desarrollo infantil, denotando que incentivos para la mejora de los servicios necesitan ser realizados. Se espera que estas informaciones puedan servir para la planificación y la organización de los servicios de atención básica. Descritores: Crecimiento; Desarrollo Infantil; Promoción de la Salud; Atención Primaria de Salud; Estrategia de Salud Familiar; Investigación em Servicios de Salud.

scholarly journals AGING AND INDIVIDUAL VULNERABILITY: A PANORAMA OF OLDER ADULTS ATTENDED BY THE FAMILY HEALTH STRATEGY

2017 ◽  
Vol 26 (2) ◽  
Author(s):  
Keylla Talitha Fernandes Barbosa ◽  
Kátia Neyla de Freitas Macêdo Costa ◽  
Maria de Lourdes de Farias Pontes ◽  
Patrícia Serpa de Souza Batista ◽  
Fabiana Maria Rodrigues Lopes de Oliveira ◽  
...  
Keyword(s):  
Older Adults ◽  
Family Health ◽  
Health Indicators ◽  
Structured Interview ◽  
Survey Method ◽  
Cross Sectional ◽  
Individual Vulnerability ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

ABSTRACT Objective: identifying conditions of individual vulnerability in older adults and investigating the relationship with health indicators through a household survey. Method: a descriptive cross-sectional study conducted with 368 older adults attended by the Family Health Strategy. Data collection was performed through a structured interview, supported by instruments that include sociodemographic characterization, health indicators and the Vulnerable Elders Survey. A descriptive data analysis and Person's chi-square test were also performed. Results: a prevalence of 52.2% individual vulnerability was found among older adults, in addition to an association with health problems, negative self-perception of health, difficulty with mobility and in performing activities of daily living. Conclusion: identifying vulnerability among the aged population is a relevant initiative for the adequacy of health policies and programs that prioritize the promotion of aging with the maintenance of functional capacity.

scholarly journals Functional health literacy in older adults with hypertension in the Family Health Strategy

2020 ◽  
Vol 73 (suppl 3) ◽  
Author(s):  
Juliana Piveta de Lima ◽  
Daiane Porto Gautério Abreu ◽  
Eliel de Oliveira Bandeira ◽  
Aline Neutzling Brum ◽  
Bruno Bisognin Garlet ◽  
...  
Keyword(s):  
Older Adults ◽  
Health Literacy ◽  
Family Health ◽  
Cross Sectional Study ◽  
Functional Health ◽  
Functional Health Literacy ◽  
Cross Sectional ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

ABSTRACT Objective: To assess Functional Health Literacy and the associated sociodemographic, health, information sources and health media factors in older adults with hypertension assisted at the Family Health Strategy. Methods: A quantitative cross-sectional study with an exploratory-descriptive approach, carried out with a total of 264 older adults. A sociodemographic and health characterization instrument was used for the data collection, and another one that evaluated the Functional Health Literacy. For the analysis, a descriptive and inferential statistics were performed. Results: Most of the participants in the study had inadequate literacy (59.5% - 157), and the variables education, income, hospital stay and internet as a source of information are related to the averages of Functional Health Literacy. Conclusion: Knowing the Functional Health Literacy of older adults with hypertension and its associated factors can provide subsidies for the planning of health education strategies that, in fact, meet their health needs.

scholarly journals Fatores de risco associados à hospitalização em idosos atendidos na atenção primária de saúde [Hospitalization-related risk factors in older adults receiving primary health care] [Factores de riesgo asociados con la hospitalización en ancianos atendidos en la atención primaria de salud]

2018 ◽  
Vol 26 ◽  
pp. e15488
Author(s):  
Fabiana Maria Rodrigues Lopes De Oliveira ◽  
Kátia Nêyla De Freitas Macedo Costa ◽  
Maria de Lourdes De Farias Pontes ◽  
Patrícia Serpa de Souza Batista ◽  
Keylla Talitha Fernandes Barbosa ◽  
...  
Keyword(s):  
Risk Factors ◽  
Older Adults ◽  
Hospital Admission ◽  
Descriptive Analysis ◽  
Family Health ◽  
Binary Logistic Regression ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Family Health Strategy ◽  
Factores De Riesgo

Objetivo: avaliar os fatores de risco associados à hospitalização de idosos por meio do instrumento de predição de risco de admissão hospitalar. Método: estudo transversal, realizado com idosos cadastrados na Estratégia de Saúde da Família. Os dados foram coletados em uma amostra de 368 idosos. Para análise, foi utilizada a estatística descritiva e o modelo de regressão logística binária. Projeto aprovado no Comitê de Ética em Pesquisa, com número de CAAE: 22372413.5.0000.5188. Resultados: nos idosos com risco alto para hospitalização, predominaram aqueles com autopercepção de saúde média; uma internação hospitalar e mais de seis consultas médicas no último ano; diabéticos; doença cardiovascular; sexo feminino; com apoio social e faixa etária entre 60-74 anos. Conclusão: considerando os malefícios da hospitalização para saúde da pessoa idosa, e sua possibilidade de prevenção, os fatores de risco para hospitalização devem ser conhecidos pelos profissionais de enfermagem com vistas a diminuir a ocorrência desses eventos.ABSTRACTObjective: to evaluate risk factors associated with the hospitalization of older adults using a hospital admission risk prediction instrument. Method: in this cross-sectional study of a sample of 368 older adults enrolled in the Family Health Strategy, data were collected from February to April 2014, and treated by descriptive analysis and binary logistic regression modelling. The project was approved by the research ethics committee (CAAE number: 22372413.5.0000.5188). Results: the older adults at high risk of hospitalization predominantly reported fair self-rated health; a hospital admission and more than six medical appointments in the prior year; diabetes; cardiovascular disease; female sex; social support; and age 60-74 years. Conclusion: considering the adverse effects of hospitalization on the health of older adults, and the possibility of preventing them, nursing professionals should know the risk factors for hospitalization in order to reduce the occurrence of such events.RESUMENObjetivo: evaluar los factores de riesgo asociados a la hospitalización de ancianos a través del instrumento de predicción de riesgo de admisión hospitalaria. Método: estudio transversal, realizado con ancianos registrados en la Estrategia de Salud de la Familia. Los datos fueron recolectados de febrero a abril de 2014, con una muestra de 368 ancianos. Para el análisis se utilizó la estadística descriptiva y el modelo de regresión logística binaria. Proyecto aprobado en el comité de ética, número de CAAE: 22372413.5.00.00.5188. Resultados: Entre los ancianos con alto riesgo de hospitalización, predominaron aquellos que definían su salud como mediana; una internación hospitalaria y más de seis consultas médicas durante el último año; diabéticos; enfermedad cardiovascular; sexo femenino; con apoyo social y franja de edad entre 60-74 años. Conclusión: considerando los maleficios de la hospitalización para la salud de la persona mayor, y su posibilidad de prevención, los factores de riesgo para hospitalización deben ser conocidos por los profesionales de enfermería objetivando disminuir la ocurrencia de estos eventos.

scholarly journals Screening and Brief Intervention for the use of alcohol and other drugs

2018 ◽  
Vol 71 (suppl 5) ◽  
pp. 2258-2263 ◽  
Author(s):  
Ângela Maria Mendes Abreu ◽  
Rafael Tavares Jomar ◽  
Gunnar Glauco de Cunto Taets ◽  
Maria Helena do Nascimento Souza ◽  
Daiane Belisário Fernandes
Keyword(s):  
Brief Intervention ◽  
Family Health ◽  
Cross Sectional Study ◽  
Screening And Brief Intervention ◽  
Cross Sectional ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
Substance Involvement ◽  
Alcohol And Other Drugs

ABSTRACT Objective: to identify the lifetime use of alcohol and other drugs among users of the Family Health Strategy and apply Brief Intervention to problems related to the use of these substances. Method: a descriptive cross-sectional study where 1,031 users of the Family Health Strategy of the city of Rio de Janeiro answered a form with socio-demographic information and the Alcohol, Smoking and Substance Involvement Screening Test. Statistical analysis with simple frequency distribution was performed. Results: the most commonly used drugs in lifetime were alcohol and tobacco; among the illegal drugs, marijuana, hypnotics and cocaine/crack stood out. Those who received most Brief Intervention were users of tobacco, hypnotics, marijuana, cocaine/crack and alcohol. Conclusion: it is important to detect early problems associated with the use of alcohol and other drugs in Primary Care, since it has the promotion/protection of health and the prevention of diseases as priority health practices.

scholarly journals Factors related to negative self-care adherence in individuals with diabetes mellitus

Rev Rene ◽  
2021 ◽  
Vol 22 ◽  
pp. e70902
Author(s):  
Álef Lucas Dantas de Araújo Silva ◽  
Cayane Maria da Silva Santos ◽  
Maria Verônica Gomes de Oliveira ◽  
Waleska de Brito Nunes ◽  
Matheus Figueiredo Nogueira ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Self Care ◽  
Family Health ◽  
Prevalence Ratio ◽  
Cross Sectional ◽  
Negative Attitudes ◽  
Health Strategy ◽  
Care Assessment ◽  
Family Health Strategy

Objective: to detect factors related to negative adherence to self-care in individuals with diabetes mellitus. Methods: observational, cross-sectional, analytical, and exploratory study, conducted with individuals diagnosed with type 2 diabetes mellitus and followed-up by the Family Health Strategy. The sample consisted of 250 participants. The Summary of Diabetes Self-Care Activities Questionnaire was used for self-care assessment. Association tests, prevalence ratio and Poisson regression with robust variance were performed in the analysis. Results: negative attitudes related to self-care increased by 21% for single/divorced/widowed, 20% for retired, 54% for those who did not diet, 28% for those who did not practice physical activity, 24% for hypertensive, 30% for those with dyslipidemia, and 44% for those with retinopathy. Conclusion: socioeconomic factors, behavioral factors, presence of comorbidities and complications related to diabetes mellitus were related to negative adherence to self-care.

scholarly journals Relational technologies as instruments of care in the Family Health Strategy

2017 ◽  
Vol 70 (5) ◽  
pp. 981-987 ◽  
Author(s):  
Tatiana Fernandes Kerches de Abreu ◽  
Fernanda Amendola ◽  
Monica Martins Trovo
Keyword(s):  
Family Health ◽  
Structured Interview ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Daily Work ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
Final Consideration ◽  
Basic Health Units

ABSTRACT Objective: This article aims to identify the relational technologies used by Family Health Strategy nurses in their daily work when treating patients. Method: Descriptive and cross-sectional study with qualitative approach; conducted between May and July 2015, in three Basic Health Units of the Southern Region of the Municipality of São Paulo, with 19 nurses of the Family Health Strategy. Data were collected through a semi-structured interview, and the speeches were fully transcribed and analyzed according to the technique of content analysis. Results: From the speeches of the participants, three categories emerged, showing the unawareness of the concept, but the valorization of its use; which are the relational technologies used by the participating nurses (communication, listening, empathy and welcoming reception), as well as the report of barriers to the use of relational technologies. Final consideration: Although the nurses value the use of relational technologies, the participants denoted unawareness of the nomenclature and its associated concepts, suggesting superficiality in the understanding and use of these instruments in the context of care in the Family Health Strategy.

scholarly journals Elderly health care in the Family Health Strategy and the prevalence of common mental disorders

2016 ◽  
Vol 19 (1) ◽  
pp. 21-33 ◽  
Author(s):  
Venício Aurélio Onofri Júnior ◽  
Vinícius Spazzapan Martins ◽  
Maria José Sanches Marin
Keyword(s):  
Mental Health ◽  
Mental Disorders ◽  
Medical Records ◽  
Common Mental Disorders ◽  
Patient Flow ◽  
Family Health ◽  
Elderly Persons ◽  
Cross Sectional ◽  
Health Strategy ◽  
Family Health Strategy

The aims of the present study were to characterize the reasons for medical appointments and treatment procedures of elderly people in the Estratégia Saúde da Família ("Family Health Strategy") (ESF), with emphasis on mental health, as well as to identify the prevalence of common mental disorders, and compare this with the approaches described in medical records. A descriptive and cross-sectional study of 219 elderly persons was performed by reviewing medical records and applying a Self-Response Questionnaire (SRQ-20). For this population the average number of appointments per year was three, 42.3% of appointments were to obtain a medical prescription, and 70.9% of medical procedures involved the provision of medical prescriptions. There were eight referrals to specialized mental health services. The most prescribed psychiatric drugs were anxiolytics (55%), and antidepressants (29.7%). A total of 19.6% of the elderly persons had scores above seven in the SRQ-20. It was observed that a large proportion of mental disorders were not detected, and there was a failure in the procedures adopted. More investment in patient flow and the definition of assistance criteria for this population is required.

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